Why GPs refer patients to complementary medicine via the NHS: A qualitative exploration

Brien, Sarah; Howells, E; Lewith, George

doi:10.1016/j.eujim.2008.08.066

Cited by 6 publications

(5 citation statements)

References 0 publications

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“…For BMD, lack of knowledge is one of the most cited reasons for disapproving TCAM [ 40 – 42 ]. Referral to TCAMP is unlikely unless BMD are willing to gain a better understanding of TCAM, and incorporate such learning into clinical decision making [ 43 , 44 ]. In Hong Kong, TCM training in BM schools could be reviewed, and future curriculum should be set at a level where BMD can gain sufficient knowledge for collaborating with TCMP [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Developing Policy for Integrating Biomedicine and Traditional Chinese Medical Practice Using Focus Groups and the Delphi Technique

Chung

Lau

et al. 2012

Evidence-Based Complementary and Alternative Medicine

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In Hong Kong, statutory regulation for traditional Chinese medicine (TCM) practitioners has been implemented in the past decade. Increasing use of TCM on top of biomedicine (BM) services by the population has been followed; but corresponding policy development to integrate their practices has not yet been discussed. Using focus group methodology, we explore policy ideas for integration by collating views from frontline BM (n = 50) and TCM clinicians (n = 50). Qualitative data were analyzed under the guidance of structuration model of collaboration, a theoretical model for understanding interprofessional collaboration. From focus group findings we generated 28 possible approaches, and subsequently their acceptability was assessed by a two round Delphi survey amongst BM and TCM policy stakeholders (n = 12). Consensus was reached only on 13 statements. Stakeholders agreed that clinicians from both paradigms should share common goals of providing patient-centered care, promoting the development of protocols for shared care and information exchange, as well as strengthening interprofessional connectivity and leadership for integration. On the other hand, attitudes amongst policy stakeholders were split on the possibility of fostering trust and mutual learning, as well as on enhancing innovation and governmental support. Future policy initiatives should focus on these controversial areas.

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Section: Discussionmentioning

confidence: 99%

Developing Policy for Integrating Biomedicine and Traditional Chinese Medical Practice Using Focus Groups and the Delphi Technique

Chung

Lau

et al. 2012

Evidence-Based Complementary and Alternative Medicine

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“…Our work adds clarity and context to these previous studies, by offering insights into the factors that underpin varying levels of support for CM. The qualifications and caveats around issues such as efficacy, for example, the support for CM use by skeptical GPs in ‘heart-sink’ patients where other options have failed, or that efficacy may not be the primary concern in relation to CM, also mirrors earlier international qualitative work of CM in general practice, which uncovers a similarly nuanced approach to CM integration (Adams, 2003; Brien et al ., 2008; Jarvis et al ., 2015). Just as there may be no such thing as a ‘typical’ GP, these findings would also suggest that there appears to be no such thing a ‘typical’ GP view of CM.…”

Section: Discussionmentioning

confidence: 99%

Primary care practitioner perceptions and attitudes of complementary medicine: a content analysis of free-text responses from a survey of non-metropolitan Australian general practitioners

Wardle

Sibbritt

Adams

2018

Prim Health Care Res Dev

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GPs in Australia have a wide variety of perceptions toward CM. A minority of GPs have absolute views on CM, with most GPs having numerous caveats and qualifications of individual CM. Efficacy is only one aspect of CM critically evaluated by GPs when gauging support for individual therapies - risk, alignment with medical principles and an openness to exploring new avenues of treatment where others have failed, all appear to be equally important considerations when GPs form their views around CM.

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“…32 Information provided by patients about preferences is also deliberately included in SDM (Line 9). 217,218,220,230 PCPs' deci-sions about test ordering, [231][232][233] referrals, 230,[234][235][236] and medication prescriptions 237,238 can be influenced by patient requests (Line 10). Similarly, patient resistance may influence decisions regarding testing, 142,232,239 referrals, 234 and advice provision.…”

Section: Part 3: Influencementioning

confidence: 99%

Comprehensive process model of clinical information interaction in primary care: results of a “best-fit” framework synthesis

Veinot

Senteio

Hanauer

et al. 2017

Journal of the American Medical Informatics Association

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Why GPs refer patients to complementary medicine via the NHS: A qualitative exploration

Cited by 6 publications

References 0 publications

Developing Policy for Integrating Biomedicine and Traditional Chinese Medical Practice Using Focus Groups and the Delphi Technique

Developing Policy for Integrating Biomedicine and Traditional Chinese Medical Practice Using Focus Groups and the Delphi Technique

Primary care practitioner perceptions and attitudes of complementary medicine: a content analysis of free-text responses from a survey of non-metropolitan Australian general practitioners

Comprehensive process model of clinical information interaction in primary care: results of a “best-fit” framework synthesis

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