alexa Integration of complementary and alternative medicine in primary care: what do patients want?
Healthcare

Healthcare

Primary Healthcare: Open Access

Author(s): Jong MC, van de Vijver L, Busch M, Fritsma J, Seldenrijk R

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Abstract OBJECTIVE: To explore patients' perspectives towards integration of Complementary and Alternative Medicine (CAM) in primary care. METHODS: A mixed-methods approach was used. This included a survey on use, attitudes and disclosure of CAM, an e-panel consultation and focus group among patients with joint diseases. RESULTS: A total of 416 patients responded to the survey who suffered from osteoarthritis (51\%), rheumatoid arthritis (29\%) or fibromyalgia (24\%). Prevalence of CAM use was 86\%, of which 71\% visited a CAM practitioner. Manual therapies, acupuncture and homeopathy were most frequently used. A minority (30\%) actively communicated CAM use with their General Practitioner (GP). The majority (92\%) preferred a GP who informed about CAM, 70\% a GP who referred to CAM, and 42\% wanted GPs to collaborate with CAM practitioners. Similar attitudes were found in the focus group and upon e-panel consultation. CONCLUSIONS: Most patients in primary care want a GP who listens, inquires about CAM and if necessary refers to or collaborates with CAM practitioners. PRACTICE IMPLICATIONS: To meet needs of patients, primary care disease management would benefit from an active involvement of GPs concerning CAM communication/referral. This study presents a model addressing the role of patients and GPs within such an integrative approach. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved. This article was published in Patient Educ Couns and referenced in Primary Healthcare: Open Access

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