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Communication about complementary and alternative medicine: perspectives of primary care clinicians.
Altern Ther Health Med. 2006 Jan-Feb; 12(1):56-63.AT

Abstract

BACKGROUND

People in the United States are using complementary and alternative medicine (CAM) increasingly while they are also receiving conventional care. National population-based surveys and studies in primary care settings have documented inadequate communication about CAM between patients and their conventional healthcare providers. Most studies about CAM communication have surveyed urban practices and focused on physicians. Information about how physicians and non-physician in rural areas clinicians communicate with their patients about CAM is needed to develop strategies for improving the quality of care for patients in rural areas.

OBJECTIVE

To investigate how primary care clinicians in the Kentucky Ambulatory Network (KAN) communicate with patients about CAM and to determine interest in additional education about CAM.

METHODS

A self-administered survey was mailed to 112 community clinicians in a research network of largely rural practices. KAN members include primary care physicians, nurse practitioners, certified nurse midwives, and physician assistants practicing in 32 counties in central and eastern Kentucky.

RESULTS

Of 102 deliverable surveys, 65 (64%) were returned. Sixty-one (94%) clinicians reported patient CAM use. Few clinicians consistently asked patients about CAM. A positive attitude toward patient CAM use was associated with clinician comfort in advising patients. Most clinicians recommended CAM to patients. Seventy percent of KAN clinicians expressed interest in continuing education about CAM.

CONCLUSIONS

Kentucky primary care clinicians are aware of their patients' CAM use and are motivated to learn more about CAM so that they can appropriately advise their patients. They need evidence-based, clinically relevant education about CAM to provide better patient care.

Authors+Show Affiliations

University of Kentucky, Department of Family and Community Medicine, Lexington, KY, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

16454148

Citation

Flannery, Maureen A., et al. "Communication About Complementary and Alternative Medicine: Perspectives of Primary Care Clinicians." Alternative Therapies in Health and Medicine, vol. 12, no. 1, 2006, pp. 56-63.
Flannery MA, Love MM, Pearce KA, et al. Communication about complementary and alternative medicine: perspectives of primary care clinicians. Altern Ther Health Med. 2006;12(1):56-63.
Flannery, M. A., Love, M. M., Pearce, K. A., Luan, J. J., & Elder, W. G. (2006). Communication about complementary and alternative medicine: perspectives of primary care clinicians. Alternative Therapies in Health and Medicine, 12(1), 56-63.
Flannery MA, et al. Communication About Complementary and Alternative Medicine: Perspectives of Primary Care Clinicians. Altern Ther Health Med. 2006 Jan-Feb;12(1):56-63. PubMed PMID: 16454148.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Communication about complementary and alternative medicine: perspectives of primary care clinicians. AU - Flannery,Maureen A, AU - Love,Margaret M, AU - Pearce,Kevin A, AU - Luan,Jingyu Julia, AU - Elder,William G, PY - 2006/2/4/pubmed PY - 2006/3/10/medline PY - 2006/2/4/entrez SP - 56 EP - 63 JF - Alternative therapies in health and medicine JO - Altern Ther Health Med VL - 12 IS - 1 N2 - BACKGROUND: People in the United States are using complementary and alternative medicine (CAM) increasingly while they are also receiving conventional care. National population-based surveys and studies in primary care settings have documented inadequate communication about CAM between patients and their conventional healthcare providers. Most studies about CAM communication have surveyed urban practices and focused on physicians. Information about how physicians and non-physician in rural areas clinicians communicate with their patients about CAM is needed to develop strategies for improving the quality of care for patients in rural areas. OBJECTIVE: To investigate how primary care clinicians in the Kentucky Ambulatory Network (KAN) communicate with patients about CAM and to determine interest in additional education about CAM. METHODS: A self-administered survey was mailed to 112 community clinicians in a research network of largely rural practices. KAN members include primary care physicians, nurse practitioners, certified nurse midwives, and physician assistants practicing in 32 counties in central and eastern Kentucky. RESULTS: Of 102 deliverable surveys, 65 (64%) were returned. Sixty-one (94%) clinicians reported patient CAM use. Few clinicians consistently asked patients about CAM. A positive attitude toward patient CAM use was associated with clinician comfort in advising patients. Most clinicians recommended CAM to patients. Seventy percent of KAN clinicians expressed interest in continuing education about CAM. CONCLUSIONS: Kentucky primary care clinicians are aware of their patients' CAM use and are motivated to learn more about CAM so that they can appropriately advise their patients. They need evidence-based, clinically relevant education about CAM to provide better patient care. SN - 1078-6791 UR - https://www.unboundmedicine.com/medline/citation/16454148/Communication_about_complementary_and_alternative_medicine:_perspectives_of_primary_care_clinicians_ L2 - https://medlineplus.gov/talkingwithyourdoctor.html DB - PRIME DP - Unbound Medicine ER -