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Perceptions and attitudes of rehabilitation medicine physicians on complementary and alternative medicine in Australia.
Intern Med J. 2009 Mar; 39(3):164-9.IM

Abstract

BACKGROUND

The growing demand for complementary and alternative medicine (CAM) is undeniable. We report a first study about the attitudes and behaviour of Australian rehabilitation physicians to CAM.

METHODS

A prospective cross-sectional survey was undertaken to document the prevalence of, knowledge about and referrals to CAM therapies and their perceived effectiveness, by a sample of Australian rehabilitation physicians.

RESULTS

Thirty-six out of 94 actively practising rehabilitation physicians from the Australasian Faculty of Rehabilitation Medicine, the Royal Australasian College of Physicians, replied to the survey, a response rate of 38%, and 85% reported familiarity with CAM, the most familiar therapies being acupuncture (80%), yoga (74%) and Tai-Chi (72%). CAM referral was reported in 84%, 38% personally used CAM, 94% of patients enquired about CAM therapies, 32% of respondents routinely enquired about CAM use. Age, sex and year of Fellowship were not associated with familiarity, personal use or frequency of patient enquiry about CAM. Those who reported to be very familiar with CAM were more likely to routinely enquire about CAM use (P = 0.028) and be more confident in prescribing certain CAM therapies (P < 0.05).

CONCLUSION

Australian rehabilitation physicians report similar CAM referral rates to Canadian physiatrists and Australian general practitioners. The most commonly prescribed therapies were acupuncture, yoga and Tai-Chi. Almost all patients use CAM therapies, but only a minority of rehabilitation physicians enquires about CAM use on a regular basis. The latter may avoid potentially harmful drug interactions, as well as improve the quality of the physician-patient relationship.

Authors+Show Affiliations

Department of Endocrinology, University of Sydney, New South Wales, Australia. jenson.mak@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19383065

Citation

Mak, J C S., et al. "Perceptions and Attitudes of Rehabilitation Medicine Physicians On Complementary and Alternative Medicine in Australia." Internal Medicine Journal, vol. 39, no. 3, 2009, pp. 164-9.
Mak JC, Mak LY, Shen Q, et al. Perceptions and attitudes of rehabilitation medicine physicians on complementary and alternative medicine in Australia. Intern Med J. 2009;39(3):164-9.
Mak, J. C., Mak, L. Y., Shen, Q., & Faux, S. (2009). Perceptions and attitudes of rehabilitation medicine physicians on complementary and alternative medicine in Australia. Internal Medicine Journal, 39(3), 164-9. https://doi.org/10.1111/j.1445-5994.2008.01734.x
Mak JC, et al. Perceptions and Attitudes of Rehabilitation Medicine Physicians On Complementary and Alternative Medicine in Australia. Intern Med J. 2009;39(3):164-9. PubMed PMID: 19383065.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perceptions and attitudes of rehabilitation medicine physicians on complementary and alternative medicine in Australia. AU - Mak,J C S, AU - Mak,L Y H, AU - Shen,Q, AU - Faux,S, PY - 2009/4/23/entrez PY - 2009/4/23/pubmed PY - 2009/8/4/medline SP - 164 EP - 9 JF - Internal medicine journal JO - Intern Med J VL - 39 IS - 3 N2 - BACKGROUND: The growing demand for complementary and alternative medicine (CAM) is undeniable. We report a first study about the attitudes and behaviour of Australian rehabilitation physicians to CAM. METHODS: A prospective cross-sectional survey was undertaken to document the prevalence of, knowledge about and referrals to CAM therapies and their perceived effectiveness, by a sample of Australian rehabilitation physicians. RESULTS: Thirty-six out of 94 actively practising rehabilitation physicians from the Australasian Faculty of Rehabilitation Medicine, the Royal Australasian College of Physicians, replied to the survey, a response rate of 38%, and 85% reported familiarity with CAM, the most familiar therapies being acupuncture (80%), yoga (74%) and Tai-Chi (72%). CAM referral was reported in 84%, 38% personally used CAM, 94% of patients enquired about CAM therapies, 32% of respondents routinely enquired about CAM use. Age, sex and year of Fellowship were not associated with familiarity, personal use or frequency of patient enquiry about CAM. Those who reported to be very familiar with CAM were more likely to routinely enquire about CAM use (P = 0.028) and be more confident in prescribing certain CAM therapies (P < 0.05). CONCLUSION: Australian rehabilitation physicians report similar CAM referral rates to Canadian physiatrists and Australian general practitioners. The most commonly prescribed therapies were acupuncture, yoga and Tai-Chi. Almost all patients use CAM therapies, but only a minority of rehabilitation physicians enquires about CAM use on a regular basis. The latter may avoid potentially harmful drug interactions, as well as improve the quality of the physician-patient relationship. SN - 1445-5994 UR - https://www.unboundmedicine.com/medline/citation/19383065/Perceptions_and_attitudes_of_rehabilitation_medicine_physicians_on_complementary_and_alternative_medicine_in_Australia_ L2 - https://doi.org/10.1111/j.1445-5994.2008.01734.x DB - PRIME DP - Unbound Medicine ER -