التفاصيل البيبلوغرافية
| العنوان: |
Variations in provider conceptions of integrative medicine. |
| المؤلفون: |
Hsiao AF; UCI Center for Health Policy Research Irvine, CA, USA. anfu.hsiao@med.va.gov, Ryan GW, Hays RD, Coulter ID, Andersen RM, Wenger NS |
| المصدر: |
Social science & medicine (1982) [Soc Sci Med] 2006 Jun; Vol. 62 (12), pp. 2973-87. Date of Electronic Publication: 2006 Jan 18. |
| نوع المنشور: |
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
| اللغة: |
English |
| بيانات الدورية: |
Publisher: Pergamon Country of Publication: England NLM ID: 8303205 Publication Model: Print-Electronic Cited Medium: Print ISSN: 0277-9536 (Print) Linking ISSN: 02779536 NLM ISO Abbreviation: Soc Sci Med Subsets: MEDLINE |
| أسماء مطبوعة: |
Original Publication: Oxford ; New York : Pergamon, c1982- |
| مواضيع طبية MeSH: |
Attitude of Health Personnel* , Complementary Therapies*/education , Complementary Therapies*/standards , Delivery of Health Care, Integrated* , Internal Medicine*/education , Sociology, Medical*, Academic Medical Centers ; Adult ; Credentialing ; Female ; Humans ; Interviews as Topic ; Los Angeles ; Male ; Middle Aged ; Private Practice ; Qualitative Research ; Referral and Consultation ; Stereotyping |
| مستخلص: |
Consumers often turn to complementary and alternative medicine (CAM) and use it concurrently with conventional medicine to treat illnesses and promote wellness. However, prior studies demonstrate that these two paradigms are often not combined effectively. Consumers often do not tell physicians about CAM treatments or CAM practitioners about conventional treatments that they are using. This can lead to inefficient care and/or adverse interactions. There is also a lack of consensus about the structure and practice of integrative medicine among the various types of practitioners. This qualitative study aimed to identify key domains and develop a conceptual model of integrative medicine at the provider level, using a grounded theory approach. Purposive sampling was used to select 50 practitioners, including acupuncturists, chiropractors, internists/family practitioners, and physician acupuncturists in private practice and at academic medical centers in Los Angeles. We conducted semi-structured, in-depth interviews with practitioners and then identified core statements that describe practitioners' attitudes and behaviors toward integrative medicine. Core statements were free pile sorted to ascertain key domains of integrative medicine. Four key domains of integrative medicine were identified at the provider level: attitudes, knowledge, referral, and practice. Provider age, training, and practice setting also emerged as important factors in determining clinicians' "orientation" toward integrative medicine. "Dual-trained" practitioners, such as physician acupuncturists, exemplified clinicians with a greater orientation toward integrative medicine. They advocated an open-minded perspective about other healing traditions, promoting co-management with and making referrals to practitioners of other paradigms, and treating patients with both CAM and conventional healing modalities. |
| معلومات مُعتمدة: |
AG-02-004 United States AG NIA NIH HHS; P20-MD00148-01 United States MD NIMHD NIH HHS |
| تواريخ الأحداث: |
Date Created: 20060118 Date Completed: 20061010 Latest Revision: 20071115 |
| رمز التحديث: |
20231215 |
| DOI: |
10.1016/j.socscimed.2005.11.056 |
| PMID: |
16414164 |
| قاعدة البيانات: |
MEDLINE |
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