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. 1993 Jun;43(371):232–235.

Complementary medicine: are patients' expectations being met by their general practitioners?

W Himmel 1, M Schulte 1, M M Kochen 1
PMCID: PMC1372419  PMID: 8373645

Abstract

Complementary, or alternative, medicine has increased in popularity among patients during the past 20 years. The purpose of this study was to determine whether general practitioners met their patients' expectations with regard to complementary medicine. In a postal survey all 71 accredited general practitioners in the district of Kassel, Germany, received a structured questionnaire about their experience with complementary medicine. Forty (56%) replied. In 10 of these practices 310 patients were interviewed about their attitudes towards and expectations of such treatment. Of the responding doctors 95% used, at least occasionally, some form of complementary medicine (most commonly herbal medicine, neural therapy or homeopathy). All but three patients accepted the value of complementary medicine, 58% of them (especially younger, more highly educated patients and those from rural practices) preferred it to orthodox medicine and 40% of the patients had received some form of complementary therapy. Nearly 70% of the patients requested that complementary medicine be practised by their general practitioner more frequently than at present. There was no significant link between patient satisfaction with the doctor and patients' view of, or demand for, complementary medicine. Although both patients and practitioners were interested in complementary therapy, there was a gap between the willingness, or the ability, of general practitioners to use complementary medicine and the patients' demand for these alternative forms of treatment.

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Selected References

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  1. Aldridge D. Spirituality, healing and medicine. Br J Gen Pract. 1991 Oct;41(351):425–427. [PMC free article] [PubMed] [Google Scholar]
  2. Aldridge D. The delivery of health care alternatives: discussion paper. J R Soc Med. 1990 Mar;83(3):179–182. doi: 10.1177/014107689008300317. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Anderson E., Anderson P. General practitioners and alternative medicine. J R Coll Gen Pract. 1987 Feb;37(295):52–55. [PMC free article] [PubMed] [Google Scholar]
  4. Baker R. Development of a questionnaire to assess patients' satisfaction with consultations in general practice. Br J Gen Pract. 1990 Dec;40(341):487–490. [PMC free article] [PubMed] [Google Scholar]
  5. Cherkin D., MacCornack F. A., Berg A. O. Family physicians' views of chiropractors: hostile or hospitable? Am J Public Health. 1989 May;79(5):636–637. doi: 10.2105/ajph.79.5.636. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Donnelly W. J., Spykerboer J. E., Thong Y. H. Are patients who use alternative medicine dissatisfied with orthodox medicine? Med J Aust. 1985 May 13;142(10):539–541. doi: 10.5694/j.1326-5377.1985.tb113486.x. [DOI] [PubMed] [Google Scholar]
  7. Dowson D. I., Lewith G. T., Machin D. The effects of acupuncture versus placebo in the treatment of headache. Pain. 1985 Jan;21(1):35–42. doi: 10.1016/0304-3959(85)90074-0. [DOI] [PubMed] [Google Scholar]
  8. Gums J. G., Carson D. S. Influence of folk medicine on the family practitioner. South Med J. 1987 Feb;80(2):209–212. doi: 10.1097/00007611-198702000-00017. [DOI] [PubMed] [Google Scholar]
  9. James R., Fox M., Taheri G. Who goes to a natural therapist? Why? Aust Fam Physician. 1983 May;12(5):383-4, 386. [PubMed] [Google Scholar]
  10. Kleijnen J., Knipschild P., ter Riet G. Clinical trials of homoeopathy. BMJ. 1991 Feb 9;302(6772):316–323. doi: 10.1136/bmj.302.6772.316. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Lewith G. T., Field J., Machin D. Acupuncture compared with placebo in post-herpetic pain. Pain. 1983 Dec;17(4):361–368. doi: 10.1016/0304-3959(83)90167-7. [DOI] [PubMed] [Google Scholar]
  12. Maddocks I. Alternative medicine. Med J Aust. 1985 May 13;142(10):547–551. [PubMed] [Google Scholar]
  13. Marshall R. J., Gee R., Israel M., Neave D., Edwards F., Dumble J., Wong S., Chan C., Patel R., Poon P. The use of alternative therapies by Auckland general practitioners. N Z Med J. 1990 May 9;103(889):213–215. [PubMed] [Google Scholar]
  14. Meade T. W., Dyer S., Browne W., Townsend J., Frank A. O. Low back pain of mechanical origin: randomised comparison of chiropractic and hospital outpatient treatment. BMJ. 1990 Jun 2;300(6737):1431–1437. doi: 10.1136/bmj.300.6737.1431. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Moore J., Phipps K., Marcer D., Lewith G. Why do people seek treatment by alternative medicine? Br Med J (Clin Res Ed) 1985 Jan 5;290(6461):28–29. doi: 10.1136/bmj.290.6461.28. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Murray R. H., Rubel A. J. Physicians and healers--unwitting partners in health care. N Engl J Med. 1992 Jan 2;326(1):61–64. doi: 10.1056/NEJM199201023260113. [DOI] [PubMed] [Google Scholar]
  17. Richardson P. H., Vincent C. A. Acupuncture for the treatment of pain: a review of evaluative research. Pain. 1986 Jan;24(1):15–40. doi: 10.1016/0304-3959(86)90023-0. [DOI] [PubMed] [Google Scholar]
  18. Ritter H., Habighorst H. G. Die Verbreitung nicht allgemein anerkannter Heilverfahren in der freien Praxis. Das Ergebnis einer dritten abschliessenden Rundfrage. Med Welt. 1971 Sep;22(36):1409–1411. [PubMed] [Google Scholar]
  19. Skrabanek P., McCormick J. S. General practitioners and alternative medicine. J R Coll Gen Pract. 1987 May;37(298):224–225. [PMC free article] [PubMed] [Google Scholar]
  20. Swayne J. M. Survey of the use of homeopathic medicine in the UK health system. J R Coll Gen Pract. 1989 Dec;39(329):503–506. [PMC free article] [PubMed] [Google Scholar]
  21. Thomas K. J., Carr J., Westlake L., Williams B. T. Use of non-orthodox and conventional health care in Great Britain. BMJ. 1991 Jan 26;302(6770):207–210. doi: 10.1136/bmj.302.6770.207. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Vincent C. A. A controlled trial of the treatment of migraine by acupuncture. Clin J Pain. 1989 Dec;5(4):305–312. doi: 10.1097/00002508-198912000-00006. [DOI] [PubMed] [Google Scholar]
  23. Visser G. J., Peters L. Alternative medicine and general practitioners in The Netherlands: towards acceptance and integration. Fam Pract. 1990 Sep;7(3):227–232. doi: 10.1093/fampra/7.3.227. [DOI] [PubMed] [Google Scholar]
  24. Wharton R., Lewith G. Complementary medicine and the general practitioner. Br Med J (Clin Res Ed) 1986 Jun 7;292(6534):1498–1500. doi: 10.1136/bmj.292.6534.1498. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Wharton R., Lewith G. Complementary medicine and the general practitioner. Br Med J (Clin Res Ed) 1986 Jun 7;292(6534):1498–1500. doi: 10.1136/bmj.292.6534.1498. [DOI] [PMC free article] [PubMed] [Google Scholar]

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