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. 2004 Jun;50:882–888.

Complementary therapy use by cancer patients. Physicians' perceptions, attitudes, and ideas.

Maeve O'Beirne 1, Marja Verhoef 1, Elan Paluck 1, Carol Herbert 1
PMCID: PMC2214623  PMID: 15233371

Abstract

OBJECTIVE: To explore family physicians' perceptions of their cancer patients' use of complementary therapy. DESIGN: Qualitative pilot study. SETTING: British Columbia and Alberta. PARTICIPANTS: Rural and urban family physicians. METHOD: Five focus groups were conducted with a total of 28 participants. Content analysis of focus group transcripts. MAIN FINDINGS: Eight themes were identified: definition of complementary therapies, importance of holistic health, role of evidence, attitudes toward complementary therapies, perceptions of cancer patients' use of complementary therapies, patient-physician communication, perceptions of family physicians' role with respect to complementary therapies, and concerns about complementary therapies. Family physicians believed that many of their patients were using complementary therapies and that patients and physicians needed to communicate about this practice. CONCLUSION: The study increased understanding of physicians'perspectives on communication about complementary therapies and exposed issues that need to be addressed through education and research.

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Selected References

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  1. Adams J. General practitioners, complementary therapies and evidence-based medicine: the defence of clinical autonomy. Complement Ther Med. 2000 Dec;8(4):248–252. doi: 10.1054/ctim.2000.0396. [DOI] [PubMed] [Google Scholar]
  2. Altshuler L. H. Alternative medicine: what is the physician's role? J Okla State Med Assoc. 1999 May;92(5):219–226. [PubMed] [Google Scholar]
  3. Astin J. A., Marie A., Pelletier K. R., Hansen E., Haskell W. L. A review of the incorporation of complementary and alternative medicine by mainstream physicians. Arch Intern Med. 1998 Nov 23;158(21):2303–2310. doi: 10.1001/archinte.158.21.2303. [DOI] [PubMed] [Google Scholar]
  4. Barry M. J. Involving patients in medical decisions: how can physicians do better? JAMA. 1999 Dec 22;282(24):2356–2357. doi: 10.1001/jama.282.24.2356. [DOI] [PubMed] [Google Scholar]
  5. Bourgeault I. L. Physicians' attitudes toward patients' use of alternative cancer therapies. CMAJ. 1996 Dec 15;155(12):1679–1685. [PMC free article] [PubMed] [Google Scholar]
  6. Corbin Winslow Lisa, Shapiro Howard. Physicians want education about complementary and alternative medicine to enhance communication with their patients. Arch Intern Med. 2002 May 27;162(10):1176–1181. doi: 10.1001/archinte.162.10.1176. [DOI] [PubMed] [Google Scholar]
  7. Coulter A. Partnerships with patients: the pros and cons of shared clinical decision-making. J Health Serv Res Policy. 1997 Apr;2(2):112–121. doi: 10.1177/135581969700200209. [DOI] [PubMed] [Google Scholar]
  8. Jonas W. B. Advising patients on the use of complementary and alternative medicine. Appl Psychophysiol Biofeedback. 2001 Sep;26(3):205–214. doi: 10.1023/a:1011398120476. [DOI] [PubMed] [Google Scholar]
  9. Kaptchuk T. J., Eisenberg D. M. Varieties of healing. 2: a taxonomy of unconventional healing practices. Ann Intern Med. 2001 Aug 7;135(3):196–204. doi: 10.7326/0003-4819-135-3-200108070-00012. [DOI] [PubMed] [Google Scholar]
  10. Münstedt K., Entezami A., Wartenberg A., Kullmer U. The attitudes of physicians and oncologists towards unconventional cancer therapies (UCT). Eur J Cancer. 2000 Oct;36(16):2090–2095. doi: 10.1016/s0959-8049(00)00194-5. [DOI] [PubMed] [Google Scholar]
  11. Owen D. K., Lewith G., Stephens C. R. Can doctors respond to patients' increasing interest in complementary and alternative medicine? BMJ. 2001 Jan 20;322(7279):154–158. doi: 10.1136/bmj.322.7279.154. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Stewart M. A. Effective physician-patient communication and health outcomes: a review. CMAJ. 1995 May 1;152(9):1423–1433. [PMC free article] [PubMed] [Google Scholar]
  13. Tonelli M. R. The philosophical limits of evidence-based medicine. Acad Med. 1998 Dec;73(12):1234–1240. doi: 10.1097/00001888-199812000-00011. [DOI] [PubMed] [Google Scholar]
  14. Verhoef M. J., Sutherland L. R. Alternative medicine and general practitioners. Opinions and behaviour. Can Fam Physician. 1995 Jun;41:1005–1011. [PMC free article] [PubMed] [Google Scholar]
  15. Verhoef M. J., White M. A., Doll R. Cancer patients' expectations of the role of family physicians in communication about complementary therapies. Cancer Prev Control. 1999 Jun;3(3):181–187. [PubMed] [Google Scholar]

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