Physician and patient attitudes towards complementary and alternative medicine in obstetrics and gynecology
Physician and patient attitudes towards complementary and alternative medicine in obstetrics and gynecology
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DOI：
10.1186/1472-6882-8-35
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发表时间：
2008-06-26
影响因子：
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通讯作者：
Liu, J. Rebecca
中科院分区：
文献类型：
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作者：
Furlow, Mandi L.;Patel, Divya A.;Liu, J. Rebecca
背景：在美国，补充和替代医学(CAM)的使用在育龄、受过教育的女性中最为普遍。我们试图确定妇产科患者和医生对CAM的普遍态度和方法。方法：对密歇根州美国医学会的妇产科医生成员和密歇根大学的妇产科患者进行了调查。结果：共获得401名医生和483名患者的问卷调查。与患者相比，医生似乎对CAM有更积极的态度，大多数报告经常支持、提供或推荐至少一种CAM模式的患者。结论：尽管妇产科医生和患者对CAM的态度是积极的，但医生和患者对最有效的CAM治疗的看法并不一致。产科医生/妇科医生应该定期询问他们的患者使用CAM的情况，目的是提供负责任的、循证的建议，以优化患者护理。
Background: In the U. S., complementary and alternative medicine (CAM) use is most prevalent among reproductive age, educated women. We sought to determine general attitudes and approaches to CAM among obstetric and gynecology patients and physicians.Methods: Obstetrician-gynecologist members of the American Medical Association in the state of Michigan and obstetric-gynecology patients at the University of Michigan were surveyed. Physician and patient attitudes and practices regarding CAM were characterized.Results: Surveys were obtained from 401 physicians and 483 patients. Physicians appeared to have a more positive attitude towards CAM as compared to patients, and most reported routinely endorsing, providing or referring patients for at least one CAM modality. The most commonly used CAM interventions by patients were divergent from those rated highest among physicians, and most patients did not consult with a health care provider prior to starting CAM.Conclusion: Although obstetrics/gynecology physicians and patients have a positive attitude towards CAM, physician and patients' view of the most effective CAM therapies were incongruent. Obstetrician/gynecologists should routinely ask their patients about their use of CAM with the goal of providing responsible, evidence-based advice to optimize patient care.