Disclosure of CAM use to medical practitioners: a review of qualitative and quantitative studies
Disclosure of CAM use to medical practitioners: a review of qualitative and quantitative studies
复制标题
DOI：
10.1016/j.ctim.2004.09.006
复制
发表时间：
2004-06-01
影响因子：
3.6
通讯作者：
McGrail, MR
中科院分区：
文献类型：
--
作者：
Robinson, A;McGrail, MR
背景：许多人使用补充或替代医学(CAM)。据估计，超过50%的需要医疗保健的患者将CAM与传统医疗保健结合使用，或与传统保健分开使用。尽管CAM的使用很普遍，但患者并不总是通知他们的传统医学保健人员他们使用的CAM。在大多数情况下，医生是一个人就医疗保健事项接触的第一个医疗保健专业人员，需要有健康问题的完整病史才能了解和提供最佳护理。方法：通过对1993-2002年间发表的12篇文献进行全面的文献检索，研究了有多少消费者没有向医生披露他们使用CAM的情况及其原因。结果：在一些研究中，使用了CAM的消费者的不公开比例高达77%。患者不向他们的医生披露他们使用CAM的主要原因是担心从业者的负面反应，认为从业者不需要知道他们使用CAM，以及从业者没有询问。讨论：患者的先入为主的想法影响他们的保密可能基于三个问题。第一，影响他们决策的信念和担忧；第二，他们咨询医生时的个人经历；第三，希望更多地控制他们的医疗保健。医生在作出卫生保健决策时需要承认患者的关注和信念，并与患者合作，使CAM的使用得到承认，患者的需求、信念和关切得到尊重。(C)2004爱思唯尔有限公司。保留所有权利。
Background: Many people use complementary or alternative medicine (CAM). It is estimated that over 50% of patients that require health care use CAM either in conjunction with, or separate from, conventional health care. Despite the popular use of CAM, patients do not always inform their conventional medicine health carers of their CAM use. The medical practitioner is in most cases the first health care professional a person contacts concerning a health care matter, and needs to have a full history of a health problem to understand and provide optimum care. This literature review aims to provide an understanding of the degree to which patients disclose their use of CAM to their medical practitioners, and their reasons for not doing so.Method: A comprehensive literature search identified 12 studies published between 1993 and 2002 that examined what percentage of consumers did not disclose to their medical practitioners their use of CAM, and their reasons for not doing so.Results: The rate of non-disclosure of those using CAM is as high as 77% in some studies. The main reasons patients provided for not disclosing their use of CAM to their medical practitioners were concerns about a negative response by the practitioners, the belief that the practitioner did not need to know about their CAM use, and the fact that the practitioner did not ask.Discussion: The pre-conceptions patients have that influence their non-disclosure may be based on three issues. First, beliefs and concerns that influence their decision-making, second personal experiences in their consultations with medical practitioners, and third, the desire for more control over their health care. Medical practitioners need to acknowledge the concerns and beliefs of patients in making their health care decisions, and work with patients so that the use of CAM is acknowledged and the patients' needs, beliefs and concerns respected. (C) 2004 Elsevier Ltd. All rights reserved.