Arthritis patients' perceptions of rheumatologists' participatory decision-making style and communication about complementary and alternative medicine
Arthritis patients' perceptions of rheumatologists' participatory decision-making style and communication about complementary and alternative medicine
复制标题
DOI：
10.1002/art.23307
复制
发表时间：
2008-03-15
期刊：
影响因子：
--
通讯作者：
Beard, Ashley
中科院分区：
文献类型：
--
作者：
Sleath, Betsy;Callahan, Leigh F.;Beard, Ashley
Objective.为了检查是否有关节炎患者报告使用补充和替代医学（CAM）更有可能告诉他们的医生关于他们的CAM的使用，如果他们评价他们的风湿病学家使用一个更具参与性的决策风格，以及什么原因患者告诉或不告诉他们的风湿病学家关于他们的CAM的使用。一项调查，询问CAM的使用，健康状况，人口统计学，医生使用的参与式决策风格，和医疗怀疑被送往个人关节炎谁看到23风湿病学家在大学和私人诊所在北卡罗来纳州。采用广义估计方程对数据进行分析。结果。共有92%的患者报告使用CAM治疗关节炎，其中54%的患者与他们的风湿病学家讨论了CAM的使用。女性、使用更多类型CAM的患者以及认为他们的风湿病医生使用更多参与性决策风格的患者更有可能告诉他们的医生他们使用CAM。我们的研究结果表明，如果风湿病学家对患者使用更多的参与式决策方式，并在做出治疗决定时让他们参与进来，患者更有可能告诉他们他们使用CAM的情况。
Objective. To examine if patients with arthritis who reported using complementary and alternative medicine (CAM) were more likely to tell their physicians about their CAM use if they rated their rheumatologist as using a more participatory decision-making style and what reasons patients gave for telling or not telling their rheumatologist about their CAM use.Methods. A survey that asked about CAM use, health status, demographics, physician use of a participatory decision-making style, and medical skepticism was sent to individuals with arthritis who saw 23 rheumatologists at universities and private practice clinics in North Carolina. Generalized estimating equations were used to analyze the data.Results. A total of 92% of patients reported using CAM for their arthritis and 54% of these patients discussed their CAM use with their rheumatologist. Women, patients who used more types of CAM, and patients who rated their rheumatologist as using a more participatory decision-making style were significantly more likely to tell their physicians about their CAM use.Conclusion. Our findings suggest that if rheumatologists use more participatory styles of decision making with patients and involve them when making treatment decisions, patients are more likely to tell them about their CAM use.