Disclosure of complementary and alternative medicine to conventional medical providers: variation by race/ethnicity and type of CAM.
Disclosure of complementary and alternative medicine to conventional medical providers: variation by race/ethnicity and type of CAM.
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DOI：
10.1016/s0027-9684(15)31514-5
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发表时间：
2008-11
影响因子：
3.3
通讯作者：
Kronenberg, Fredi
中科院分区：
文献类型：
--
作者：
Chao, Maria T.;Wade, Christine;Kronenberg, Fredi
补充和替代医学（CAM）通常与传统医疗护理一起使用，但只有不到一半的患者向医生透露CAM的使用情况。CAM披露在种族/少数民族中特别低，但差异的原因，如使用的CAM类型或传统医疗保健的质量，尚未探讨。我们测试的假设，披露CAM使用的医生是更高的提供者为基础的CAM和非西班牙裔白人，并获得和传统的医疗保健的质量占CAM披露的种族/民族差异。对2002年全国健康访谈调查和2001年卫生服务质量调查进行了双变量和多变量分析。CAM使用的医疗提供者披露更高的提供者为基础的比自我保健CAM。任何CAM的披露与获得传统护理的机会和质量相关，非拉丁裔白人相对于少数民族的比例更高。有一个定期的医生和高质量的病人提供者的关系减轻种族/民族差异CAM披露。对传统提供者，特别是自我护理实践和少数群体中CAM使用的披露不足，是医疗交流中的一个严重挑战。努力改善CAM使用的披露，应旨在提高跨种族/民族群体的护理和患者-医生沟通的一致性。
Complementary and alternative medicine (CAM) is often used alongside conventional medical care, yet fewer than half of patients disclose CAM use to medical doctors. CAM disclosure is particularly low among racial/ethnic minorities, but reasons for differences, such as type of CAM used or quality of conventional healthcare, have not been explored. We tested the hypotheses that disclosure of CAM use to medical doctors is higher for provider-based CAM and among non-Hispanic whites, and that access to and quality of conventional medical care account for racial/ethnic differences in CAM disclosure. Bivariate and multiple variable analyses of the 2002 National Health Interview Survey and 2001 Health Care Quality Survey were performed. Disclosure of CAM use to medical providers was higher for provider-based than self-care CAM. Disclosure of any CAM was associated with access to and quality of conventional care and higher among non-Latino whites relative to minorities. Having a regular doctor and quality patient–provider relationship mitigated racial/ethnic differences in CAM disclosure. Insufficient disclosure of CAM use to conventional providers, particularly for self-care practices and among minority populations, represents a serious challenge in medical encounter communications. Efforts to improve disclosure of CAM use should be aimed at improving consistency of care and patient–physician communication across racial/ethnic groups.
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影响因子：
39.2
作者：
Eisenberg, DM;Kessler, RC;Davis, RB
通讯作者：
Davis, RB
影响因子：
5.7
作者：
Mehta, Darshan H.;Phillips, Russell S.;McCarthy, Ellen P.
通讯作者：
McCarthy, Ellen P.
影响因子：
3.6
作者：
Robinson, A;McGrail, MR
通讯作者：
McGrail, MR
影响因子：
--
作者：
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通讯作者：
Volk, Robert J
影响因子：
12.7
作者：
Ahn, AC;Ngo-Metzger, Q;Phillips, RS
通讯作者：
Phillips, RS