Over sixty percent of GPs in Australia
want further training in complementary therapies, according to a report by
the Department of Public Health, University of Western Australia.
The report set out to identify the
knowledge, attitudes and referral patterns of general practitioners (GPs)
toward 10 specific complementary therapies. A descriptive cross-sectional
postal survey, conducted between July 1998 and August 1998 inclusive was
used to obtain data from a random selection of 200 male and 200 female
Western Australian GPs residing in Perth and listed in the Australian
Medical Association database file of registered GPs.
282 ( 74.8 percent) of the GPs
replied to the survey. Over 90 percent of the GPs reported having been
approached by more than 30 patients seeking their advice about
complementary therapies in the past nine months. The majority of those
patients were women, over the age of 35 years. The ten complementary
therapies listed in the questionnaire were: acupuncture, hypnosis,
meditation, spinal manipulation, yoga, homeopathy, herbal medicine,
naturopathy, massage and aromatherapy.
Just under half (132) of the GPs had
undertaken studies in at least one of the listed complementary therapies,
with over 60 percent reporting a wish for further training. Overall, 67.8
percent (191) of all GPs reported they were in favour of GP referrals to
complementary therapists. However, 56.1 percent (158) were against
complementary therapies being included in rebates for private health
insurance. Overall, 75.0 percent (211) of GPs surveyed had already
formally referred a patient to one or more of the listed therapies, the
most frequent of these being acupuncture, massage, meditation, hypnosis
and spinal manipulation as a part of their overall medical treatment.
The report concluded that Perth GPs
have a high level of interest in complementary therapies. Government
regulation and registration of complementary therapies is seen by GPs as
important in order to ensure professional standards of practice. Given the
high level of interest, provision of undergraduate and postgraduate
education in complementary therapies could be considered. In addition, the
development of clinical guidelines would be of benefit.