Why
do patients seek complementary medicine treatment in hospitals?
An
exploratory study evaluated patients' reasons for entering a complementary
(alternative) medicine hospital by ranking 15 medical and psychosocial
factors that were thought to influence this choice.
Two hundred patients (200) from two complementary
hospitals, one focusing on Traditional Chinese Medicine and one on the
Western type of complementary medicine, completed an extensive
questionnaire at the beginning of their inpatient treatment. The
questionnaire covered personal background; disease parameters; attitude
towards conventional medicine; previous experience with, and knowledge of,
complementary therapies; expectations concerning the forthcoming
treatment; health-related habits; personality traits; and social support.
Optimistic attitudes towards treatment and a
positive appraisal of alternative doctors were frequently stated reasons
(80%), as was the disease severity (long duration: 86%; acute progression
or imminent surgery: 70%). Previous successes with complementary
therapies, however, ranked relatively low (53%). Negative opinions
concerning conventional therapies and conventional doctors' treatments
were mentioned by 68% of the patients. Many patients felt themselves to be
under considerable psychologic stress (74%). A majority (73%) was well
informed about complementary therapies, and 65% were curious about the
forthcoming therapies. Sixty-eight percent (68%) indicated good health
behaviours. Fewer patients mentioned contemplative and/or religious
attitudes (44%) or lack of social support (25%). Age primarily accounted
for variations in the ranking weights of the two subgroups. The specific
type of complementary medicine was of minor influence. In 14 out of 21
personality dimensions, the current patient group showed significant
deviations from the healthy reference, which is in good agreement with
findings from conventionally treated patients.
J Altern Complement Med
1999 Oct;5(5):463-73, Mitzdorf U, Beck K, Horton-Hausknecht J,
Weidenhammer W, Kindermann A, Takacs, M, Astor G, Melchart D, Institut fur
Medizinische Psychologie, Ludwig-Maximilians-Universitat Munchen, Germany.
secret@imp.med.uni-muenchen.de
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