Background
Methods
Questionnaire
National Survey
Statistical Analyses
Results
Characteristics of YHC physicians
Characteristics | Percentage*
N = 276
|
---|---|
Gender
| |
Male | 8 % |
Female | 92 % |
Age (years)
| |
< 35 | 16 % |
36-45 | 24 % |
46-55 | 34 % |
56-65 | 23 % |
>65 | 2 % |
Experience (years)
| |
< 2 | 3 % |
2-10 | 25 % |
>10 | 72 % |
Region
| |
North | 18 % |
Mid | 24 % |
Conurbation | 27 % |
South | 20 % |
East | 15 % |
Organizations
| |
Community health care centre (GGD) | 59 % |
Homecare organisation | 35 % |
Hospital | 1 % |
Other | 13 % |
Age of children (years) they work with
| |
0-4 | 51 % |
4-19 | 33 % |
0-19 | 11 % |
0-12 | 4 % |
12-19 | 1 % |
Attitudes and familiarity with Integrative Medicine (IM)
Respondents' beliefs regarding | (totally) agree | not agree/ not disagree | (totally) disagree |
---|---|---|---|
Percentage*
N = 276
| |||
... the health care provider-client relationship
| |||
• Clients don't want a coaching physician, they want a physician to decide what is best for them | 12 % | 28 % | 60 % |
• Each physician should be capable of applying motivational interviewing | 99 % | 1 % | 1 % |
• The physician should inform the client accurately about all possible treatments for the client to make his/her own choice | 87 % | 7 % | 6 % |
• The computer is overwhelmingly present during consultations | 43 % | 24 % | 32 % |
... prevention strategies
| |||
• Self-management means the client is compliant to the treatment given | 73 % | 20 % | 6 % |
• The clients is responsible to acquire extra information concerning the diagnosis or treatment | 33 % | 28 % | 39 % |
• Self-management means that the client has to change his/her lifestyle | 56 % | 30 % | 15 % |
... healing environment
| |||
• A pleasant environment influences the clients' healing positively | 92 % | 8 % | 0 % |
• A pleasant environment has a positive effect on the functioning of the child and caregivers | 98 % | 2 % | 0 % |
• The interaction between body, mind and environment is nothing less than a trend | 6 % | 9 % | 83 % |
Attitudes, beliefs and knowledge on CAM
Item | Percentage
N = 276
|
---|---|
Personal use of CAM | 56% |
Ask clients about CAM use | |
Never | 17 % |
Seldom | 45 % |
25% of the clients | 18 % |
25-50% of the clients | 9 % |
75% of the clients | 6 % |
100% of the clients | 4 % |
Self practising CAM | |
Yes | 9 % |
No | 91 % |
Refer to CAM practitioner | |
Yes, frequently | 2 % |
Yes, occasionally | 32 % |
No | 66 % |
Respondents' beliefs regarding | (totally) agree | not agree/ not disagree/ no opinion | (totally) disagree |
---|---|---|---|
Percentage
N = 276
| |||
• My organisation shouldn't offer CAM to clients | 58 % | 15 % | 26 % |
• CAM can harm your (organisation) reputation | 62 % | 15 % | 23 % |
• CAM use interferes negatively with standard medical care | 15 % | 35 % | 50 % |
• CAM use enhances recovery and symptom relief | 28 % | 43 % | 29 % |
• CAM use risks additional side effects | 11 % | 46 % | 44 % |
• CAM use decreases the overall health care costs | 23 % | 31 % | 46 % |
• The physician should inform the client about CAM when the client ask for it | 77 % | 11 % | 13 % |
Knowledge level | Need for more education | ||||
---|---|---|---|---|---|
excellent/moderate | little | nothing | yes | no | |
CAM therapy | Percentage*
N = 276
| ||||
Probiotics | 56 % | 31 % | 14 % | 50 % | 50 % |
Homeopathy | 47 % | 40 % | 14 % | 39 % | 61 % |
Dietary supplements | 44 % | 37 % | 19 % | 46 % | 54 % |
Manual therapies | 43 % | 40 % | 17 % | 48 % | 52 % |
Mind-body therapies | 25 % | 33 % | 42 % | 36 % | 64 % |
Chinese medicine (incl. acupuncture) | 26 % | 39 % | 35 % | 36 % | 64 % |
Anthroposophy | 23 % | 36 % | 42 % | 34 % | 67 % |
Herbal remedies | 20 % | 36 % | 44 % | 35 % | 65 % |
Naturopathy | 19 % | 32 % | 50 % | 33 % | 67 % |
Energetic therapies | 12 % | 26 % | 62 % | 27 % | 74 % |
Bioelectric therapies | 12 % | 28 % | 60 % | 26 % | 74 % |
Recommendations to CAM
Percentage*
N = 276
| |||
---|---|---|---|
A three year old boy with sleeping disabilities
|
usually
|
occasionaly
|
never
|
Dietary advice | 16 % | 33 % | 52 % |
Herbal remedies | 4 % | 10 % | 87 % |
Mind-body therapies | 3 % | 13 % | 84 % |
Homeopathy | 2 % | 27 % | 71 % |
Massage and other manual therapies | 2 % | 28 % | 70 % |
Anthroposophy | 2 % | 9 % | 90 % |
Dietary supplements | 1 % | 11 % | 88 % |
Naturopathy | 1 % | 10 % | 99 % |
Acupuncture | 1 % | 5 % | 95 % |
A nine year old boy with ADHD
|
usually
|
occasionaly
|
never
|
Dietary advice | 11 % | 38 % | 51 % |
Dietary supplements | 5 % | 18 % | 78 % |
Mind-body therapies | 4 % | 21 % | 76 % |
Neurofeedback | 3 % | 26 % | 71 % |
Massage and other manual therapies | 2 % | 17 % | 81 % |
Anthroposophy | 2 % | 7 % | 92 % |
Homeopathy | 2 % | 17 % | 82 % |
Naturopathy | 2 % | 7 % | 92 % |
Other: Bachbloesemtherapy | 2 % | 5 % | 94 % |
Acupuncture | 1 % | 6 % | 94 % |
A fifteen year old girl with chronic abdominal pain
|
usually
|
occasionaly
|
never
|
Dietary advice | 48 % | 27 % | 26 % |
Mind-body therapy | 8 % | 32 % | 60 % |
Massage and other manual therapies | 3 % | 23 % | 74 % |
Dietary supplements | 3 % | 18 % | 79 % |
Homeopathy | 3 % | 24 % | 73 % |
Acupuncture | 2 % | 11 % | 87 % |
Naturopathy | 2 % | 10 % | 87 % |
Energetic therapies | 2 % | 9 % | 89 % |
Herbal remedies | 1 % | 11 % | 89 % |
Characteristics associated with favourable attitudes towards IM and CAM
Recommending CAM* | OR (95% CI) |
p-value
|
---|---|---|
Own CAM use (no) | 1 | |
Own CAM use (yes) | 3.8 (2.1 - 6.9) |
0.001
|
Practising CAM (no) | 1 | |
Practising CAM (yes) | 4.4 (1.6 - 11.7) |
0.003
|
Asking clients about CAM**
|
OR (95% CI)
|
p-value
|
Low knowledge | 1 | |
Moderate knowledge | 1.8 (0.9 - 3.7) |
0.110
|
High knowledge | 4.2 (1.9 - 9.6) |
0.001
|