Skip to main content
Erschienen in: Journal of Religion and Health 2/2015

01.04.2015 | Original Paper

Religious/Spiritual Characteristics of Indian and Indonesian Physicians and Their Acceptance of Spirituality in Health care: A Cross-Cultural Comparison

verfasst von: P. Ramakrishnan, A. Karimah, K. Kuntaman, A. Shukla, B. K. M. Ansari, P. H. Rao, M. Ahmed, A. Tribulato, A. K. Agarwal, H. G. Koenig, P. Murthy

Erschienen in: Journal of Religion and Health | Ausgabe 2/2015

Einloggen, um Zugang zu erhalten

Abstract

Religious/spiritual (r/s) characteristics of physicians influence their attitude toward integrative medicine and spiritual care. Indonesia physicians collaborate with traditional, complementary, and alternative medicine (TCAM) professionals within modern healthcare system, while Indian physicians are not reported to do so. The aim of the study was to understand the r/s characteristics and their influence on Indian and Indonesian physicians’ acceptance of TCAM/spirituality in modern healthcare system. An exploratory, pilot, cross-cultural, cross-sectional study, using Religion and Spirituality in Medicine, and Physician Perspectives (RSMPP) survey questionnaire, compared r/s characteristics and perspectives on integrative medicine of 169 physicians from two allopathic, Sweekar-Osmania University (Sweekar-OU), India, University of Airlanga (UNAIR), Indonesia, and a TCAM/Central Research Institute of Unani Medicine (CRIUM) institute from India. More physicians from UNAIR and CRIUM (89.1 %) described themselves as “very”/“moderately” religious, compared to 63.5 % Sweekar-OU (p = 0.0000). Greater number of (84.6 %) UNAIR physicians described themselves as “very” spiritual and also significantly high (p < 0.05) in intrinsic religiosity as compared to Sweekar-OU and TCAM physicians; 38.6 % of UNAIR and 32.6 % of CRIUM participants reported life-changing spiritual experiences in clinical settings as against 19.7 % of Sweekar-OU; 92.3 % of UNAIR, compared to CRIUM (78.3 %) and Sweekar-OU (62 %), felt comfortable attending to patients’ spiritual needs, (p = 0.0001). Clinical comfort and not r/s characteristics of participants was the significant (p = 0.05) variable in full regression models, predictive of primary outcome criteria; “TCAM or r/s healing as complementary to allopathic treatment.” In conclusion, mainstreaming TCAM into healthcare system may be an initial step toward both integrative medicine and also improving r/s care interventions by allopathic physicians.
Literatur
Zurück zum Zitat Allport, G. W., & Ross, J. M. (1967). Personal religious orientation and prejudice. Journal of Personality and Social Psychology, 5(4), 432–443.PubMedCrossRef Allport, G. W., & Ross, J. M. (1967). Personal religious orientation and prejudice. Journal of Personality and Social Psychology, 5(4), 432–443.PubMedCrossRef
Zurück zum Zitat Anandarajah, G. (2008). The 3 H and BMSEST models for spirituality in multicultural whole-person medicine. Annuals of Family Medicine, 6(5), 448–458.CrossRef Anandarajah, G. (2008). The 3 H and BMSEST models for spirituality in multicultural whole-person medicine. Annuals of Family Medicine, 6(5), 448–458.CrossRef
Zurück zum Zitat Bodeker, G., & Burford, G. (2008). Traditional, complementary and alternative medicine-policy and public health perspectives. Jounal of Alternativeand Complementary Medicine, 14(1), 103–104.CrossRef Bodeker, G., & Burford, G. (2008). Traditional, complementary and alternative medicine-policy and public health perspectives. Jounal of Alternativeand Complementary Medicine, 14(1), 103–104.CrossRef
Zurück zum Zitat Bodeker, G., & Kronenberg, F. (2002). A public health agenda for traditional, complementary, and alternative medicine. American Journal of Public Health, 92(10), 1582–1591.PubMedCentralPubMedCrossRef Bodeker, G., & Kronenberg, F. (2002). A public health agenda for traditional, complementary, and alternative medicine. American Journal of Public Health, 92(10), 1582–1591.PubMedCentralPubMedCrossRef
Zurück zum Zitat Chandrashekar, H., Prashanth, N. R., Naveenkumar, C., & Kasthuri, P. (2009). Innovations in psychiatry: Ambulatory services for the mentally ill. Indian Journal of Psychiatry, 51, 169–170.PubMedCentralPubMedCrossRef Chandrashekar, H., Prashanth, N. R., Naveenkumar, C., & Kasthuri, P. (2009). Innovations in psychiatry: Ambulatory services for the mentally ill. Indian Journal of Psychiatry, 51, 169–170.PubMedCentralPubMedCrossRef
Zurück zum Zitat Curlin, F. A., Chin, M. H., Sellergren, S. A., Roach, C. J., & Lantos, J. D. (2006). The association of physicians’ religious characteristics with their attitudes and self-reported behaviors regarding religion and spirituality in the clinical encounter. Medical Care, 44(5), 446–453.PubMedCrossRef Curlin, F. A., Chin, M. H., Sellergren, S. A., Roach, C. J., & Lantos, J. D. (2006). The association of physicians’ religious characteristics with their attitudes and self-reported behaviors regarding religion and spirituality in the clinical encounter. Medical Care, 44(5), 446–453.PubMedCrossRef
Zurück zum Zitat Curlin, F. A., Lantos, J. D., Roach, C. J., Sellergren, S. A., & Chin, M. H. (2005). Religious characteristics of U.S. physicians: A national survey. Journal of General Internal Medicine, 20(7), 629–634.PubMedCentralPubMedCrossRef Curlin, F. A., Lantos, J. D., Roach, C. J., Sellergren, S. A., & Chin, M. H. (2005). Religious characteristics of U.S. physicians: A national survey. Journal of General Internal Medicine, 20(7), 629–634.PubMedCentralPubMedCrossRef
Zurück zum Zitat Curlin, F. A., Lawrence, R. E., Odell, S., Chin, M. H., Lantos, J. D., Koenig, H. G., et al. (2007). Religion, spirituality, and medicine: Psychiatrists’ and other physicians’ differing observations, interpretations, and clinical approaches. American Journal of Psychiatry, 164(12), 1825–1831.PubMedCentralPubMedCrossRef Curlin, F. A., Lawrence, R. E., Odell, S., Chin, M. H., Lantos, J. D., Koenig, H. G., et al. (2007). Religion, spirituality, and medicine: Psychiatrists’ and other physicians’ differing observations, interpretations, and clinical approaches. American Journal of Psychiatry, 164(12), 1825–1831.PubMedCentralPubMedCrossRef
Zurück zum Zitat Curlin, F. A., Rasinski, K. A., Kaptchuk, T. J., Emanuel, E. J., Miller, F. G., & Tilburt, J. C. (2009). Religion, clinicians, and the integration of complementary and alternative medicines. Journal of Alternative and Complementary Medicine, 15(9), 987–994.PubMedCentralCrossRef Curlin, F. A., Rasinski, K. A., Kaptchuk, T. J., Emanuel, E. J., Miller, F. G., & Tilburt, J. C. (2009). Religion, clinicians, and the integration of complementary and alternative medicines. Journal of Alternative and Complementary Medicine, 15(9), 987–994.PubMedCentralCrossRef
Zurück zum Zitat Frass, M., Strassl, R. P., Friehs, H., Müllner, M., Kundi, M., & Kaye, A. D. (2012). Use and acceptance of complementary and alternative medicine among the general population and medical personnel: A systematic review. The Ochsner Jounal, 12(1), 45–56. Frass, M., Strassl, R. P., Friehs, H., Müllner, M., Kundi, M., & Kaye, A. D. (2012). Use and acceptance of complementary and alternative medicine among the general population and medical personnel: A systematic review. The Ochsner Jounal, 12(1), 45–56.
Zurück zum Zitat Graves, D. L., Shue, C. K., & Arnold, L. (2002). The role of spirituality in patient care: Incorporating spirituality training into medical school curriculum. Academic Medicine, 77(11), 1167.PubMedCrossRef Graves, D. L., Shue, C. K., & Arnold, L. (2002). The role of spirituality in patient care: Incorporating spirituality training into medical school curriculum. Academic Medicine, 77(11), 1167.PubMedCrossRef
Zurück zum Zitat Guck, T. P., Kavan, M. G. (2006). Medical student beliefs: Spirituality’s relationship to health and place in the medical school curriculum. Creighton University School of Medicine, Omaha, NE 68102, USA. Medical Teaching, 28(8), 702–707. Guck, T. P., Kavan, M. G. (2006). Medical student beliefs: Spirituality’s relationship to health and place in the medical school curriculum. Creighton University School of Medicine, Omaha, NE 68102, USA. Medical Teaching, 28(8), 702–707.
Zurück zum Zitat Hafizi, S., Koenig, H. G., Arbabi, M., Pakrah, M., & Saghazadeh, A. (2013). Attitudes of Muslim physicians and nurses toward religious issues. Journal of Religion and Health. Hafizi, S., Koenig, H. G., Arbabi, M., Pakrah, M., & Saghazadeh, A. (2013). Attitudes of Muslim physicians and nurses toward religious issues. Journal of Religion and Health.
Zurück zum Zitat Hsiao, A. F., Wong, M. D., Miller, M. F., Ambs, A. H., Goldstein, M. S., Smith, A., et al. (2008). Role of religiosity and spirituality in complementary and alternative medicine use among cancer survivors in California. Integrative Cancer Therapies, 7(3), 139–146.PubMedCrossRef Hsiao, A. F., Wong, M. D., Miller, M. F., Ambs, A. H., Goldstein, M. S., Smith, A., et al. (2008). Role of religiosity and spirituality in complementary and alternative medicine use among cancer survivors in California. Integrative Cancer Therapies, 7(3), 139–146.PubMedCrossRef
Zurück zum Zitat Hull, S. K., DiLalla, L. F., & Dorsey, J. K. (2001). Student attitudes toward wellness, empathy, and spirituality in the curriculum. Academic Medicine, 76(5), 520.PubMedCrossRef Hull, S. K., DiLalla, L. F., & Dorsey, J. K. (2001). Student attitudes toward wellness, empathy, and spirituality in the curriculum. Academic Medicine, 76(5), 520.PubMedCrossRef
Zurück zum Zitat Keshet, Y., & Popper-Giveon, A. (2013). Integrative health care in Israel and traditional arab herbal medicine: When health care interfaces with culture and politics. Medical Anthropology Quarterly, 27(3), 368–384. doi:10.1111/maq.12049. Epub 2013 Oct 8.PubMedCrossRef Keshet, Y., & Popper-Giveon, A. (2013). Integrative health care in Israel and traditional arab herbal medicine: When health care interfaces with culture and politics. Medical Anthropology Quarterly, 27(3), 368–384. doi:10.​1111/​maq.​12049. Epub 2013 Oct 8.PubMedCrossRef
Zurück zum Zitat Kurihara, T., Kato, M., Reverger, R., & Tirta, I. G. (2006). Pathway to psychiatric care in Bali. Psychiatry and Clinical Neurosciences, 60(2), 204–210.PubMedCrossRef Kurihara, T., Kato, M., Reverger, R., & Tirta, I. G. (2006). Pathway to psychiatric care in Bali. Psychiatry and Clinical Neurosciences, 60(2), 204–210.PubMedCrossRef
Zurück zum Zitat Lahariya, C., Singhal, S., Gupta, S., & Mishra, A. (2010). Pathway of care among psychiatric patients attending a mental health institution in central India. Indian Journal of Psychiatry, 52, 333–338.PubMedCentralPubMedCrossRef Lahariya, C., Singhal, S., Gupta, S., & Mishra, A. (2010). Pathway of care among psychiatric patients attending a mental health institution in central India. Indian Journal of Psychiatry, 52, 333–338.PubMedCentralPubMedCrossRef
Zurück zum Zitat Lawrence, R. M., & Duggal, A. (2001). Spirituality in psychiatric education and training. Journal of the Royal Society of Medicine, 94(6), 303–305.PubMedCentralPubMed Lawrence, R. M., & Duggal, A. (2001). Spirituality in psychiatric education and training. Journal of the Royal Society of Medicine, 94(6), 303–305.PubMedCentralPubMed
Zurück zum Zitat Lee, E., & Baumann, K. (2013) German psychiatrists’ observation and interpretation of religiosity/spirituality. Evidence-Based Complementary and Alternative. 2013:280168. doi:10.1155/2013/280168. Epub 2013 Nov 14. Lee, E., & Baumann, K. (2013) German psychiatrists’ observation and interpretation of religiosity/spirituality. Evidence-Based Complementary and Alternative. 2013:280168. doi:10.​1155/​2013/​280168. Epub 2013 Nov 14.
Zurück zum Zitat Lee Ventola, C. (2010). Current issues regarding Complementary and Alternative Medicine (CAM) IN United States Current Issues Regarding Complementary and Alternative Medicine (CAM) in the United States. Part 1: The Widespread use of CAM and the need for better-informed health care professionals to provide patient counseling. P T. 2010 August; 35(8): 461–468. Lee Ventola, C. (2010). Current issues regarding Complementary and Alternative Medicine (CAM) IN United States Current Issues Regarding Complementary and Alternative Medicine (CAM) in the United States. Part 1: The Widespread use of CAM and the need for better-informed health care professionals to provide patient counseling. P T. 2010 August; 35(8): 461–468.
Zurück zum Zitat Mao, J. J., Palmer, S. C., Straton, J. B., Cronholm, P. F., Keddem, S., Knott, K., et al. (2008). Cancer survivors with unmet needs were more likely to use complementary and alternative medicine. Journal of Cancer Survivorship, 2(2), 116–124.PubMedCrossRef Mao, J. J., Palmer, S. C., Straton, J. B., Cronholm, P. F., Keddem, S., Knott, K., et al. (2008). Cancer survivors with unmet needs were more likely to use complementary and alternative medicine. Journal of Cancer Survivorship, 2(2), 116–124.PubMedCrossRef
Zurück zum Zitat Mishra, N., Nagpal, S. S., Chadda, R. K., & Sood, M. (2011). Help-seeking behavior of patients with mental health problems visiting a tertiary care center in north India. Indian Journal of Psychiatry, 53(3), 234–238.PubMedCentralPubMedCrossRef Mishra, N., Nagpal, S. S., Chadda, R. K., & Sood, M. (2011). Help-seeking behavior of patients with mental health problems visiting a tertiary care center in north India. Indian Journal of Psychiatry, 53(3), 234–238.PubMedCentralPubMedCrossRef
Zurück zum Zitat Pols, H. (2006). The development of psychiatry in Indonesia: from colonial to modern times. International of Review of Psychiatry, 18(4), 363–370.CrossRef Pols, H. (2006). The development of psychiatry in Indonesia: from colonial to modern times. International of Review of Psychiatry, 18(4), 363–370.CrossRef
Zurück zum Zitat Popper-Giveon, A., Schiff, E., & Ben-Arye, E. (2013). We and they in the house of healing: Debate among Arab complementary medicine practitioners on an integrative versus alternative approach to supportive cancer care. Integrative Cancer Therapies, 12(6), 488–495. doi:10.1177/1534735413485818. Epub 2013 Apr 26.PubMedCrossRef Popper-Giveon, A., Schiff, E., & Ben-Arye, E. (2013). We and they in the house of healing: Debate among Arab complementary medicine practitioners on an integrative versus alternative approach to supportive cancer care. Integrative Cancer Therapies, 12(6), 488–495. doi:10.​1177/​1534735413485818​. Epub 2013 Apr 26.PubMedCrossRef
Zurück zum Zitat Popper-Giveon, A., Weiner-Levy, N. (2013). Returning to ourselves: Palestinian complementary healers in Israel. Qualitative Health Research. 2013 Nov 8. [Epub ahead of print]. Popper-Giveon, A., Weiner-Levy, N. (2013). Returning to ourselves: Palestinian complementary healers in Israel. Qualitative Health Research. 2013 Nov 8. [Epub ahead of print].
Zurück zum Zitat Puchalski, C. M. (2006). Spirituality and medicine: Curricula in medical education. Journal of Cancer Education, 21(1), 14–18.PubMedCrossRef Puchalski, C. M. (2006). Spirituality and medicine: Curricula in medical education. Journal of Cancer Education, 21(1), 14–18.PubMedCrossRef
Zurück zum Zitat Ramakrishnan, P., Dias, A., Rane, A., Shukla, A., Lakshmi, S., Ansari, B. K., Ramaswamy, R. S., Reddy, A.R., Tribulato, A., Agarwal, A. K., Bhat, J., Satyaprasad, N., Mushtaq, A., Rao, P. H., Murthy, P., Koenig, H. G. (2013) Perspectives of indian traditional and allopathic professionals on religion/spirituality and its role in medicine: Basis for developing an integrative medicine program. Journal of Religion and Health. 2013 Apr 27. [Epub ahead of print] http://www.ncbi.nlm.nih.gov/pubmed/23625126. Ramakrishnan, P., Dias, A., Rane, A., Shukla, A., Lakshmi, S., Ansari, B. K., Ramaswamy, R. S., Reddy, A.R., Tribulato, A., Agarwal, A. K., Bhat, J., Satyaprasad, N., Mushtaq, A., Rao, P. H., Murthy, P., Koenig, H. G. (2013) Perspectives of indian traditional and allopathic professionals on religion/spirituality and its role in medicine: Basis for developing an integrative medicine program. Journal of Religion and Health. 2013 Apr 27. [Epub ahead of print] http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​23625126.
Zurück zum Zitat Ramakrishnan, P., Rane, A., Dias, A., Bhat, J., Shukla, A., Lakshmi, S., Ansari, B. K., Ramaswamy, R. S., Reddy, R. A., Tribulato, A., Agarwal, A. K., Satyaprasad, N., Mushtaq, A., Rao, P. H., Murthy, P., & Koenig, H. G. (2014) Indian health care professionals’ attitude towards spiritual healing and its role in alleviating stigma of psychiatric services. Journal of Religion and Health. 2014 Jan 16. [Epub ahead of print]. http://www.ncbi.nlm.nih.gov/pubmed/?term=24430129. Ramakrishnan, P., Rane, A., Dias, A., Bhat, J., Shukla, A., Lakshmi, S., Ansari, B. K., Ramaswamy, R. S., Reddy, R. A., Tribulato, A., Agarwal, A. K., Satyaprasad, N., Mushtaq, A., Rao, P. H., Murthy, P., & Koenig, H. G. (2014) Indian health care professionals’ attitude towards spiritual healing and its role in alleviating stigma of psychiatric services. Journal of Religion and Health. 2014 Jan 16. [Epub ahead of print]. http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​?​term=​24430129.
Zurück zum Zitat Sharma, S. K., Chadha, S. K., Negi, M., Katoch, D. C., Raghu, A., & Sharma, V. (2008). A manual for doctors on mainstreaming of AYUSH under NRMH. New Delhi: Department of AYUSH, Ministry of Health and Family Welfare. Sharma, S. K., Chadha, S. K., Negi, M., Katoch, D. C., Raghu, A., & Sharma, V. (2008). A manual for doctors on mainstreaming of AYUSH under NRMH. New Delhi: Department of AYUSH, Ministry of Health and Family Welfare.
Zurück zum Zitat Sheppe, A. H., Nicholson, R. F, 3rd, Rasinski, K. A., Yoon, J. D., & Curlin, F. A. (2013). Providing guidance to patients: Physicians’ views about the relative responsibilities of doctors and religious communities. Southern Medical Journal, 106(7), 399–406.PubMedCentralPubMedCrossRef Sheppe, A. H., Nicholson, R. F, 3rd, Rasinski, K. A., Yoon, J. D., & Curlin, F. A. (2013). Providing guidance to patients: Physicians’ views about the relative responsibilities of doctors and religious communities. Southern Medical Journal, 106(7), 399–406.PubMedCentralPubMedCrossRef
Zurück zum Zitat Verma, U., Sharma, R., Gupta, P., Gupta, S., & Kapoor, B. (2007) Allopathic vs. ayurvedic practices in tertiary care institutes of urban North India. Indian Journal of Pharmacology. 2007. 39, 1, Jan–Feb, 52–54 (http://www.bioline.org.br/request?ph07012. Accessed January 30, 2014. Verma, U., Sharma, R., Gupta, P., Gupta, S., & Kapoor, B. (2007) Allopathic vs. ayurvedic practices in tertiary care institutes of urban North India. Indian Journal of Pharmacology. 2007. 39, 1, Jan–Feb, 52–54 (http://​www.​bioline.​org.​br/​request?​ph07012. Accessed January 30, 2014.
Zurück zum Zitat Warrier, M. (2009). Seekership, spirituality and self-discovery: Ayurveda trainees in Britain. Asian Med (Lieden), 4(2), 423–451.CrossRef Warrier, M. (2009). Seekership, spirituality and self-discovery: Ayurveda trainees in Britain. Asian Med (Lieden), 4(2), 423–451.CrossRef
Metadaten
Titel
Religious/Spiritual Characteristics of Indian and Indonesian Physicians and Their Acceptance of Spirituality in Health care: A Cross-Cultural Comparison
verfasst von
P. Ramakrishnan
A. Karimah
K. Kuntaman
A. Shukla
B. K. M. Ansari
P. H. Rao
M. Ahmed
A. Tribulato
A. K. Agarwal
H. G. Koenig
P. Murthy
Publikationsdatum
01.04.2015
Verlag
Springer US
Erschienen in
Journal of Religion and Health / Ausgabe 2/2015
Print ISSN: 0022-4197
Elektronische ISSN: 1573-6571
DOI
https://doi.org/10.1007/s10943-014-9906-3

Weitere Artikel der Ausgabe 2/2015

Journal of Religion and Health 2/2015 Zur Ausgabe