Patients’ and clinicians’ expectations on integrative medicine Services for Diabetes: a focus group study
| Autor: | Tai Pong Lam, Hongyu Li, J. C. K. Leung, Rui Xue, Gary Chi Wang Chan, Sydney C.W. Tang, Sarah Wing Yan Lok, Pak Wing Lee, Crystal Pui Sha Leung, Loretta Y.Y. Chan, Kam Wa Chan, Wai Han Yiu, Bin Li, Kar Neng Lai, Hoi Man Cheung |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Research design
Adult Male medicine.medical_specialty Service delivery framework Attitude of Health Personnel Grounded theory 03 medical and health sciences 0302 clinical medicine Medical advice Diabetes Mellitus Medicine Humans 030212 general & internal medicine Internal medicine Service quality Integrative Medicine business.industry Expectation Medical record Diabetes lcsh:Other systems of medicine Focus Groups Middle Aged lcsh:RZ201-999 Focus group Complementary and alternative medicine Family medicine Female Integrative medicine business Qualitative General practice Attitude to Health 030217 neurology & neurosurgery Research Article |
| Zdroj: | BMC Complementary Medicine and Therapies BMC Complementary Medicine and Therapies, Vol 20, Iss 1, Pp 1-11 (2020) |
| ISSN: | 2662-7671 |
| Popis: | Background Difference of perspective between patients and physicians over integrative medicine (IM) research and service provision remains unclear despite significant use worldwide. We observed an exceptionally low utilisation of IM and potential underreporting in diabetes. We aimed to explore the barriers and recommendations regarding service delivery and research of IM service among diabetes patients and physicians. Methods A 10-group, 50-participant semi-structured focus group interview series was conducted. Twenty-one patients with diverse severity of disease, comorbidities and education levels; and 29 physicians (14 conventional medicine (ConM) and 15 Chinese medicine (CM)) with diverse clinical experience, academic background and affiliation were purposively sampled from private and public clinics. Their perspectives were qualitatively analysed by constant comparative method. Results Seven subthemes regarding barriers towards IM service were identified including finance, service access, advice from medical professionals, uncertainty of service quality, uncertainty of CM effect, difficulty in understanding CM epistemology and access to medical records. Patients underreported the use of CM due to the concern over neutrality of medical advice among physicians. Inconvenience of service access, frequent follow-up, use of decoction and long-term financial burden were identified as key obstacles among patients. Regarding research design, ConM physicians emphasised standardisation and reproducibility while CM physicians emphasised personalisation. Some CM-related outcome measurements were suggested as non-communicable. Both physicians acknowledged the discordance in epistemology should be addressed by pragmatic approach. Conclusion Key obstacles of CAM clinical utilisation are different between patients. Further assessment on IM should be pragmatic to balance between standardisation, reproducibility and real-world practice. Evidence-based IM programs and research should merge with existing infrastructure. |
| Databáze: | OpenAIRE |
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