Complementary and alternative medicine: Canadian physiatrists' attitudes and behavior.

https://arctichealth.org/en/permalink/ahliterature198659
Source
Arch Phys Med Rehabil. 2000 May;81(5):662-7
Publication Type
Article
Date
May-2000
Author
G D Ko
D. Berbrayer
Author Affiliation
Department of Medicine, Sunnybrook and Women's College Health Science Centre, University of Toronto, Ontario, Canada.
Source
Arch Phys Med Rehabil. 2000 May;81(5):662-7
Date
May-2000
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Attitude of Health Personnel
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Ontario
Physical and Rehabilitation Medicine
Questionnaires
Rehabilitation
Abstract
To document the prevalence and patterns of knowledge about, referrals to, training in, and practice of complementary and alternative medical therapies and their perceived effectiveness by a sample of Canadian physiatrists.
Cross-sectional survey by written questionnaire.
Physiatrists in the province of Ontario, Canada.
All 116 physiatrist/rehabilitation specialists listed in the Ontario Medical Association directory. Data were obtained from 98 respondents.
Statistical analysis of responses in these areas: attitudes, knowledge, and recommendations about alternative therapies, and clinical approach including referral pattern, training, and practice of alternative medicine.
Of the respondents, 72% reported referring patients for alternative medicine therapies, and 20% had training in and 20% practiced some form of alternative medicine. The therapies rated highest in usefulness were acupuncture (85%), biofeedback (81%), and chiropractic (80%). Sixty-three percent believed that alternative medicine had ideas and methods that would be of benefit to physiatrists. Only 9% believed it to be a threat to public health. A greater proportion of physiatrists who refer were women, were younger, had graduated more recently, and scored higher in their ratings of more useful alternative medicine therapies. Previous training in alternative medicine was correlated with a higher practice rate but not with referral rate. Practice profile and academic affiliation were not associated with greater or less use of alternative medicine.
In Ontario, physiatrists report greater knowledge of and more use of alternative medicine therapies than do general practitioners. The most commonly used therapies are acupuncture, biofeedback, and manipulation (chiropractic, osteopathy). It is recommended that these approaches be taught in physiatry residency training and be the focus of future research. Incorporating such therapies into practice will help to meet the public demand for such approaches in the decade to come.
Notes
Comment In: Arch Phys Med Rehabil. 2000 Sep;81(9):1256-710987176
PubMed ID
10807108 View in PubMed
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