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eBook details

• Title: Canadian Family Physicians and Complementary/Alternative Medicine: The Role of Practice Setting, Medical Training, And Province of Practice (Report)
• Author : Canadian Review of Sociology
• Release Date : January 01, 2009
• Genre: Social Science,Books,Nonfiction,
• Pages : * pages
• Size : 253 KB

Description

ATTEMPTS AT CATEGORIZING PRACTICES/PRACTITIONERS AS COMPLEMENTARY and alternative medicine (CAM) are contested and vary according to political context, point of view and study design (Achilles 2001; Astin et al. 1998; Kelner and Wellman 2000; NCCAM 2008). CAM is typically defined "residually" as therapeutic approaches that fall outside of orthodox biomedicine in the West (Achilles 2001; Hirschkorn and Bourgeault 2007; Saks 2003; Sharma 2000). It has also been defined positively as a group of practices/practitioners embodying the characteristics of holism, vitalism, and individualized care (Kelner and Wellman 2000; Micozzi 2001). Nonetheless, an internationally facilitated consensus process identifies the following as core practitioner-based or self-care CAM therapies/modalities: acupuncture, Traditional Chinese Medicine, homeopathy, herbal supplements, and nutrition therapy (Lachance et al. 2006). In Canada, the definition is extended to include chiropractic medicine. In recent decades, there has been a large increase in the consumption of CAM in the Western world (Eisenberg et al. 1998; Goldner 2004; Goldstein 2000), including Canada (Kelner and Wellman 2000; Northcott 1994; Simpson 2003). Concomitantly, many recent surveys have measured physicians' attitudes and behaviors related to CAM use (i.e., providing a CAM service or referring for CAM services). While Ernst, Resch, and White (1995) argue that there is no noticeable increase in physician referral for CAM over time, other findings are less conclusive (Astin et al. 1998; Botting and Cook 2000; Ernst et al. 1995; Hirschkorn and Bourgeault 2005). Attitudinal measures feature prominently in these studies, and although they consistently explain some of the variation in physician behavior (Astin et al. 1998; Visser and Peters 1990), explanations for physician provision of or referral for CAM remain unclear (Astin et al. 1998; Botting and Cook 2000; Ernst et al. 1995; Hirschkorn and Bourgeault 2005).

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