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Differences in the quality of interpersonal care in complementary and conventional medicine

BACKGROUND: The study was part of a nationwide evaluation of complementary and alternative medicine (CAM) in Swiss primary care. The aim of the study was to compare patient-physician relationships and the respective patient-reported relief of symptoms between CAM and conventional primary care (COM)....

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Autores principales: Busato, André, Künzi, Beat
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2987773/
https://www.ncbi.nlm.nih.gov/pubmed/21050450
http://dx.doi.org/10.1186/1472-6882-10-63
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author Busato, André
Künzi, Beat
author_facet Busato, André
Künzi, Beat
author_sort Busato, André
collection PubMed
description BACKGROUND: The study was part of a nationwide evaluation of complementary and alternative medicine (CAM) in Swiss primary care. The aim of the study was to compare patient-physician relationships and the respective patient-reported relief of symptoms between CAM and conventional primary care (COM). METHODS: A comparative observational study in Swiss primary care with written survey completed by patients who visited a GP one month earlier. 6133 patients older than 16 years of 170 certified CAM physicians, of 77 non-certified CAM physicians and of 71 conventional physicians were included. Patients completed a questionnaire aimed at symptom relief, patient satisfaction, fulfilment of expectations, and quality of patient-physician interaction (EUROPEP questionnaire). RESULTS: CAM physicians treated significantly more patients with chronic conditions than COM physicians. CAM Patients had significant higher healing expectations than COM patients. General patient satisfaction was significantly higher in CAM patients, although patient-reported symptom relief was significantly poorer. The quality of patient-physician communication was rated significantly better in CAM patients. CONCLUSIONS: The study shows better patient-reported outcomes of CAM in comparison to COM in Swiss primary care, which is related to higher patient satisfaction due to better patient-physician communication of CAM physicians. More effective communication patterns of these physicians may play an important role in allowing patients to maintain more positive outcome expectations. The findings should promote formative efforts in conventional primary care to improve communication skills in order to reach the same levels of favourable patient outcomes.
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spelling pubmed-29877732010-11-19 Differences in the quality of interpersonal care in complementary and conventional medicine Busato, André Künzi, Beat BMC Complement Altern Med Research Article BACKGROUND: The study was part of a nationwide evaluation of complementary and alternative medicine (CAM) in Swiss primary care. The aim of the study was to compare patient-physician relationships and the respective patient-reported relief of symptoms between CAM and conventional primary care (COM). METHODS: A comparative observational study in Swiss primary care with written survey completed by patients who visited a GP one month earlier. 6133 patients older than 16 years of 170 certified CAM physicians, of 77 non-certified CAM physicians and of 71 conventional physicians were included. Patients completed a questionnaire aimed at symptom relief, patient satisfaction, fulfilment of expectations, and quality of patient-physician interaction (EUROPEP questionnaire). RESULTS: CAM physicians treated significantly more patients with chronic conditions than COM physicians. CAM Patients had significant higher healing expectations than COM patients. General patient satisfaction was significantly higher in CAM patients, although patient-reported symptom relief was significantly poorer. The quality of patient-physician communication was rated significantly better in CAM patients. CONCLUSIONS: The study shows better patient-reported outcomes of CAM in comparison to COM in Swiss primary care, which is related to higher patient satisfaction due to better patient-physician communication of CAM physicians. More effective communication patterns of these physicians may play an important role in allowing patients to maintain more positive outcome expectations. The findings should promote formative efforts in conventional primary care to improve communication skills in order to reach the same levels of favourable patient outcomes. BioMed Central 2010-11-04 /pmc/articles/PMC2987773/ /pubmed/21050450 http://dx.doi.org/10.1186/1472-6882-10-63 Text en Copyright ©2010 Busato and Künzi; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Busato, André
Künzi, Beat
Differences in the quality of interpersonal care in complementary and conventional medicine
title Differences in the quality of interpersonal care in complementary and conventional medicine
title_full Differences in the quality of interpersonal care in complementary and conventional medicine
title_fullStr Differences in the quality of interpersonal care in complementary and conventional medicine
title_full_unstemmed Differences in the quality of interpersonal care in complementary and conventional medicine
title_short Differences in the quality of interpersonal care in complementary and conventional medicine
title_sort differences in the quality of interpersonal care in complementary and conventional medicine
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2987773/
https://www.ncbi.nlm.nih.gov/pubmed/21050450
http://dx.doi.org/10.1186/1472-6882-10-63
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