Advertisement
Original contribution| Volume 39, ISSUE 5, P569-575, November 2010

The Knowledge and Usage of Complementary and Alternative Medicine by Emergency Department Patients and Physicians

Published:September 01, 2008DOI:https://doi.org/10.1016/j.jemermed.2008.01.007

      Abstract

      Objectives: To evaluate Emergency Department (ED) patients' desire to discuss complementary and alternative medicine (CAM) with their emergency physicians, their willingness to try CAM for their presenting complaint, and emergency physicians' attitudes, beliefs, and usage of CAM. Methods: A written questionnaire asking about CAM knowledge, usage, and interest was administered to a convenience sample of ED patients and put in work mailboxes of emergency physicians at an academic tertiary care referral center with an emergency medicine residency program. Results: Of the 75 patients surveyed, 54.7% stated that they were currently using or had used some form of CAM in the past. Only 24% of patients stated that they would discuss their usage of CAM with their emergency physician. Eighty-one percent of patients thought it was important for their physicians to be educated about CAM, and 85% would be willing to incorporate CAM into the treatment of their presenting complaint. Out of 34 emergency physicians, 28 (82%) completed their surveys. Forty percent of physicians stated that they are currently using or had used some form of CAM in the past. Ninety-six percent of physicians surveyed thought it was important for physicians to be educated about CAM and were willing to discuss CAM with their patients. Conclusion: The use and public acceptance of CAM in our study population, for both patients and physicians, was high. Although patients and physicians need more education about CAM, both made it clear that they desire and are willing to discuss CAM with each other.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • National Institutes of Health Website
        (Accessed May 23, 2007)
        • Tindle H.A.
        • Davis R.B.
        • Phillips R.S.
        • et al.
        Trends in the use of complementary and alternative medicine by US adults: 1997–2002.
        Altern Ther Health Med. 2005; 11: 42-49
        • Eisenberg D.M.
        • Davis R.B.
        • Ettner S.L.
        • et al.
        Trends in alternative medicine use in the United States, 1990–1997: results of a follow-up national survey.
        JAMA. 1998; 280: 1569-1575
        • Goldbeck-Wood S.
        • Dorozynski A.
        • Lei L.G.
        • et al.
        Complementary medicine is booming worldwide.
        BMJ. 1996; 313: 131-133
        • Astin J.A.
        Why patients use alternative medicine: results of a national study.
        JAMA. 1998; 279: 1548-1553
        • Astin J.A.
        • Marie A.
        • Pelletier K.R.
        • et al.
        Incorporation of complementary and alternative medicine by mainstream physicians.
        Arch Intern Med. 1998; 158: 2303-2310
        • Crock R.D.
        • Jarjoura D.
        • Polen A.
        • et al.
        Confronting the communication gap between conventional and alternative medicine.
        Altern Ther Health Med. 1999; 5: 61-66
        • Wahner-Roedler D.L.
        • Vincent A.
        • Elkin P.L.
        • et al.
        Physicians' attitudes toward complementary and alternative medicine and their knowledge of specific therapies: a survey at an academic medical center.
        Evid Based Complement Alternat Med. 2006; 3: 495-501
        • Gulla J.
        • Singer A.J.
        Use of alternative therapies among emergency department patients.
        Ann Emerg Med. 2000; 35: 226-228
        • Li J.Z.
        • Quinn J.V.
        • McCulloch C.E.
        • et al.
        Patterns of complementary and alternative medicine use in ED patients and its association with health care utilization.
        Am J Emerg Med. 2004; 22: 187-191
        • Weiss S.J.
        • Takakuwa K.M.
        • Ernst A.A.
        Use, understanding, and beliefs about complementary and alternative medicines among emergency department patients.
        Acad Emerg Med. 2001; 8: 41-47
        • Rogers E.A.
        • Gough J.E.
        • Brewer K.L.
        Are emergency department patients at risk for herb-drug interactions?.
        Acad Emerg Med. 2001; 8: 932-934
        • Zun L.S.
        • Gossman W.
        • Lilienstein D.
        • et al.
        Patients' self-treatment with alternative treatment before presenting to the ED.
        Am J Emerg Med. 2002; 20: 473-475
        • Sunghye K.
        • Hohrmann J.L.
        • Clark S.
        • et al.
        A multicenter study of complementary and alternative medicine usage among ED patients.
        Acad Emerg Med. 2005; 12: 377-380
        • Boden W.E.
        • O'Rourke R.A.
        • Teo K.K.
        • et al.
        Optimal medical therapy with or without PCI for stable coronary artery disease.
        N Engl J Med. 2007; 356: 1503-1516
        • Dillard J.N.
        • Knapp S.
        Complementary and alternative pain therapy in the emergency department.
        Emerg Med Clin North Am. 2005; 23: 529-549