Bridging the physician and CAM practitioner communication gap: Suggested framework for communication between physicians and CAM practitioners based on a cross professional survey from Israel

Elad Schiff, Moshe Frenkel, Margalit Shilo, Moti Levy, Leora Schachter, Yuval Freifeld, Irena Steinfeld, Victoria Maizes, Eran Ben-Arye

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Objective: Our study aimed to develop a framework to improve communication between physicians and CAM practitioners regarding mutual patients. Methods: Following a modified Delphi process, we developed preliminary recommendations regarding communication between physicians and CAM practitioners. We then surveyed 473 physicians and 781 CAM practitioners regarding their opinions on these recommendations. Results: High reliability and validity of the survey were found among the physicians and CAM practitioners (Cronbach's alpha score of .94 and .83, respectively). Physicians and CAM practitioners considered communication regarding mutual patients important (80% and 97%, respectively; P< .001). A medical/referral letter was the preferred communication mode. Physicians and CAM practitioners concurred on four elements that should be included in such a referral letter: conventional-CAM diagnosis with coherent terminology, possible conventional-CAM treatment interactions, description of the treatment plan and its goals, and quality issues regarding CAM supplements. Conclusions: A practical framework for advancing physician-CAM practitioner communication is feasible, and may be applied in daily medical care with the goal of bridging the patient-physician-CAM practitioner communication gap. Practice implications: Communication between physicians and CAM practitioners regarding mutual patients is important. Establishing a framework for the mode and content of such communication is feasible.

Original languageEnglish (US)
Pages (from-to)188-193
Number of pages6
JournalPatient Education and Counseling
Volume85
Issue number2
DOIs
StatePublished - Nov 2011

Fingerprint

Israel
Communication
Physicians
Referral and Consultation
Surveys and Questionnaires
Terminology
Reproducibility of Results
Therapeutics

Keywords

  • Alternative medicine
  • CAM practitioners
  • Complementary medicine
  • Doctor-patient communication
  • Integrative medicine
  • Physicians

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Bridging the physician and CAM practitioner communication gap : Suggested framework for communication between physicians and CAM practitioners based on a cross professional survey from Israel. / Schiff, Elad; Frenkel, Moshe; Shilo, Margalit; Levy, Moti; Schachter, Leora; Freifeld, Yuval; Steinfeld, Irena; Maizes, Victoria; Ben-Arye, Eran.

In: Patient Education and Counseling, Vol. 85, No. 2, 11.2011, p. 188-193.

Research output: Contribution to journalArticle

Schiff, Elad ; Frenkel, Moshe ; Shilo, Margalit ; Levy, Moti ; Schachter, Leora ; Freifeld, Yuval ; Steinfeld, Irena ; Maizes, Victoria ; Ben-Arye, Eran. / Bridging the physician and CAM practitioner communication gap : Suggested framework for communication between physicians and CAM practitioners based on a cross professional survey from Israel. In: Patient Education and Counseling. 2011 ; Vol. 85, No. 2. pp. 188-193.
@article{f2f45849a54b4637865556b73b0b5ad8,
title = "Bridging the physician and CAM practitioner communication gap: Suggested framework for communication between physicians and CAM practitioners based on a cross professional survey from Israel",
abstract = "Objective: Our study aimed to develop a framework to improve communication between physicians and CAM practitioners regarding mutual patients. Methods: Following a modified Delphi process, we developed preliminary recommendations regarding communication between physicians and CAM practitioners. We then surveyed 473 physicians and 781 CAM practitioners regarding their opinions on these recommendations. Results: High reliability and validity of the survey were found among the physicians and CAM practitioners (Cronbach's alpha score of .94 and .83, respectively). Physicians and CAM practitioners considered communication regarding mutual patients important (80{\%} and 97{\%}, respectively; P< .001). A medical/referral letter was the preferred communication mode. Physicians and CAM practitioners concurred on four elements that should be included in such a referral letter: conventional-CAM diagnosis with coherent terminology, possible conventional-CAM treatment interactions, description of the treatment plan and its goals, and quality issues regarding CAM supplements. Conclusions: A practical framework for advancing physician-CAM practitioner communication is feasible, and may be applied in daily medical care with the goal of bridging the patient-physician-CAM practitioner communication gap. Practice implications: Communication between physicians and CAM practitioners regarding mutual patients is important. Establishing a framework for the mode and content of such communication is feasible.",
keywords = "Alternative medicine, CAM practitioners, Complementary medicine, Doctor-patient communication, Integrative medicine, Physicians",
author = "Elad Schiff and Moshe Frenkel and Margalit Shilo and Moti Levy and Leora Schachter and Yuval Freifeld and Irena Steinfeld and Victoria Maizes and Eran Ben-Arye",
year = "2011",
month = "11",
doi = "10.1016/j.pec.2010.08.029",
language = "English (US)",
volume = "85",
pages = "188--193",
journal = "Patient Education and Counseling",
issn = "0738-3991",
publisher = "Elsevier Ireland Ltd",
number = "2",

}

TY - JOUR

T1 - Bridging the physician and CAM practitioner communication gap

T2 - Suggested framework for communication between physicians and CAM practitioners based on a cross professional survey from Israel

AU - Schiff, Elad

AU - Frenkel, Moshe

AU - Shilo, Margalit

AU - Levy, Moti

AU - Schachter, Leora

AU - Freifeld, Yuval

AU - Steinfeld, Irena

AU - Maizes, Victoria

AU - Ben-Arye, Eran

PY - 2011/11

Y1 - 2011/11

N2 - Objective: Our study aimed to develop a framework to improve communication between physicians and CAM practitioners regarding mutual patients. Methods: Following a modified Delphi process, we developed preliminary recommendations regarding communication between physicians and CAM practitioners. We then surveyed 473 physicians and 781 CAM practitioners regarding their opinions on these recommendations. Results: High reliability and validity of the survey were found among the physicians and CAM practitioners (Cronbach's alpha score of .94 and .83, respectively). Physicians and CAM practitioners considered communication regarding mutual patients important (80% and 97%, respectively; P< .001). A medical/referral letter was the preferred communication mode. Physicians and CAM practitioners concurred on four elements that should be included in such a referral letter: conventional-CAM diagnosis with coherent terminology, possible conventional-CAM treatment interactions, description of the treatment plan and its goals, and quality issues regarding CAM supplements. Conclusions: A practical framework for advancing physician-CAM practitioner communication is feasible, and may be applied in daily medical care with the goal of bridging the patient-physician-CAM practitioner communication gap. Practice implications: Communication between physicians and CAM practitioners regarding mutual patients is important. Establishing a framework for the mode and content of such communication is feasible.

AB - Objective: Our study aimed to develop a framework to improve communication between physicians and CAM practitioners regarding mutual patients. Methods: Following a modified Delphi process, we developed preliminary recommendations regarding communication between physicians and CAM practitioners. We then surveyed 473 physicians and 781 CAM practitioners regarding their opinions on these recommendations. Results: High reliability and validity of the survey were found among the physicians and CAM practitioners (Cronbach's alpha score of .94 and .83, respectively). Physicians and CAM practitioners considered communication regarding mutual patients important (80% and 97%, respectively; P< .001). A medical/referral letter was the preferred communication mode. Physicians and CAM practitioners concurred on four elements that should be included in such a referral letter: conventional-CAM diagnosis with coherent terminology, possible conventional-CAM treatment interactions, description of the treatment plan and its goals, and quality issues regarding CAM supplements. Conclusions: A practical framework for advancing physician-CAM practitioner communication is feasible, and may be applied in daily medical care with the goal of bridging the patient-physician-CAM practitioner communication gap. Practice implications: Communication between physicians and CAM practitioners regarding mutual patients is important. Establishing a framework for the mode and content of such communication is feasible.

KW - Alternative medicine

KW - CAM practitioners

KW - Complementary medicine

KW - Doctor-patient communication

KW - Integrative medicine

KW - Physicians

UR - http://www.scopus.com/inward/record.url?scp=80053978556&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80053978556&partnerID=8YFLogxK

U2 - 10.1016/j.pec.2010.08.029

DO - 10.1016/j.pec.2010.08.029

M3 - Article

C2 - 21041056

AN - SCOPUS:80053978556

VL - 85

SP - 188

EP - 193

JO - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

IS - 2

ER -