title: Doctor-patient discussions of alternative medicine for back pain.
abstract: OBJECTIVE
  To document the frequency of conversations about alternative medicine during primary care consultations for back pain in diverse settings.
  
  
  METHODS
  "Exit interview" type patient survey.
  
  
  METHODS
  General practices in Seattle, Washington; rural Israel; and Birmingham, England.
  
  
  METHODS
  A convenience sample of 218 adults completing a doctor visit for back pain.
  
  
  METHODS
  Frequencies of doctor-patient discussions of alternative medicine.
  
  
  RESULTS
  Alternative medicine was discussed in a minority of visits (US site 40%, Israel site 37%, UK site 14%, p < 0.05). At each site, patients initiated at least half of the discussions. Users were five to six times more likely to discuss alternative medicine with their doctor than non-users (p < 0.05 for comparison at each site). The percentage of patients who used alternative medicine but left the consultation without discussing it was similar at all sites (US site 17%, Israel site 23%, UK site 15%).
  
  
  CONCLUSIONS
  Discussions of alternative medicine occurred in a minority of consultations for back pain although the rate varied considerably by site. Discussions were initiated primarily by patients who use it.
authors.affiliation: Department of Family Medicine, University of Washington School of Medicine, Seattle, USA. jneher@vmc.fammed.washington.edu
authors.forename: J O
authors.initials: JO
authors.lastname: Neher
authors.forename: J M
authors.initials: JM
authors.lastname: Borkan
authors.forename: M J
authors.initials: MJ
authors.lastname: Wilkinson
authors.forename: S
authors.initials: S
authors.lastname: Reis
authors.forename: D
authors.initials: D
authors.lastname: Hermoni
authors.forename: F D
authors.initials: FD
authors.lastname: Hobbs
mesh_terms: D001416:Back Pain / Q000628:therapy*; D000529:Complementary Therapies; D006302:Health Services Research; D006801:Humans; D007557:Israel; D010817:Physician-Patient Relations; D012424:Rural Population; D011795:Surveys and Questionnaires; D006113:United Kingdom; D014481:United States; D014505:Urban Population