Attitudes toward integration of complementary and alternative medicine with hospital-based care.
OBJECTIVE
To characterize those who have used, expect to use, or are opposed to the use of holistic therapies, especially in a conventional medical (hospital) setting. SAMPLE DESCRIPTION AND METHODS: Cross-sectional survey of a random sample of Hamilton-Wentworth residents between March and June 1998 (n = 416; response rate, 63%); analysis used logistic regression.


RESULTS
Thirty-seven percent (37%) used at least one holistic therapy in the previous year: the three most common were chiropractic, massage, and herbal/phytology. The three most common reasons for use were general health, fatigue, and arthritis. Thirty-three percent (33%) would use holistic therapy in the future. Barriers to use were lack of information, perceived ineffectiveness, and cost; approximately 40% agreed they would only use holistic therapies with medical advice. Approximately 13% were opposed to holistic therapy and objected to its use in hospitals. Younger age, preference for holistic therapy over conventional medicine, and prior use of holism independently predicted high likelihood for future use. Lower income and high self-perceived health were associated with negative attitude toward use of holistic therapies in hospital.


CONCLUSIONS
Most respondents would accept integration of holistic techniques into a hospital; therapies would be more acceptable if there were clear evidence of their efficacy. A few might find their opinion of a sponsoring hospital lowered by such integration.
Lewis
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D
Father Sean O'Sullivan Research Centre, Hamilton, Ontario, Canada. dlewis@email.stjosham.on.ca
Paterson
M
M
Beckerman
S
S
Sandilands
C
C
D000328:Adult; D000368:Aged; D001294:Attitude to Health; D000529:Complementary Therapies / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D005260:Female; D006694:Holistic Health; D006739:Hospital Administration; D006760:Hospitalization / Q000639:trends; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009864:Ontario / Q000453:epidemiology; D017060:Patient Satisfaction; D010865:Pilot Projects; D011795:Surveys and Questionnaires