A gap between acceptance and knowledge of herbal remedies by physicians: the need for educational intervention.
BACKGROUND
The unprecedented global increase in the use of herbal remedies is set to continue apace well into the foreseeable future. This raises important public health concerns, especially as it relates to safety issues including adverse effects and herb-drug interactions. Most Western-trained physicians are ignorant of the risks and benefits of this healthcare modality and assessment of acceptance and knowledge would identify appropriate intervention strategies to improve physician-patient communication in this area.


METHODS
A cross-sectional survey was done using an interviewer-administered pilot tested de novo questionnaire at six public hospitals in Trinidad between May-July 2004. The questionnaire utilized weighed questions to quantify acceptance (maximum score = 14 points) and knowledge (maximum score = 52 points). Acceptance and knowledge scores were analyzed using the ANOVA and Tukey's tests.


RESULTS
Of 192 physicians interviewed, most (60.4%) believed that herbal remedies were beneficial to health. Respondents had relatively high acceptance levels (mean = 5.69 +/- 0.29 points or 40% of total possible score) and poor knowledge (mean = 7.77 +/- 0.56 points or 15% of total possible score). Seventy-eight physicians (40.6%) admitted having used herbs in the past, and 60 of these (76.9%) were satisfied with the outcome. Although 52 physicians (27.1%) recommended the use of herbs to their patients only 29 (15.1%) were able to identify at least one known herb-drug interaction.


CONCLUSIONS
The use of herbal remedies is relatively high in Trinidad, as throughout the world, and most patients self-medicate with or without the knowledge of their attending physician. Surprisingly, we demonstrated relatively high acceptance levels and use of herbs among physicians in Trinidad. This interesting scenario of high acceptance levels and poor knowledge creates a situation that demands urgent intervention. We recommend educational intervention to narrow the gap between acceptance and knowledge so that physicians would be adequately equipped to communicate with their patients on this modality. The integration of herbal medicine into the curriculum of medical schools, continuing education programs and the availability of reputable pharmacopoeias for referencing at public health institutions are useful instruments that can be used to close this gap and promote improved physician-patient communication.
Clement
Yuri N
YN
Faculty of Medical Sciences, The University of the West Indies, Trinidad and Tobago. yuriclem@yahoo.com
Williams
Arlene F
AF
Khan
Kristi
K
Bernard
Tricia
T
Bhola
Savrina
S
Fortuné
Maurice
M
Medupe
Oneil
O
Nagee
Kerry
K
Seaforth
Compton E
CE
D022126:Access to Information; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D003479:Curriculum; D004496:Education, Continuing / Q000639:trends; D007722:Health Knowledge, Attitudes, Practice; D029001:Herbal Medicine / Q000193:education*; D006779:Hospitals, Public / Q000706:statistics & numerical data*; D006801:Humans; D010817:Physician-Patient Relations; D008517:Phytotherapy / Q000706:statistics & numerical data*; D010865:Pilot Projects; D011159:Population Surveillance; D032107:Populus; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014300:Trinidad and Tobago