Patient requests and provider suggestions for alternative treatments as reported by rural and urban care providers.
OBJECTIVE
Explored the relationship between different types of care providers' willingness to suggest alternative and complementary treatments (CAM), patients' requests for CAM, and provider perceptions about CAM as barriers to effective healthcare.


METHODS
Large survey.


METHODS
Alaska and New Mexico.


METHODS
Survey responses from 1528 physical and behavioral healthcare providers.


RESULTS
Over 97% of providers suggested CAM; over 97% reported patients asked for CAM. Providers were more likely to suggest CAM than perceived CAM as a barrier to care. Healthcare providers who were female, from small rural areas, or specializing in behavioral healthcare were more likely to suggest CAM and less likely to perceive CAM as a barrier. Patients of physical healthcare providers asked for CAM more often than patients of behavioral healthcare providers, yet physical care providers suggested CAM less frequently.


CONCLUSIONS
Healthcare providers of all disciplines, regions, and gender are sensitive to patients' desire for CAM and do not perceive CAM as a barrier to care.
Brems
Christiane
C
Behavioral Health Research and Services (BHRS), University of Alaska Anchorage, 99508, USA. cbrems@uaa,alaska.edu
Johnson
Mark E
ME
Warner
Teddy D
TD
Roberts
Laura Weiss
LW
D000413:Alaska; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009516:New Mexico; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D019035:Rural Health Services; D019037:Urban Health Services