title: Communication between CAM and mainstream medicine: Delphi panel perspectives.
abstract: Healthcare practitioners' models of health affect their patient interactions and services. We surveyed mainstream (MM), integrative (IM) and CAM providers to investigate their models of health. This study generated ideas for actions to improve MM/CAM communication based on survey findings. Through the Delphi technique, a panel of 14 MM, IM and CAM experts participated in two rounds of questioning regarding survey findings. MM panel members were less supportive of almost all suggestions for actions than IM and CAM members. Suggestions most likely to be implemented were enabling the patient to take an active role in care, establishing understanding between patient and practitioner of treatment and its goals, fostering patients' taking responsibility for their health and communicating about patient assessment in ways understandable to others. Actions to foster better MM/CAM communication promote focus by a team of providers on the patient's goals, functioning and involvement in their care.
authors.affiliation: Department of Internal Medicine, Lutheran Medical Center, 150-55th Street, Brooklyn, NY 11220, USA. eklimenko@lmcmc.com
authors.forename: Elena
authors.initials: E
authors.lastname: Klimenko
authors.forename: Kell
authors.initials: K
authors.lastname: Julliard
mesh_terms: D000529:Complementary Therapies; D003697:Delphi Technique; D006801:Humans; D033183:Interdisciplinary Communication; D007400:Interprofessional Relations; D009518:New York; D010820:Physicians