Patients' experiences and perceptions of a consultative model integrative medicine clinic: a qualitative study.
OBJECTIVE
A common theme in integrative medicine (IM) is patient-centered partnering in care between patients and providers. Despite the stated ideals, few studies have assessed patients' perspectives on their actual experience in the context of a specific care model. The purpose of the present study was to retrospectively explore and compare experiences of cancer and noncancer patients under care in a consultative IM outpatient teaching clinic in the south-western United States.


METHODS
Qualitative study using inductive content analysis of focus group interview transcripts (2 groups of adult patients with cancers of various types and 1 group of chronically ill noncancer patients with mixed diagnoses).


METHODS
Participants were recruited by random selection from a pool of eligible patients. Groups were conducted with patients who had completed their initial conventional cancer treatment and were at least 6 months postconsultation with an IM clinic physician. Transcripts of the audiotaped focus groups were analyzed.


RESULTS
Cancer patients (n = 15) and noncancer patients (n = 6) (mean age, 60 years; 77% women) expressed overall satisfaction with IM, emphasizing (1) expansion of treatment options with lower perceived toxicity than conventional therapies, (2) positive experiences of the IM physician as caring and taking time to listen, and (3) improved self-care skills and sense of empowerment. Cancer patients noted positive relationships with their conventional MDs more than did noncancer patients, although both groups appreciated the IM physicians' communication styles.


CONCLUSIONS
Patients experience a consultative integrative clinic model overall as favorable. The impact on outcomes, costs, and long-term quality of life requires additional study.
Koithan
Mary
M
Department of Medicine (Program in Integrative Medicine) at The University of Arizona Health Sciences Center, Tucson, AZ 85724-5153, USA. mkoithan@nursing.arizona.edu
Bell
Iris R
IR
Caspi
Opher
O
Ferro
Lynn
L
Brown
Victoria
V
D000368:Aged; D000369:Aged, 80 and over; D000554:Ambulatory Care Facilities; D003695:Delivery of Health Care / Q000379:methods*; D005260:Female; D017144:Focus Groups; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D008954:Models, Biological; D009369:Neoplasms / Q000523:psychology / Q000628:therapy; D005791:Patient Care / Q000523:psychology; D017060:Patient Satisfaction; D010465:Perception; D036301:Qualitative Research; D012017:Referral and Consultation; D012189:Retrospective Studies; D011795:Surveys and Questionnaires