title: Inpatients' use, understanding, and attitudes towards traditional, complementary and alternative therapies at a provincial New Zealand hospital.
abstract: OBJECTIVE
  To assess the use and attitudes towards traditional, complementary and alternative medicine and therapies (TCAM) by inpatients of a provincial hospital.
  
  
  METHODS
  Ninety-two Gisborne Hospital inpatients were interviewed face-to-face over a 4-week period using a standardised questionnaire.
  
  
  RESULTS
  Of the 92 people interviewed, 84 patients (91%) had used an average of 6.4 TCAM modalities. Most common therapies used were massage (n=62), vitamins (n=5), chiropractor (n=45), and herbal therapies (n=41). Of the 84 people who have used TCAM, 79 (94%) used more than one therapy. Nineteen patients (23%) used 10 or more different therapies. Maori and Non-Maori respondents used the majority of TCAM modalities equally apart from a few notable exceptions. Only 10 (11%) of the 92 patients in this study recalled having been asked by a doctor if they were using TCAM. Fifty-five (65%) of those who use TCAM believed that it is safe.
  
  
  CONCLUSIONS
  This study of in-patients interviewed at Gisborne Hospital had the highest rate of TCAM use published to date. Most of these patients intend to continue using TCAM (86%), seek pluralistic care for their maladies and select from a broad array of modalities rooted in the community. Patients are not telling their doctors about this use, not because patients fear disapproval, but they are simply not being asked. Patients do not volunteer this information because they believe that TCAM use is safe and are unaware of its potential risks. There are ethnic trends in the selection of TCAM modalities and potential exists to reach some hard to reach populations through integrated care. The high prevalence of TCAM use in an in-patient population and patients' naivety regarding risks and interactions underscores the need for greater cooperation between orthodox and complementary practitioners, effective regulation with emphasis given to public safety, the need for new funding for TCAM research, increased undergraduate and postgraduate medical TCAM education, and better information made available to the public.
authors.affiliation: School of Pharmacy, University of Auckland, Private Bag , Auckland, New Zealand.
authors.forename: Amanda
authors.initials: A
authors.lastname: Evans
authors.forename: Bruce
authors.initials: B
authors.lastname: Duncan
authors.forename: Patrick
authors.initials: P
authors.lastname: McHugh
authors.forename: John
authors.initials: J
authors.lastname: Shaw
authors.forename: Craig
authors.initials: C
authors.lastname: Wilson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006779:Hospitals, Public; D006801:Humans; D008297:Male; D008875:Middle Aged; D009520:New Zealand; D012737:Sex Factors; D012959:Socioeconomic Factors