title: Interface, interaction and integration: how people with chronic disease in Australia manage CAM and conventional medical services.
abstract: OBJECTIVE
  To understand the extent to which conventional and complementary health care are integrated for CAM users with chronic conditions.
  
  
  METHODS
  In-depth interviews and a self-administered questionnaire were used to collect data on care-seeking, self-management and CAM use among people with type 2 diabetes and/or cardiovascular disease living in Victoria, Australia.
  
  
  RESULTS
  Many participants reported regular, frequent and long-term use of CAM therapies to maintain their health or assist in the management of their chronic condition. They generally managed the interface between convention and complementary health care on their own, as the perceived or expressed negative attitudes of some doctors, or the belief that the doctor did not need to know, were barriers to the disclosure of CAM use. For a smaller group, there was interaction between conventional and CAM providers, which limited the extent of uncertainty and conflicting information being (mis)interpreted by consumers.
  
  
  CONCLUSIONS
  Greater interaction between CAM and medical providers would be beneficial to consumers. Structural barriers, related to financing and service organization, need to be addressed. Attitudinal shifts of some health-care practitioners also need to be addressed, in the context of workforce development.
authors: CAMELOT Project, School of Public Health and Human Biosciences, La Trobe University, Bundoora, Vic., Australia.
authors: Vivian
authors: V
authors: Lin
authors: CAMELOT Project, School of Social Sciences, Monash University, Clayton, Vic., Australia.
authors: Rachel
authors: R
authors: Canaway
authors: CAMELOT Project, School of Public Health and Human Biosciences, La Trobe University, Bundoora, Vic., Australia.
authors: Bronwyn
authors: B
authors: Carter
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002318:Cardiovascular Diseases / Q000628:therapy; D002908:Chronic Disease / Q000628:therapy*; D000529:Complementary Therapies / Q000706:statistics & numerical data; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D010817:Physician-Patient Relations; D012648:Self Care / Q000706:statistics & numerical data; D012650:Self Disclosure; D011795:Surveys and Questionnaires; D014739:Victoria; D055815:Young Adult
keywords: Australia; chronic disease; complementary therapies; health-care coordination; integration