title: Naturopaths in Ontario, Canada: geographic patterns in intermediately-sized metropolitan areas and integration implications.
abstract: Evaluating conventional medicine (CM) and complementary and alternative medicine (CAM) with respect to integration opportunities (such as patient referrals and professional knowledge sharing) and possible geographic implications is novel. This research utilizes nearest neighbour and local spatial autocorrelation statistical analyses and surveys directed towards Doctors of Naturopathic Medicine (NDs) and their patients to better understand the geographic patterns of NDs and potential integration qualities. While the statistical tests reveal that the offices of NDs and Doctors of Medicine (MDs) display clustered patterns in intermediately-sized census metropolitan areas in Ontario and that the majority of NDs are near MDs, proximity is not manifesting in discernible integration tendencies between NDs and MDs. The NDs polled were strongly in favour of greater integration with the CM sector (as were their patients) to: achieve better patient health outcomes and to gain efficiencies within the health care system. Yet, both surveys also indicate that the barriers to integration are substantial and, generally speaking, centre on the perception that many MDs lack respect for, and/or knowledge about, naturopathic approaches. It is speculated that as students in conventional medical schools are increasingly exposed to CAM approaches, perhaps more MDs in the future will be receptive to greater integration with CAM. Should this occur, then it is also possible that geographic proximity may be a catalyst for deeper CAM-CM integration; as it has been for CAM-CAM relationships.
authors.forename: Stephen P
authors.initials: SP
authors.lastname: Meyer
mesh_terms: D001291:Attitude of Health Personnel; D002947:Cities; D003695:Delivery of Health Care / Q000379:methods*; D006801:Humans; D055048:Integrative Medicine; D007400:Interprofessional Relations; D009324:Naturopathy; D009864:Ontario; D010820:Physicians; D011365:Professional Practice Location; D062206:Spatial Analysis; D011795:Surveys and Questionnaires