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Access to complementary medicine via general practice.

K J Thomas1, J P Nicholl, M Fall

  • 1Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|March 29, 2001
PubMed
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Nearly 40% of general practices in England offered complementary therapies to NHS patients in 1995. Acupuncture and homeopathy were most common, with former fundholding practices more likely to provide these services.

Area of Science:

  • Integrative Medicine
  • Primary Care Research
  • Health Services Research

Background:

  • Growing acceptance of complementary medicine within professional associations and conventional medicine.
  • Increasing interest in integrating complementary therapies into mainstream healthcare.

Purpose of the Study:

  • To determine the extent and nature of complementary therapy access within general practices in England.
  • To investigate the provision of specific therapies like acupuncture, chiropractic, homeopathy, hypnotherapy, medical herbalism, and osteopathy.

Main Methods:

  • A postal questionnaire survey was distributed to a random sample of 1226 general practitioner (GP) partnerships in England in 1995.
  • A response rate of 78.6% was achieved, with 760 GPs providing detailed information on complementary therapy provision.

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  • Data collected included 'in-house' provision, external National Health Service (NHS) referrals, funding sources, and practice characteristics.

    • Main Results:

    • An estimated 39.5% of GP partnerships provided access to at least one complementary therapy for NHS patients.
    • Acupuncture and homeopathy were the most frequently offered therapies.
    • Former fundholding practices were significantly more likely to offer complementary therapies compared to non-fundholding practices.

    Conclusions:

    • Complementary healthcare access was widespread in English general practices in 1995, indicating GP acceptance of a limited range of therapies.
    • The fundholding system facilitated the provision of complementary therapies in primary care.
    • Future provision may decrease without support from Primary Care Groups or Trusts, necessitating policy considerations for service continuation.