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Great expectations: what do patients using complementary and alternative medicine hope for?
1Complementary Medicine, Peninsula Medical School, University of Exeter, Exeter, UK. Edzard.Ernst@pms.ac.uk
This review summarizes patient expectations for complementary and alternative medicine (CAM). Findings reveal diverse hopes, from disease influence to better well-being, but highlight the need for more rigorous investigation into these user expectations.
Area of Science:
- Integrative Medicine
- Patient-Reported Outcomes
- Healthcare Expectations
Background:
- Complementary and Alternative Medicine (CAM) use is widespread.
- Understanding patient expectations is crucial for effective healthcare.
- Published evidence on CAM user expectations remains largely unsummarized.
Purpose of the Study:
- To systematically review and synthesize published data on the expectations of individuals utilizing CAM therapies.
- To identify and categorize the range of patient expectations associated with CAM use.
Main Methods:
- Conducted comprehensive electronic searches in MEDLINE.
- Performed a supplementary hand search of relevant literature.
- Included 73 articles that met predefined inclusion criteria for the review.
Main Results:
- Identified a broad spectrum of patient expectations for CAM.
- Prevalent expectations include influencing disease progression, health promotion, minimizing side effects, and seeking greater control over health.
- Other key expectations involve symptom relief, immune support, emotional and holistic care, and improved quality of life.
Conclusions:
- Current research inadequately investigates the multifaceted expectations of CAM users.
- Future research should focus on specific, well-defined aspects of CAM user expectations.
- A deeper understanding is needed to align CAM provision with patient desires and improve healthcare outcomes.
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