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Classifying knowledge used in complementary medicine consultations: a qualitative systematic review.

Kate Davies1, Milena Heinsch2,3, Campbell Tickner2

  • 1School of Humanities, Creative Industries and Social Sciences, University of Newcastle, Callaghan, Australia. kate.davies@newcastle.edu.au.

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Summary

Complementary Medicine (CM) practitioners utilize diverse knowledge, primarily from patients, in clinical practice. This patient-centered approach, alongside discipline-specific and biomedical knowledge, aids in legitimacy and patient interaction.

Keywords:
Complementary medicineKnowledgePatient consultationPatient-centredSystematic review

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Area of Science:

  • Integrative Medicine
  • Healthcare Practice
  • Knowledge Translation

Background:

  • Complementary Medicine (CM) is globally prevalent, yet understanding of practitioner knowledge use in patient interactions is limited.
  • Existing research lacks a synthesized view of knowledge forms and their application in CM consultations.
  • A classification of CM practitioners' knowledge use is needed to understand patient-practitioner dynamics.

Purpose of the Study:

  • To synthesize evidence on the forms of knowledge used by CM practitioners.
  • To explore how this knowledge is applied in patient-practitioner interactions during consultations.
  • To develop a classification system for CM knowledge use.

Main Methods:

  • Systematic searches of health and sociology databases.
  • Inclusion of 16 studies reporting on recorded CM consultations.
  • Thematic analysis of extracted data on knowledge types and applications.

Main Results:

  • Practitioners mobilized diverse knowledge, significantly from patient narratives and bodies, reflecting patient-centeredness.
  • Use of discipline-specific and biomedical knowledge sources indicates efforts to establish CM legitimacy.
  • Patient-centered knowledge is a primary source in CM consultations.

Conclusions:

  • CM practitioners manage diverse, sometimes competing, knowledge forms.
  • A new classification system aids CM practitioners in critically reflecting on knowledge translation and patient interactions.
  • Understanding knowledge mobilization is key for effective CM practice.