Exploring barriers to complementary and alternative medicine adoption in India: an ISM-MICMAC analysis
Nataraj Balasubramanian1, Umayal Palaniappan2, M Balaji1
1Thiagarajar School of Management , Madurai, India.
Purpose:
This research investigates the barriers for Complementary and Alternative Medicine (CAM) adoption among the patients in India. Despite the established role of CAM in the Indian healthcare system for several years, the WHO (WHO) reports limited adoption of these therapies among Indian patients. This study investigates the key barriers toward wider CAM use within the Indian context.
Design/Methodology/Approach:
This study used a combined interpretive structural modeling (ISM)-MICMAC approach to identify barriers to CAM usage. In the first phase, a comprehensive literature review was conducted to understand the barriers. Subsequently, experts in the Indian healthcare system were identified and interviewed to capture the contextual intricacies of these barriers within the Indian context.
Findings:
The study identified ten key barriers to CAM adoption through ISM. A hierarchical model was developed to understand the relationships and interactions among these barriers, revealing their linkages. A MICMAC chart was created to determine the driving and dependent power of the barriers, categorizing them as dependent barriers, linkage barriers or independent barriers. The House of CAM framework was then derived from the ISM-MICMAC analysis, providing a structured, sequential approach for CAM adoption.
Practical Implications:
The awareness of the potential benefits and usage of CAM is significantly low among Indian patients. There is a pressing need to investigate and systematically conceptualize the barriers to CAM adoption. This research provides valuable insights for policymakers, insurers, practitioners of alternative and complementary medicine, multi-specialty hospitals offering CAM services and regulatory bodies. Understanding these barriers will enable these stakeholders to develop and implement strategies that effectively address these issues.
Originality/Value:
This research makes substantial contributions to the understanding of barriers to the adoption of CAM. Through a comprehensive investigation, the study introduces the House of CAM framework developed using ISM-MICMAC analysis, providing a strategic approach for targeted intervention against identified barriers.
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