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Related Experiment Videos

Referrals for alternative therapies

J Borkan1, J O Neher, O Anson

  • 1Department of Family Medicine, Faculty of the Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

The Journal of Family Practice
|December 1, 1994
PubMed
Summary
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Over 60% of physicians refer patients to alternative therapies, often due to patient requests or treatment failures. Primary care physicians are more likely to make these referrals, suggesting a need for physician education and guidelines.

Area of Science:

  • Medical Practice
  • Healthcare Research
  • Physician Behavior

Background:

  • Investigating physician involvement in alternative therapy referrals.
  • Understanding the decision-making process for complementary medicine referrals.

Purpose of the Study:

  • To examine how allopathic physicians decide to refer patients for alternative therapies.
  • To identify factors influencing physician referrals to complementary and alternative medicine (CAM).

Main Methods:

  • Cross-sectional survey using a structured questionnaire distributed to physicians in Washington State, New Mexico, and southern Israel.
  • Assessed monthly and yearly rates of referral to alternative therapies.

Main Results:

  • Over 60% of physicians referred patients to alternative providers within the past year.

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  • Referrals were influenced by patient requests, cultural beliefs, conventional treatment failure, and perceived nonorganic disease.
  • Physician knowledge, beliefs, or familiarity with alternative therapies did not correlate with referral rates.

    • Conclusions:

    • Primary care physicians show higher rates of referral and personal use of alternative therapies compared to specialists.
    • Physicians integrating complementary therapies into practice or using them personally exhibit increased referral rates.
    • Consistent referral patterns across diverse cultural and health system settings highlight the need for evidence-based guidelines and physician education on CAM referrals.