Skip to main content
Top
Published in: BMC Complementary Medicine and Therapies 1/2007

Open Access 01-12-2007 | Research article

Patients' motives for choosing a physician: comparison between conventional and complementary medicine in Swiss primary care

Authors: Victoria Wapf, André Busato

Published in: BMC Complementary Medicine and Therapies | Issue 1/2007

Login to get access

Abstract

Background

The study is part of a nationwide evaluation of complementary and alternative medicine (CAM) in primary care in Switzerland. The Objective was to identify patients' expectations and reasons governing the choice of complementary medicine compared with conventional primary care (CONV).

Methods

The data were derived from the PEK study (Programm Evaluation Komplementärmedizin), which was conducted in 2002–2003 with 7879 adult patients and parents of 1291 underage patients, seeking either complementary (CAM) or conventional (CONV) primary care. The study was performed as a cross-sectional survey. The respondents were asked to document their (or their children's) self-perceived health status, reasons governing their choice, and treatment expectations. Physicians were practicing conventional medicine and/or complementary methods (homeopathy, anthroposophic medicine, neural therapy, and traditional Chinese medicine). Reasons governing the choice of physician were evaluated on the basis of a three-part classification (physician-related, procedure-related, and pragmatic/other reasons)

Results and Discussion

Patients seeing CAM physicians tend to be younger and more often female. CAM patients referred to procedure-related reasons more frequently, whereas pragmatic reasons dominated among CONV patients. CAM respondents expected fewer adverse side effects compared to conventional care patients.

Conclusion

The majority of alternative medicine users appear to have chosen CAM mainly because they wish to undergo a certain procedure; additional reasons include desire for more comprehensive treatment, and expectation of fewer side-effects.
Appendix
Available only for authorised users
Literature
1.
go back to reference Bensoussan A: Complementary medicine – where lies its appeal?. MJA. 1999, 170: 247-248.PubMed Bensoussan A: Complementary medicine – where lies its appeal?. MJA. 1999, 170: 247-248.PubMed
3.
go back to reference MacLennan AH, Wilson DH, Taylor AW: Prevalence and cost of alternative medicine in Australia. Lancet. 1996, 347: 569-573. 10.1016/S0140-6736(96)91271-4.CrossRefPubMed MacLennan AH, Wilson DH, Taylor AW: Prevalence and cost of alternative medicine in Australia. Lancet. 1996, 347: 569-573. 10.1016/S0140-6736(96)91271-4.CrossRefPubMed
4.
go back to reference MacLennan AH, Wilson DH, Taylor AW: The escalating cost and prevalence of alternative medicine. Prev Med. 2002, 35: 166-173. 10.1006/pmed.2002.1057.CrossRefPubMed MacLennan AH, Wilson DH, Taylor AW: The escalating cost and prevalence of alternative medicine. Prev Med. 2002, 35: 166-173. 10.1006/pmed.2002.1057.CrossRefPubMed
5.
go back to reference Schar A, Messerli-Rohrbach V: [Motivation for the choice of complementary and mainstream medicine. Patients' behavior in a pluralistic medical system]. Forsch Komplementarmed. 1999, 6 (Suppl 1): 10-13.PubMed Schar A, Messerli-Rohrbach V: [Motivation for the choice of complementary and mainstream medicine. Patients' behavior in a pluralistic medical system]. Forsch Komplementarmed. 1999, 6 (Suppl 1): 10-13.PubMed
6.
go back to reference Schar A, Messerli-Rohrbach V, Schubarth P: Conventional or complementary medicine: what criteria for choosing do patients use?. 1: Schweiz Med Wochenschr. 1994, 62 (Suppl): 18-27. Schar A, Messerli-Rohrbach V, Schubarth P: Conventional or complementary medicine: what criteria for choosing do patients use?. 1: Schweiz Med Wochenschr. 1994, 62 (Suppl): 18-27.
7.
go back to reference Astin JA: Why patients use alternative medicine: results of a national study. JAMA. 1998, 279: 1548-1553. 10.1001/jama.279.19.1548.CrossRefPubMed Astin JA: Why patients use alternative medicine: results of a national study. JAMA. 1998, 279: 1548-1553. 10.1001/jama.279.19.1548.CrossRefPubMed
8.
go back to reference Wolsko P, Ware L, Kutner J, Lin CT, Albertson G, Cyran L, Schilling L, Anderson RJ: Alternative/complementary medicine: wider usage than generally appreciated. J Altern Complement Med. 2000, 6: 321-326. 10.1089/10755530050120682.CrossRefPubMed Wolsko P, Ware L, Kutner J, Lin CT, Albertson G, Cyran L, Schilling L, Anderson RJ: Alternative/complementary medicine: wider usage than generally appreciated. J Altern Complement Med. 2000, 6: 321-326. 10.1089/10755530050120682.CrossRefPubMed
9.
go back to reference Harris KM: How do patients choose physicians? Evidence from a national survey of enrollees in employment-related health plans. Health Serv Res. 2003, 38: 711-732. 10.1111/1475-6773.00141.CrossRefPubMedPubMedCentral Harris KM: How do patients choose physicians? Evidence from a national survey of enrollees in employment-related health plans. Health Serv Res. 2003, 38: 711-732. 10.1111/1475-6773.00141.CrossRefPubMedPubMedCentral
10.
go back to reference Cincotta DR, Crawford NW, Lim A, Cranswick NE, Skull S, South M, Powell CV: Comparison of complementary and alternative medicine use: reasons and motivations between two tertiary children's hospitals. Arch Dis Child. 2006, 91: 153-158. 10.1136/adc.2005.074872.CrossRefPubMed Cincotta DR, Crawford NW, Lim A, Cranswick NE, Skull S, South M, Powell CV: Comparison of complementary and alternative medicine use: reasons and motivations between two tertiary children's hospitals. Arch Dis Child. 2006, 91: 153-158. 10.1136/adc.2005.074872.CrossRefPubMed
11.
go back to reference Hall JD, Bissonette EA, Boyd JC, Theodorescu D: Motivations and influences on the use of complementary medicine in patients with localized prostate cancer treated with curative intent: results of a pilot study. BJU Int. 2003, 91: 603-607. 10.1046/j.1464-410X.2003.04181.x.CrossRefPubMed Hall JD, Bissonette EA, Boyd JC, Theodorescu D: Motivations and influences on the use of complementary medicine in patients with localized prostate cancer treated with curative intent: results of a pilot study. BJU Int. 2003, 91: 603-607. 10.1046/j.1464-410X.2003.04181.x.CrossRefPubMed
12.
go back to reference Busato A, Donges A, Herren S, Widmer M, Marian F: Health status and health care utilisation of patients in complementary and conventional primary care in Switzerland – an observational study. Fam Pract. 2005 Busato A, Donges A, Herren S, Widmer M, Marian F: Health status and health care utilisation of patients in complementary and conventional primary care in Switzerland – an observational study. Fam Pract. 2005
13.
go back to reference Melchart D, Mitscherlich F, Amiet M, Eichenberger R, Koch P: Programm Evaluation Komplementärmedizin (PEK) Schlussbericht. 2005, Swiss Federal Office of Public Health Melchart D, Mitscherlich F, Amiet M, Eichenberger R, Koch P: Programm Evaluation Komplementärmedizin (PEK) Schlussbericht. 2005, Swiss Federal Office of Public Health
14.
go back to reference Busato A, Eichenberger R, Kuenzi B: Extent and structure of health insurance expenditures for complementary and alternative medicine in Swiss primary care. BMC Health Serv Res. 2006, 6: 132-10.1186/1472-6963-6-132.CrossRefPubMedPubMedCentral Busato A, Eichenberger R, Kuenzi B: Extent and structure of health insurance expenditures for complementary and alternative medicine in Swiss primary care. BMC Health Serv Res. 2006, 6: 132-10.1186/1472-6963-6-132.CrossRefPubMedPubMedCentral
15.
go back to reference Walach H, Linde K, Eichenberger R, Stalder H, Kristensen FB, Kleijnen J: Summary consensus statement of the PEK review board regarding the PEK process and the PEK products. J Altern Complement Med. 2006, 12: 347-348. 10.1089/acm.2006.12.347.CrossRefPubMed Walach H, Linde K, Eichenberger R, Stalder H, Kristensen FB, Kleijnen J: Summary consensus statement of the PEK review board regarding the PEK process and the PEK products. J Altern Complement Med. 2006, 12: 347-348. 10.1089/acm.2006.12.347.CrossRefPubMed
16.
go back to reference Widmer M, Herren S, Donges A, Marian F, Busato A: Complementary and conventional medicine in Switzerland: comparing characteristics of general practitioners. Forsch Komplementarmed. 2006, 13: 234-240. 10.1159/000094448.CrossRef Widmer M, Herren S, Donges A, Marian F, Busato A: Complementary and conventional medicine in Switzerland: comparing characteristics of general practitioners. Forsch Komplementarmed. 2006, 13: 234-240. 10.1159/000094448.CrossRef
17.
go back to reference Furnham A, Forey J: The attitudes, behaviors and beliefs of patients of conventional vs. complementary (alternative) medicine. J Clin Psychol. 1994, 458-469. 10.1002/1097-4679(199405)50:3<458::AID-JCLP2270500318>3.0.CO;2-V. Furnham A, Forey J: The attitudes, behaviors and beliefs of patients of conventional vs. complementary (alternative) medicine. J Clin Psychol. 1994, 458-469. 10.1002/1097-4679(199405)50:3<458::AID-JCLP2270500318>3.0.CO;2-V.
18.
go back to reference Tindle HA, Davis RB, Phillips RS, Eisenberg DM: Trends in use of complementary and alternative medicine by US adults: 1997–2002. Altern Ther Health Med. 2005, 11: 42-49.PubMed Tindle HA, Davis RB, Phillips RS, Eisenberg DM: Trends in use of complementary and alternative medicine by US adults: 1997–2002. Altern Ther Health Med. 2005, 11: 42-49.PubMed
19.
go back to reference Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, Kessler RC, Thomas KJ, Nicholl JP, Coleman P: Trends in alternative medicine use in the United States, 1990–1997: results of a follow-up national survey. Use and expenditure on complementary medicine in England: a population based survey. Surveys of complementary and alternative medicine: part I. General trends and demographic groups. JAMA. 1998, 280: 1569-1575. 10.1001/jama.280.18.1569.CrossRefPubMed Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, Kessler RC, Thomas KJ, Nicholl JP, Coleman P: Trends in alternative medicine use in the United States, 1990–1997: results of a follow-up national survey. Use and expenditure on complementary medicine in England: a population based survey. Surveys of complementary and alternative medicine: part I. General trends and demographic groups. JAMA. 1998, 280: 1569-1575. 10.1001/jama.280.18.1569.CrossRefPubMed
20.
go back to reference Ramos-Remus C, Watters CA, Dyke L, Suarez-Almazor ME, Russell AS: Assessment of health locus of control in the use of nonconventional remedies by patients with rheumatic diseases. J Rheumatol. 1999, 26: 2468-2474.PubMed Ramos-Remus C, Watters CA, Dyke L, Suarez-Almazor ME, Russell AS: Assessment of health locus of control in the use of nonconventional remedies by patients with rheumatic diseases. J Rheumatol. 1999, 26: 2468-2474.PubMed
21.
go back to reference Vincent C, Furnham A: Why do patients turn to complementary medicine? An empirical study. Br J Clin Psychol. 1996, 37-48. Vincent C, Furnham A: Why do patients turn to complementary medicine? An empirical study. Br J Clin Psychol. 1996, 37-48.
22.
go back to reference Sirois FM, Gick ML: An investigation of the health beliefs and motivations of complementary medicine clients. Soc Sci Med. 2002, 55: 1025-1037. 10.1016/S0277-9536(01)00229-5.CrossRefPubMed Sirois FM, Gick ML: An investigation of the health beliefs and motivations of complementary medicine clients. Soc Sci Med. 2002, 55: 1025-1037. 10.1016/S0277-9536(01)00229-5.CrossRefPubMed
23.
go back to reference Caspi O, Koithan M, Criddle MW: Alternative medicine or "alternative" patients: a qualitative study of patient-oriented decision-making processes with respect to complementary and alternative medicine. Med Decis Making. 2004, 24: 64-79. 10.1177/0272989X03261567.CrossRefPubMed Caspi O, Koithan M, Criddle MW: Alternative medicine or "alternative" patients: a qualitative study of patient-oriented decision-making processes with respect to complementary and alternative medicine. Med Decis Making. 2004, 24: 64-79. 10.1177/0272989X03261567.CrossRefPubMed
24.
go back to reference Bussing A, Matthiessen PF, Ostermann T: Engagement of patients in religious and spiritual practices: confirmatory results with the SpREUK-P 1.1 questionnaire as a tool of quality of life research. Health Qual Life Outcomes. 2005, 3: 53-10.1186/1477-7525-3-53.CrossRefPubMedPubMedCentral Bussing A, Matthiessen PF, Ostermann T: Engagement of patients in religious and spiritual practices: confirmatory results with the SpREUK-P 1.1 questionnaire as a tool of quality of life research. Health Qual Life Outcomes. 2005, 3: 53-10.1186/1477-7525-3-53.CrossRefPubMedPubMedCentral
26.
go back to reference Eastwood H: Complementary therapies: the appeal to general practitioners. Medical Journal of Australia. 2000, 95-98. Eastwood H: Complementary therapies: the appeal to general practitioners. Medical Journal of Australia. 2000, 95-98.
27.
go back to reference Eisenberg DM, Kessler RC, Foster C, Norlock FE, Calkins DR, Delbanco TL: Unconventional medicine in the United States. Prevalence, costs, and patterns of use. N Engl J Med. 1993, 328: 246-252. 10.1056/NEJM199301283280406.CrossRefPubMed Eisenberg DM, Kessler RC, Foster C, Norlock FE, Calkins DR, Delbanco TL: Unconventional medicine in the United States. Prevalence, costs, and patterns of use. N Engl J Med. 1993, 328: 246-252. 10.1056/NEJM199301283280406.CrossRefPubMed
28.
go back to reference Blaise R, Maiga A, Aboubacar A: How different are users and non-users of alternative medicine?. Can J Pub Health. 1997, 88: 159-162. Blaise R, Maiga A, Aboubacar A: How different are users and non-users of alternative medicine?. Can J Pub Health. 1997, 88: 159-162.
30.
go back to reference Luft HS: HMOs, market competition, and premium cost. Journal of Health Economics. 1995, 115-119. 10.1016/0167-6296(94)00038-6. Luft HS: HMOs, market competition, and premium cost. Journal of Health Economics. 1995, 115-119. 10.1016/0167-6296(94)00038-6.
31.
go back to reference Feuz P: Viel günstiger und trotzdem noch gut. Der Bund. 2006 Feuz P: Viel günstiger und trotzdem noch gut. Der Bund. 2006
32.
go back to reference Witt C, Keil T, Selim D, Roll S, Vance W, Wegscheider K, Willich SN: Outcome and costs of homoeopathic and conventional treatment strategies: a comparative cohort study in patients with chronic disorders. Complement Ther Med. 2005, 13: 79-86. 10.1016/j.ctim.2005.03.005.CrossRefPubMed Witt C, Keil T, Selim D, Roll S, Vance W, Wegscheider K, Willich SN: Outcome and costs of homoeopathic and conventional treatment strategies: a comparative cohort study in patients with chronic disorders. Complement Ther Med. 2005, 13: 79-86. 10.1016/j.ctim.2005.03.005.CrossRefPubMed
33.
go back to reference Künzi B: Swisspep Qualidoc® gibt Rechenschaft über hausärztliche Wirksamkeit. Zürich. 2004, 8 Künzi B: Swisspep Qualidoc® gibt Rechenschaft über hausärztliche Wirksamkeit. Zürich. 2004, 8
34.
go back to reference Künzi B: Swisspep Qualidoc®: A balanced score card to capture and extend the added values of general practice/family medicine. 2004, Houten, NL: Bohn Stafleu van Lohum Künzi B: Swisspep Qualidoc®: A balanced score card to capture and extend the added values of general practice/family medicine. 2004, Houten, NL: Bohn Stafleu van Lohum
Metadata
Title
Patients' motives for choosing a physician: comparison between conventional and complementary medicine in Swiss primary care
Authors
Victoria Wapf
André Busato
Publication date
01-12-2007
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2007
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/1472-6882-7-41

Other articles of this Issue 1/2007

BMC Complementary Medicine and Therapies 1/2007 Go to the issue