Skip to main content

Advising Patients and Communicating About Complementary and Alternative Medicine

  • Chapter

Part of the book series: Biomedical Ethics Reviews ((BER))

Abstract

Complementary and alternative medicine (CAM) is a broad domain of resources that encompasses health systems, modalities, and practices and their accompanying theories and beliefs, other than those intrinsic to the dominant health system of a particular society or culture in a given historical period (2). Other terms sometimes used to describe these health care practices include natural medicine, nonconventional medicine, and holistic medicine (3). The widespread use of CAM therapies has been steadily increasing over the past few decades, yet there are few clear guidelines on how physicians should be advising patients about their use.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. IOM. Complementary and Alternative Medicine in the United States. Available at:. Accessed April 15, 2005.

    Google Scholar 

  2. Anonymous. New alternative medicine guide launched amidst increasing reports of adverse reactions. Bulletin of the World Health Organization 2004;82(8):635–636.

    Google Scholar 

  3. Kessler RC, Davis RB, Foster DF, et al. Long-term trends in the use of complementary and alternative medical therapies in the United States. Ann Intern Med 2001;135(4):262–268.

    PubMed  CAS  Google Scholar 

  4. 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 EnglJ Med 1993;328(4): 246–252.

    Article  CAS  Google Scholar 

  5. Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002. Adv Data May 27 2004(343):1–19.

    Google Scholar 

  6. Herman CJ, Allen P, Hunt WC, Prasad A, Brady TJ. Use of complementary therapies among primary care clinic patients with arthritis. Prev Chronic Dis [serial online]. Available at:. Accessed October 2004.

    Google Scholar 

  7. Ernst E. Complementary Medicine: An Objective Appraisal. Oxford, UK: Butterworth-Heinemann; 1996.

    Google Scholar 

  8. Astin JA. Why patients use alternative medicine: results of a national study. JAMA 1998;279(19): 1548–1553.

    Article  PubMed  CAS  Google Scholar 

  9. Miller LG. Herbal medicinals: selected clinical considerations focusing on known or potential drug-herb interactions. Arch Intern Med 1998;158(20):2200–2211.

    Article  PubMed  CAS  Google Scholar 

  10. Eisenberg DM, Davis RB, Ettner SL, et al. Trends in alternative medicine use in the United States, 1990–1997: results of a follow-up national survey. JAMA 1998;280(18):1569–1575.

    Article  PubMed  CAS  Google Scholar 

  11. Eisenberg DM. Advising patients who seek alternative medical therapies. Ann Intern Med 1997;127(1):61–69.

    PubMed  CAS  Google Scholar 

  12. Borkan J, Neher JO, Anson O, Smoker B. Referrals for alternative therapies. J Fam Pract 1994;39(6):545–550.

    PubMed  CAS  Google Scholar 

  13. NCCAM. Expanding Horizons of Health Care. Available at:. Accessed April 15, 2005.

    Google Scholar 

  14. Miller FG, Emanuel EJea. Ethical issues concerning research in complementary and alternative medicine. JAMA 2004;291(5): 599–604.

    Article  PubMed  CAS  Google Scholar 

  15. The Quotations Page. Available at. Accessed June 9, 2006.

    Google Scholar 

  16. Wetzel MS, Eisenberg DM, Kaptchuk TJ. Courses involving complementary and alternative medicine at US medical schools. JAMA 1998;280(9):784–787.

    Article  PubMed  CAS  Google Scholar 

  17. Perlman AI, Eisenberg DM, Panush RS. Talking with patients about alternative and complementary medicine. Rheum Dis Clin North Am 1999;25(4):815–822.

    Article  PubMed  CAS  Google Scholar 

  18. Leading Thoughts. Available at. Access June 9, 2006.

    Google Scholar 

  19. Maynard DW, Heritage J. Conversation analysis, doctor-patient interaction and medical communication. Med Educ 2005;39(4):428–435.

    Article  PubMed  Google Scholar 

  20. Sierpina V. Intergrative Health Care: Complementary and Alternative Therapies for the Whole Person. Philadelphia, PA: FA Davis Co., 2001.

    Google Scholar 

  21. Stone J, Matthews J. Complementary Medicine and the Law. Oxford: Oxford University Press, 1996.

    Google Scholar 

  22. Chan PS, Wong MM. Physicians and complementary-alternative medicine: training, attitudes, and practices in Hawaii. Hawaii MedJ 2004;63(6):176–181.

    Google Scholar 

  23. Ziment I, Tashkin DP. Alternative medicine for allergy and asthma. J Allergy Clin Immunol 2000;106(4):603–614.

    Article  PubMed  CAS  Google Scholar 

  24. Jonas W. Evaluating integrative medicine (a physician’s guide to advising patients). Hippocrates. November 2000:19–21.

    Google Scholar 

  25. Burstein HJ. Discussing complementary therapies with cancer patients: what should we be talking about? J Clin Oncol 2000; 18(13):2501–2504.

    PubMed  CAS  Google Scholar 

  26. Frenkel M, Arye EB. The growing need to teach about complementary and alternative medicine: questions and challenges. Acad Med 2001;76(3):251–254.

    Article  PubMed  CAS  Google Scholar 

  27. Adler SR. Disclosing complementary and alternative medicine use in the medical encounter: a qualitive study in women with breast cancer. J Fam Pract 1999;13(2):214–222.

    CAS  Google Scholar 

  28. Mackenzie G, Parkinson M, Lakhani A, Pannekoek H. Issues that influence patient/physician discussion of complementary therapies. Patient Educ Couns 1999;38(2):155–159.

    Article  PubMed  CAS  Google Scholar 

  29. Crellin J, Fernando A. Professionalism and Ethics in Complementary and Alternative Medicine. Binghamton, NY: The Haworth Integrative Healing Press; 2002.

    Google Scholar 

  30. CorbinWinslow L, Shapiro H. Physicians want education about complementary and alternative medicine to enhance communication with their patients. Arch Intern Med 2002;162(10):1176–1181.

    Article  PubMed  Google Scholar 

  31. Weiger WA, Smith M, Boon H, Richardson MA, Kaptchuk TJ, Eisenberg DM. Advising patients who seek complementary and alternative medical therapies for cancer. Ann Intern Med Online 2002;137(11):889–903.

    Google Scholar 

  32. Kaegi E. A patient’s guide to choosing unconventional therapies. CMAJ 1998;158(9):1161–1165.

    PubMed  CAS  Google Scholar 

  33. Bennett J, Brown CM. Use of herbal remedies by patients in a health maintenance organization. J Am Pharm Assoc 2000; 40(3):353–358.

    CAS  Google Scholar 

  34. Fearon J. Complementary therapies: knowledge and attitudes of health professionals. Paediatr Nurs 2003;15(6):31–35.

    PubMed  Google Scholar 

  35. Giordano J, Boatwright D, Stapleton S, Huff L. Blending the boundaries: steps toward an integration of complementary and alternative medicine into mainstream practice. J Altern Complement Med 2002;8(6):897–906.

    Article  PubMed  Google Scholar 

  36. Brooks PM. Undergraduate teaching of complementary medicine. Med J Aust 2004;181(5):275.

    PubMed  Google Scholar 

  37. Barker S. “ished I was the patient.” evaluation of a complementary medicine module for third year medical students. Med Educ 2000;34:159.

    Article  PubMed  CAS  Google Scholar 

  38. Sikand A, Laken M. Pediatricians’perience with and attitudes toward complementary/alternative medicine. Arch Pediatr Adolesc Med 1998; 152(11): 1059–1064.

    PubMed  CAS  Google Scholar 

  39. Hall J, Bulik R, Sierpina V. Community preceptors’titudes toward and practices of complementary and alternative medicine: a Texas survey. Tex Med 2003;99(5):50–53.

    PubMed  Google Scholar 

  40. Hadley SK, Petry JJ. Medicinal herbs: a primer for primary care. Hosp Pract (Off Ed). 1999;34(6):105–106, 109–112, 115–106 passim.

    Article  CAS  Google Scholar 

  41. Davis RH, Jr., Donnelly RE, Girard SS, Muma RD, Taft JM, Toth SA. The growing presence of complementary and alternative medicine. JAAPA 2000;13(5):89–90, 93–86, 101 passim.

    PubMed  Google Scholar 

  42. AllRefer.com. Alternative Medicine. Available at: / URL. Accessed April 29, 2005.

    Google Scholar 

  43. Alliance IM. Deepening the Quality of the Human Experience in Healthcare. Available at:. Accessed April 29, 2005.

    Google Scholar 

  44. Ernst E, Cohen MH, Stone J. Ethical problems arising in evidence based complementary and alternative medicine. J Med Ethics 2004;30(2):156–159.

    Article  PubMed  CAS  Google Scholar 

  45. Kreitzer MJ, Mitten D, Harris I, Shandeling J. Attitudes toward CAM among medical, nursing, and pharmacy faculty and students: a comparative analysis.[comment]. Altern Ther Health Med 2002;8(6):44–47, 50–43.

    PubMed  Google Scholar 

  46. Curtis P, McDermott J, Gaylord S, et al. Preparing complementary and alternative practitioners to teach learners in conventional health professions.[comment]. Altern Ther Health Med 2002;8(6):54–59.

    PubMed  Google Scholar 

  47. Ostendorf C. Ostendorf to Participate in Integration of Education for Complementary Alternative Medicine and Conventional Medicine. Available at:.

    Google Scholar 

  48. Berman B. Complementary and alternative medicine: is it just a case of more tools for the medical bag? Clin J Pain 2004;20(1):1–2.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Humana Press Inc., Totowa, NJ

About this chapter

Cite this chapter

Prasad, A., Velásquez, M.B. (2007). Advising Patients and Communicating About Complementary and Alternative Medicine. In: Snyder, L. (eds) Complementary and Alternative Medicine. Biomedical Ethics Reviews. Humana Press. https://doi.org/10.1007/978-1-59745-381-3_4

Download citation

  • DOI: https://doi.org/10.1007/978-1-59745-381-3_4

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-584-2

  • Online ISBN: 978-1-59745-381-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics