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Contending Worldviews in the Clinical Encounter: An Empirical Study of Complementary and Alternative Medicine Deliberations in Contemporary Medical Oncology.
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- Author(s): Kumbamu, Ashok; Geller, Gail; Leppin, Aaron; Fernandez, Cara; Tilburt, Jon; Koenig, Barbara
- Source:
Journal of Alternative & Complementary Medicine. Sep/Oct2018, Vol. 24 Issue 9/10, p996-1002. 7p. 4 Charts. - Source:
- Additional Information
- Subject Terms: ALTERNATIVE medicine; CANCER patients; CANCER patient medical care; COMMUNICATION; CONTENT analysis; CONVERSATION; DECISION making; DISCUSSION; HEALTH; PHYSICIAN-patient relations; PROFESSIONS; INFORMATION resources; QUALITATIVE research; EMPIRICAL research; INTEGRATIVE medicine; PATIENT-centered care; HEALTH literacy; PHYSICIANS' attitudes
- Subject Terms:
- Abstract: Objective: In this article, the authors characterize the different ways patients and clinicians discuss complementary and alternative medicine (CAM) during routine cancer care. Methods: Over a period of two years, the authors audio-recorded clinical interactions between 37 medical oncology clinicians and a sample of 327 oncology patients at an academic cancer center in the Midwest United States. Recordings of conversations that included any discussion of CAM were transcribed and analyzed using a qualitative content analysis approach. Results: Out of 327 conversations, CAM was mentioned and/or discussed in only 31 encounters. Communication dynamics between clinician and patient involve several factors: the condition of the patient and his or her knowledge about and experience with CAM, the clinician's knowledge and values about CAM, perceived assumptions and stereotypes about CAM, and institutional response to the integration of CAM in cancer care. Conclusion: Addressing the difficult and sensitive topic of CAM in cancer care requires hearing patients in a manner meaningful to them. In that sense, CAM can serve as an important marker and test case in the march toward shared decision-making and patient-centered communication generally. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Alternative & Complementary Medicine is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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