Complementary and alternative medicine: practice and perspective of allopathic doctors at a tertiary care hospital

Sundarmurthy, Dharani; Devarashetty, Vijayalakshmi; Reddy, Shashidhar

doi:10.18203/2319-2003.ijbcp20163225

Cited by 6 publications

(4 citation statements)

References 22 publications

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“…Older, married, female patients with higher levels of education and household income were more likely to be the T&CM users in some studies. [11][12]18,21 However, the present study found no significant relationship between T&CM use with gender, mean age, ethnic group, education level, marital status and household income.…”

Section: Discussioncontrasting

confidence: 79%

“…[9][10] It was suggested that age, gender, ethnicity and economic status influence the usage of T&CM along with the duration of diabetes and presence of co-morbidities. [11][12] Despite the rise in interest of T&CM usage among diabetic patients, earlier studies were focusing more on the outpatient instead of comparing both inpatient and outpatient T&CM users. Besides the knowledge about possible positive and negative effects of T&CM on diabetic controls and its interaction with the current treatments remains limited.…”

Section: Original Articlementioning

confidence: 99%

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Traditional and Complementary Medicine (T&CM) Use and its Association with Diabetic Control among Diabetic Patients in a Tertiary Centre, Kuantan Pahang

Za¹,

Ar²,

Nurtasneem³

et al. 2021

imjm

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INTRODUCTION: Diabetes mellitus is a major global health concern worldwide. The fact that it is a lifelong chronic illness contributes to the increasing tendency of seeking traditional and complementary medicine (T&CM), yet study regarding this remains limited. This study aimed to measure the prevalence of T&CM use among diabetic patients and its association with diabetic control. MATERIALS AND METHODS: A cross sectional study was conducted at Hospital Tengku Ampuan Afzan (HTAA), Kuantan between July and August 2018. Following written consent, 136 type 2 adult diabetic patients in medical ward and those attending diabetic clinic were interviewed regarding the use of T&CM; and their blood investigation results were collected from patients’ medical records. A data collection form was used as study instrument. Descriptive statistic was used to measure the prevalence while chi-square test and independent t-test were used to find associations between T&CM use and study background and diabetic control. RESULTS: Low prevalence of T&CM use (16.9%) was found, predominated by retiree group (p<0.05). Majority of patients used T&CM as additional treatment for diabetes (60.9%) and the usage was influenced by friends, family members and advertisement. There was a significant difference in Glycosylated haemoglobin A1c (HbA1c) and Estimated Glomerular Filtration Rate (eGFR) levels between inpatient and outpatient T&CM users (p><0.05). CONCLUSION: 1 in every 6 diabetic patients in HTAA, Kuantan were using T&CM along with conventional diabetic medications in which retirees are predominated. No associations were found between T&CM uses and diabetic control. Outpatient T&CM users had lower HbA1c level with higher eGFR compared to inpatient users. ><0.05). Majority of patients used T&CM as additional treatment for diabetes (60.9%) and the usage was influenced by friends, family members and advertisement. There was a significant difference in Glycosylated haemoglobin A1c (HbA1c) and Estimated Glomerular Filtration Rate (eGFR) levels between inpatient and outpatient T&CM users (p<0.05). CONCLUSION: 1 in every 6 diabetic patients in HTAA, Kuantan were using T&CM along with conventional diabetic medications in which retirees are predominated. No associations were found between T&CM uses and diabetic control. Outpatient T&CM users had lower HbA1c level with higher eGFR compared to inpatient users.

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Section: Discussioncontrasting

confidence: 79%

Section: Original Articlementioning

confidence: 99%

Traditional and Complementary Medicine (T&CM) Use and its Association with Diabetic Control among Diabetic Patients in a Tertiary Centre, Kuantan Pahang

Za¹,

Ar²,

Nurtasneem³

et al. 2021

imjm

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“…In general, AMPs frequently view the use of traditional as behaviour that makes no appreciable contribution, even if the practice persists despite a lack of healthcare facilities [5]. Since AMPs' perceptions of TM appear to be aligned with western approaches, it may be necessary to decolonize the mindset to change their attitudes [6] since those attitudes and beliefs may ultimately affect patient health care [7]. There has been a signi cant global trend over the past 25 years to encourage the integration of TM use and personal care methods into recognized allopathic practices [8].…”

Section: Introductionmentioning

confidence: 99%

Topic: Facilitating disclosure of traditional medicine use to Allopathic Medicine Practitioners: A case study in Gauteng

Gumede

Nkosi

Sibiya

2023

Preprint

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Background Traditional medicine (TM) plays a key role in maintaining health in many societies. While Allopathic Medicine Practitioners (AMPs) continue to adhere to allopathic medicine (AM) techniques, the use of TM endures for a variety of reasons. Given the requirement for TM disclosure, AMPs must encourage open communication with patients to persuade those who use TM and AM to disclose. We sought to understand and describe how South African AMPs facilitate disclosure of TM use during a consultation with patients who use both TM and AM and how it influences the patient’s willingness to disclose TM use.Methods This qualitative case study on AMPs at Gauteng district hospitals in South Africa was conducted between 2021 and 2022. Non-probability purposive sampling was employed to sample 14 AMPs. Individual participants were encouraged to share their unique experiences and interpretations of the phenomenon. Data were audio recorded, transcribed, loaded in ATLAS.ti and analysed. Using inductive content analysis, the material was reduced into themes that may meet the study questions.Results The data revealed four main themes: 'providing a suitable atmosphere for disclosure,' 'encouraging patients to disclose TM usage to AMPs,' 'patient autonomy,' and 'AMP training'. During a consultation with patients who use both TM and AM, participants expressed their experiences and perceptions of TM nondisclosure. They also discussed several methods for encouraging patients to disclose their TM usage, particularly when TM is used concurrently with AM.Conclusion This study goes beyond the previously widely reported and explored distinctions in barriers and facilitators and investigates the issues driving non-disclosure of TM during a consultation with patients who use TM and AM without disclosing. Many AMPs struggle to initiate TM conversations with their patients which result in non-disclosure. This necessitates facilitation that is appropriate for all patients, assuming the possibility of TM use.

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“…In general, and because of the nature of their training, AMPs tend to view the usage of TM as a form of patient behaviour that is based on beliefs, which does not yield significant healthcare benefits, even when the practice continues despite a lack of access to healthcare services [ 7 ]. Since AMPs’ sceptical views on TM seem to be aligned with the Western paradigm of healthcare science and practices, decolonising the mindset regarding the nature and efficacy of TM, and the associated belief systems, may be necessary to change their views [ 8 ], as these views and attitudes may ultimately impact patient healthcare, especially concerning the disclosure of TM use [ 9 ]. There has been a significant global trend over the past 25 years to encourage the integration of TM use and personal care methods into recognised AM practices [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Allopathic Medicine Practitioners’ perspectives on facilitating disclosure of traditional medicine use in Gauteng, South Africa: a qualitative study

Gumede,

Nkosi,

Sibiya

2023

BMC Complement Med Ther

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Background Traditional medicine (TM) plays a key role in maintaining health in many societies. Given the requirement for TM disclosure, Allopathic Medicine Practitioners (AMPs) must encourage open communication with patients to persuade those who use TM to disclose. Addressing patient non-disclosure of TM requires this dialogue to be facilitated. We sought to understand and describe how South African AMPs facilitate disclosure of TM use during a consultation with patients who use both TM and allopathic medicine (AM) and how it influences the patients’ willingness to disclose TM use. Methods This qualitative exploratory descriptive study on AMPs at Gauteng district public hospitals in South Africa was conducted between 2021 and 2022. Non-probability purposive sampling was employed to select a sample of 14 AMPs. Individual participants were encouraged to share their unique experiences and interpretations of the phenomenon concerning TM use disclosure. The raw transcribed textual data were processed using ATLAS.ti, and inductive content analysis was undertaken following the coding of the content to identify categories. Results The data revealed four major categories: ‘providing a suitable atmosphere for disclosure,’ ‘encouraging patients to disclose TM usage to AMPs,’ ‘patient autonomy,’ and ‘AMP training’. During a consultation with patients who use both TM and AM, participants expressed their experiences and perceptions of TM nondisclosure. They also discussed several methods for encouraging patients to disclose their TM usage, particularly when TM is used concurrently with AM. Conclusion This study expands on previously reported findings by describing how South African AMPs facilitate the disclosure of TM use during consultation. Many AMPs struggle to initiate TM conversations with their patients which results in non-disclosure. This study revealed that integrating TM into AM training programmes, promoting cross-practice, and creating a safe environment is necessary for the development and application of the most appropriate approaches that would assist in facilitating disclosure.

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Complementary and alternative medicine: practice and perspective of allopathic doctors at a tertiary care hospital

Cited by 6 publications

References 22 publications

Traditional and Complementary Medicine (T&CM) Use and its Association with Diabetic Control among Diabetic Patients in a Tertiary Centre, Kuantan Pahang

Traditional and Complementary Medicine (T&CM) Use and its Association with Diabetic Control among Diabetic Patients in a Tertiary Centre, Kuantan Pahang

Topic: Facilitating disclosure of traditional medicine use to Allopathic Medicine Practitioners: A case study in Gauteng

Allopathic Medicine Practitioners’ perspectives on facilitating disclosure of traditional medicine use in Gauteng, South Africa: a qualitative study

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