General Practitioners’ use of and attitudes to acupuncture in relation to the UK’s National Institute for Health and Care Excellence (NICE) clinical guidelines—A pilot study

Czarnawska-Iliev, Iga; Robinson, Nicola

doi:10.1016/j.eujim.2016.07.004

Cited by 11 publications

(7 citation statements)

References 27 publications

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“…The lack of knowledge about how to choose or access appropriately qualified practitioners identified in this study aligns with other research, with one study reporting that at least six out of the 16 GPs who received enquiries about acupuncture services were unable to offer treatments or referrals. 37 Discussion within this study aligns with studies reporting the lack of knowledge and unfamiliarity with CAM modalities. 38 Participants highlighted that evidence and efficacy do not always correlate, and the influence of patient choice and confirmation of accepted practices by peer groups also played a strong part in clinical decisionmaking.…”

Section: Principal Findingssupporting

confidence: 87%

Navigating the path: a qualitative exploration of New Zealand general practitioners’ views on integration of care with acupuncturists

et al. 2020

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Background Increasingly, many patients believe that a combined approach of complementary and alternative medicine (CAM), including acupuncture, and conventional medicine is better than either on its own, and more patients now have the desire to discuss CAM with well-informed general practitioners (GPs). However, to our knowledge, the interaction and collaboration between GPs and acupuncturists specifically in relation to shared care have not been investigated. This research explored interprofessional communication between GPs and acupuncturists in New Zealand. This article specifically reports the GPs’ viewpoints. Methods This study was part of a larger mixed-methods research project. Semi-structured interviews of 14 purposively sampled GP participants were conducted and analysed using thematic analysis. Results The data analysis identified both facilitators of and barriers to integrative health care . Facilitators included the willingness of GPs to engage in communication and a recognition of the importance of patient choice. Barriers included the limited opportunities for sharing information and the lack of current established pathways for communication or direct referrals. GPs also highlighted the confusion around scopes of practice in terms of the different styles of and approaches to acupuncture. Conclusion This research contributes to the body of knowledge concerning interprofessional communication and collaboration between GPs and acupuncturists and suggests that while there are significant barriers to collaboration, there is also the potential to impact provider satisfaction and patient well-being. It provides context within a New Zealand health care setting and also provides additional insights regarding acupuncture, specifically through the disaggregation of specific CAM modalities.

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Section: Principal Findingssupporting

confidence: 87%

Navigating the path: a qualitative exploration of New Zealand general practitioners’ views on integration of care with acupuncturists

et al. 2020

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“…Barriers to implementation of acupuncture guidelines include personal factors related to physicians’ knowledge and attitudes, guideline related factors, and external factors such as organisational constraints, lack of resources or time, workload, and facilitation. For instance, a recent UK study surveyed general practitioners’ use of guidelines recommending acupuncture 22. Use of acupuncture was limited because of personal factors such as lack of awareness of the recommendations; external factors such as availability of practitioners to implement the intervention; and organisational constraints (clinical commissioning group controlling access).…”

Section: What Barriers Exist In Acupuncture Guideline Implementation?mentioning

confidence: 99%

Increasing the usefulness of acupuncture guideline recommendations

Zhang

et al. 2022

BMJ

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National Natural Science Foundation of ChinaAcupuncture is the most widely used traditional and complementary medicine, used in 113 of 120 countries according to a 2019 World Health Organization report. 3 In addition to registered acupuncturists, medical doctors, nurse practitioners, and chiropractors occasionally deliver acupuncture treatment. 4 Despite its widespread use and considerable available evidence, until recently, clinical practice guidelines from conventional medical organisations rarely included recommendations on acupuncture. Clinical practice guidelines aim to optimise patient care, 1 and must meet standards of trustworthiness to avoid misleading clinicians, patients, and other stakeholders. 2 We begin by summarising the progress made then address deficiencies that limit the clinical usefulness of acupuncture guidelines, examine the barriers to inclusion of acupuncture in guidelines, and suggest how to overcome them.

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“…Based on the HTA results (including that acupuncture is cost effective for chronic pain), a NICE clinical practice guideline recommends acupuncture for chronic pain in a community setting 16. However, access to free acupuncture services depends on the policy of the local clinical commissioning group, and patients can get limited courses of treatment only if recommended by their general practitioner 29. Only a few NHS services (eg, Royal London Hospital for Integrative Medicine) provide free acupuncture.…”

Section: Limited Use Of Economic Evaluations In Reimbursement Decisionsmentioning

confidence: 99%

“…16 However, access to free acupuncture services depends on the policy of the local clinical commissioning group, and patients can get limited courses of treatment only if recommended by their general practitioner. 29 Only a few NHS services (eg, Royal London Hospital for Integrative Medicine) provide free acupuncture.…”

Section: Limited Use Of Economic Evaluations In Reimbursement Decisionsmentioning

confidence: 99%

Using economic evaluations to support acupuncture reimbursement decisions: current evidence and gaps

Jin

Herman

et al. 2022

BMJ

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General Practitioners’ use of and attitudes to acupuncture in relation to the UK’s National Institute for Health and Care Excellence (NICE) clinical guidelines—A pilot study

Cited by 11 publications

References 27 publications

Navigating the path: a qualitative exploration of New Zealand general practitioners’ views on integration of care with acupuncturists

Navigating the path: a qualitative exploration of New Zealand general practitioners’ views on integration of care with acupuncturists

Increasing the usefulness of acupuncture guideline recommendations

Using economic evaluations to support acupuncture reimbursement decisions: current evidence and gaps

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