Interface, interaction and integration: how people with chronic disease in <scp>A</scp>ustralia manage <scp>CAM</scp> and conventional medical services

Lin, Vivian; Canaway, Rachel; Carter, Bronwyn J

doi:10.1111/hex.12239

Cited by 32 publications

(34 citation statements)

References 47 publications

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“…While many CM used in chronic disease management have no evidence of effectiveness, users report they are helpful in managing the symptoms of chronic illnesses and the side-effects of conventional medications (Lin et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…The increasing use of CM by older Australians, particularly among those with chronic illnesses (Kirby, Broom, Sibbritt, Refshauge, & Adams, 2015;Lin et al, 2014), has also occurred within the move to a choice-based health care market that is commercially driven, politically supported, and partially subsided (Stoelwinder, 2002). In Australia, the cost of using CM is borne by individuals.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

“I Wouldn’t Mind Trying It. I’m in Pain the Whole Time”: Barriers to the Use of Complementary Medicines by Older Australians in Residential Aged-Care Facilities

Rayner

Bauer

2016

J Appl Gerontol

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Older people living in the community use complementary medicine (CM) to manage the symptoms of chronic illness; however, little is known about CM use by older people living in care settings. Using focus groups and individual interviews, this study explored the use of CM from the perspective of 71 residents, families, and health professionals from six residential aged-care facilities in Victoria, Australia. Residents used CM to manage pain and improve mobility, often covertly, and only with the financial assistance of their families. Facility policies and funding restrictions constrained CM use at the individual and facility level. An absence of evidence to support safety and efficacy coupled with the risk of interactions made doctors wary of CM use in older people. These findings have relevance for the large number of CM using "baby-boomers" as they move into residential aged-care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“I Wouldn’t Mind Trying It. I’m in Pain the Whole Time”: Barriers to the Use of Complementary Medicines by Older Australians in Residential Aged-Care Facilities

Rayner

Bauer

2016

J Appl Gerontol

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“…For some, there is the perceived threat that by respecting the patient's choice to use an unproven CM, the principles of evidence‐based medicine will be undermined and the patient will mistake this for endorsement . Common reasons for patient non‐disclosure include the fear of a negative response, the belief that the clinician does not need to know, and the clinician not asking …”

Section: Discussing CM Use With Patientsmentioning

confidence: 99%

Complementary medicine products: interpreting the evidence base

Cohen

Hunter

2017

Internal Medicine Journal

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Many patients use complementary medicine (CM) products, such as vitamins, minerals and herbs as part of self-care without professional advice or disclosure to their doctors. While use of CM products is gaining awareness by the medical community and there is mounting evidence for their safety, efficacy and cost-effectiveness, there is also the potential for adverse events from inappropriate use and/or withdrawal, as well as interactions with other medicines. Due to the unique and complex properties of many CM products, research evidence is specific to individual preparations and this can lead to confusion when assessing label claims and interpreting the results of clinical trials and systematic reviews. While the Australian regulatory environment for CM products is the same as for prescription medicines and is based on risk, there is a great need for consumers and clinicians to have access to easily understood, evidence-based information to facilitate informed decision-making.

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“…While dissatisfaction with conventional medicine is an important driver of CT use, this does not necessarily equate with reduced conventional healthcare use. Evidence indicates that many people use CT in addition to, rather than instead of conventional health care (Leach, ; Lin, Canaway, & Carter, ; Sirois & Purc‐Stephenson, ). Importantly, conventional healthcare providers may not be aware that patients are using CT owing to communication barriers (Bahall, ; Ducrest et al., ; Teo, Yap, Shen, & Yeo, ).…”

Section: Introductionmentioning

confidence: 99%

Nurses’ attitudes and behaviour towards patients’ use of complementary therapies: A mixed methods study

Hall

Brosnan

Cant

et al. 2018

Journal of Advanced Nursing

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Nurses were generally supportive of patients' interest in complementary therapies, although their primary concern was safety of the patient. Despite broad acceptance that nurses should have a basic understanding of complementary therapies, there was a lack of consensus about recommendation, integration into nursing practice and referral. Further research should explore how nurses can maintain safe, patient-centred care in the evolving pluralistic healthcare system.

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Interface, interaction and integration: how people with chronic disease in Australia manage CAM and conventional medical services

Cited by 32 publications

References 47 publications

“I Wouldn’t Mind Trying It. I’m in Pain the Whole Time”: Barriers to the Use of Complementary Medicines by Older Australians in Residential Aged-Care Facilities

“I Wouldn’t Mind Trying It. I’m in Pain the Whole Time”: Barriers to the Use of Complementary Medicines by Older Australians in Residential Aged-Care Facilities

Complementary medicine products: interpreting the evidence base

Nurses’ attitudes and behaviour towards patients’ use of complementary therapies: A mixed methods study

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