A Multicenter Comparison of Complementary and Alternative Medicine (CAM) Discussions in Oncology Care: The Role of Time, Patient‐Centeredness, and Practice Context
Conclusion.The frequency of CAM‐related discussion in oncology varied substantially across sites. Visits that included CAM discussion were longer and more patient centered.Implications for Practice.The Institute of Medicine and the American Society of Clinical Oncology have called for more open discussions of complementary and alternative medicine (CAM). But little is known about the role population characteristics and care contexts may play in the frequency and nature of those discussions. The present data characterizing actual conversations in practice complements a much larger literature based on patient and clinician self‐report about CAM disclosure and use. It was found that CAM discussions in academic oncology visits varied significantly by practice context, that the majority were initiated by the patient, and that they may occur more when visit time exists for lifestyle, self‐care, and psychosocial concerns.
Source: The Oncologist - Category: Cancer & Oncology Authors: Jon Tilburt, Kathleen J. Yost, Heinz-Josef Lenz, Maria Luisa Zuniga, Thomas O'Byrne, Megan E. Branda, Aaron L. Leppin, Brittany Kimball, Cara Fernandez, Aminah Jatoi, Amelia Barwise, Ashok Kumbamu, Victor Montori, Barbara A. Koenig, Gail Geller, Susan Lar Tags: Symptom Management and Supportive Care, Medical Ethics Source Type: research
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