Positive Health Online

Abstract

Perry and Dowrick, Department of Primary Care, University of Liverpool, Liverpool, UK. investigated the use of, and attitudes towards complementary medicine among urban general practices in a socioeconomically deprived urban area.

Background

Complementary medicine appears to be an increasingly popular option amongst both doctors and patients. General practitioners in more affluent parts of Britain have showed considerable interest in its use.

Methodology

A postal questionnaire survey of all general practice principles in Liverpool, using freepost envelopes and one reminder after 3 weeks. With respect to eight common complementary therapies, respondents were asked whether they treat with, refer to or endorse each therapy; for their views on NHS funding, effectiveness, adverse reactions, training needs, and theoretical validity, for each therapy.

Results

The response rate was 131/252 (52%), higher amongst women and doctors aged under 40. During the previous week 74 (56%) of respondents had been involved in complementary medical activity with their patients: 13% had treated directly, 31% had referred to and 38% had endorsed one or more complementary therapies. Acupuncture was most popular as an NHS option, and along with osteopathy and chiropractic was the therapy most highly regarded by respondents in terms of effectiveness . Homeopathy and hypnotherapy received a mixed reaction, while medical herbalism, aromatherapy and reflexology were viewed more sceptically . Sixty-two per cent of respondents reported successful outcomes of complementary treatments, compared with 21% reporting adverse reactions . Knowledge and training desires were highest for homeopathy and acupuncture . Respondents were generally uncertain about the theoretical validity of these therapies: 50% thought acupuncture had a valid basis, compared with only 23% for homeopathy and 8% for reflexology.

Conclusion

The degree of support for complementary medicine therapies amongst general practitioners in this socioeconomically deprived urban area was similar to that found elsewhere in Britain. These general practitioners appeared to tolerate high levels of clinical uncertainty, endorsing a wide range of therapies, despite little knowledge of their content or conviction of their validity .

References

Perry R and Dowrick CF. Complementary medicine and general practice: an urban perspective. Complementary Therapies in Medicine 8(2): 71-5. Jun 2000.

Comment

The above research indicates the widespread research currently underway to assess the use and efficacy of complementary medicine.