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Br J Gen Pract. 1993 June; 43(371): 232–235.
PMCID: PMC1372419

Complementary medicine: are patients' expectations being met by their general practitioners?


Complementary, or alternative, medicine has increased in popularity among patients during the past 20 years. The purpose of this study was to determine whether general practitioners met their patients' expectations with regard to complementary medicine. In a postal survey all 71 accredited general practitioners in the district of Kassel, Germany, received a structured questionnaire about their experience with complementary medicine. Forty (56%) replied. In 10 of these practices 310 patients were interviewed about their attitudes towards and expectations of such treatment. Of the responding doctors 95% used, at least occasionally, some form of complementary medicine (most commonly herbal medicine, neural therapy or homeopathy). All but three patients accepted the value of complementary medicine, 58% of them (especially younger, more highly educated patients and those from rural practices) preferred it to orthodox medicine and 40% of the patients had received some form of complementary therapy. Nearly 70% of the patients requested that complementary medicine be practised by their general practitioner more frequently than at present. There was no significant link between patient satisfaction with the doctor and patients' view of, or demand for, complementary medicine. Although both patients and practitioners were interested in complementary therapy, there was a gap between the willingness, or the ability, of general practitioners to use complementary medicine and the patients' demand for these alternative forms of treatment.

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Selected References

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  • Maddocks I. Alternative medicine. Med J Aust. 1985 May 13;142(10):547–551. [PubMed]
  • Donnelly WJ, Spykerboer JE, Thong YH. Are patients who use alternative medicine dissatisfied with orthodox medicine? Med J Aust. 1985 May 13;142(10):539–541. [PubMed]
  • James R, Fox M, Taheri G. Who goes to a natural therapist? Why? Aust Fam Physician. 1983 May;12(5):383–386. [PubMed]
  • Moore J, Phipps K, Marcer D, Lewith G. Why do people seek treatment by alternative medicine? Br Med J (Clin Res Ed) 1985 Jan 5;290(6461):28–29. [PMC free article] [PubMed]
  • Wharton R, Lewith G. Complementary medicine and the general practitioner. Br Med J (Clin Res Ed) 1986 Jun 7;292(6534):1498–1500. [PMC free article] [PubMed]
  • Wharton R, Lewith G. Complementary medicine and the general practitioner. Br Med J (Clin Res Ed) 1986 Jun 7;292(6534):1498–1500. [PMC free article] [PubMed]
  • Cherkin D, MacCornack FA, Berg AO. Family physicians' views of chiropractors: hostile or hospitable? Am J Public Health. 1989 May;79(5):636–637. [PubMed]
  • Visser GJ, Peters L. Alternative medicine and general practitioners in The Netherlands: towards acceptance and integration. Fam Pract. 1990 Sep;7(3):227–232. [PubMed]
  • Marshall RJ, Gee R, Israel M, Neave D, Edwards F, Dumble J, Wong S, Chan C, Patel R, Poon P, et al. The use of alternative therapies by Auckland general practitioners. N Z Med J. 1990 May 9;103(889):213–215. [PubMed]
  • Meade TW, Dyer S, Browne W, Townsend J, Frank AO. Low back pain of mechanical origin: randomised comparison of chiropractic and hospital outpatient treatment. BMJ. 1990 Jun 2;300(6737):1431–1437. [PMC free article] [PubMed]
  • Kleijnen J, Knipschild P, ter Riet G. Clinical trials of homoeopathy. BMJ. 1991 Feb 9;302(6772):316–323. [PMC free article] [PubMed]
  • Lewith GT, Field J, Machin D. Acupuncture compared with placebo in post-herpetic pain. Pain. 1983 Dec;17(4):361–368. [PubMed]
  • Dowson DI, Lewith GT, Machin D. The effects of acupuncture versus placebo in the treatment of headache. Pain. 1985 Jan;21(1):35–42. [PubMed]
  • Richardson PH, Vincent CA. Acupuncture for the treatment of pain: a review of evaluative research. Pain. 1986 Jan;24(1):15–40. [PubMed]
  • Vincent CA. A controlled trial of the treatment of migraine by acupuncture. Clin J Pain. 1989 Dec;5(4):305–312. [PubMed]
  • Baker R. Development of a questionnaire to assess patients' satisfaction with consultations in general practice. Br J Gen Pract. 1990 Dec;40(341):487–490. [PMC free article] [PubMed]
  • Murray RH, Rubel AJ. Physicians and healers--unwitting partners in health care. N Engl J Med. 1992 Jan 2;326(1):61–64. [PubMed]
  • Aldridge D. The delivery of health care alternatives: discussion paper. J R Soc Med. 1990 Mar;83(3):179–182. [PubMed]
  • Swayne JM. Survey of the use of homeopathic medicine in the UK health system. J R Coll Gen Pract. 1989 Dec;39(329):503–506. [PMC free article] [PubMed]
  • Aldridge D. Spirituality, healing and medicine. Br J Gen Pract. 1991 Oct;41(351):425–427. [PMC free article] [PubMed]
  • Ritter H, Habighorst HG. Die Verbreitung nicht allgemein anerkannter Heilverfahren in der freien Praxis. Das Ergebnis einer dritten abschliessenden Rundfrage. Med Welt. 1971 Sep;22(36):1409–1411. [PubMed]
  • Anderson E, Anderson P. General practitioners and alternative medicine. J R Coll Gen Pract. 1987 Feb;37(295):52–55. [PMC free article] [PubMed]
  • Thomas KJ, Carr J, Westlake L, Williams BT. Use of non-orthodox and conventional health care in Great Britain. BMJ. 1991 Jan 26;302(6770):207–210. [PMC free article] [PubMed]
  • Skrabanek P, McCormick JS. General practitioners and alternative medicine. J R Coll Gen Pract. 1987 May;37(298):224–225. [PMC free article] [PubMed]
  • Gums JG, Carson DS. Influence of folk medicine on the family practitioner. South Med J. 1987 Feb;80(2):209–212. [PubMed]

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