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  • Poster presentation
  • Open Access

P04.83. What factors influence the use of integrative medicine (IM) modalities by infectious disease (ID) physicians?

  • 1,
  • 2,
  • 1,
  • 1 and
  • 3
BMC Complementary and Alternative MedicineThe official journal of the International Society for Complementary Medicine Research (ISCMR)201212 (Suppl 1) :P353

https://doi.org/10.1186/1472-6882-12-S1-P353

  • Published:

Keywords

  • Public Health
  • Internal Medicine
  • Infectious Disease
  • Drug Interaction
  • Clinical Research

Purpose

The purpose was to assess factors that may influence the use of IM modalities by ID physicians in their practice.

Methods

In a 2010 national survey of 1000 practicing ID physicians, participants were asked to report the extent (major, minor or not at all) to which the following considerations played a role in their recommendation/referral of IM modalities: (1) Knowledge of how and when to use them; (2) Amount of clinical research showing clear benefit; (3) Insurance; (4) Cost; (5) Reliable referral base; (6) Concern for professional reputation; (7) Fear of judgment from colleagues; (8) Insufficient regulatory oversight of supplements; and (9) Potential drug interactions with botanicals/supplements.

Results

A total of 311 (31%) ID physicians responded to the survey. The mean age was 49 and 64% of respondents were male. Their responses to the questions are listed below.

Table 1

Factor

Number of respondents

Major role (%)

Minor or Not at all (%)

Drug Interactions

293

82

18

Research

294

80

20

Knowledge

294

72

28

Insurance

292

24

76

Cost

293

39

61

Referral base

288

39

61

Professionl reputation

293

14

86

Fear of judgement

293

4

96

Regulation oversight

294

69

31

Conclusion

For ID physicians, factors that were considered a major influence on the use of IM modalities included: potential drug interactions, clinical research, knowledge of IM modalities, and regulatory oversight. Factors that played a minor/no role in the use of IM modalities included fear of judgment and concern for professional reputation.

Authors’ Affiliations

(1)
University of Maryland, Baltimore, USA
(2)
Mayo Clinic, Rochester, USA
(3)
University of California, San Franscisco, USA

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