TitleExamining the Association Between Patient-centered Communication and Provider Avoidance, CAM Use, and CAM-use Disclosure.
Publication TypeJournal Article
Year of Publication2015
AuthorsFaith, J, Thorburn, S, Tippens, KM
JournalAlternative therapies in health and medicine
Volume21
Issue2
Pagination30-5
Date Published2015 Mar
Abstract

relationships with health care providers may influence their health care-seeking behaviors and future interactions with providers, including use of conventional health care, use of complementary and alternative medicine (CAM), and disclosure of CAM use. Objective • The study examined the associations between perceived patient-centered communication and provider avoidance, CAM use, and CAM-use disclosure. Design • This study used cross-sectional survey data from the Health Information National Trends Survey (HINTS) 3, a nationally representative survey of US adults collected between January 2008 and May 2008. Outcome Measures • Two questions asked about CAM use and CAM-use disclosure, and another asked about avoidance of doctors. For the independent variable, responses from 6 questions on patient-centered communication were averaged to create a scale score ranging from 1-4. The research team conducted multiple logistic regressions of the 3 primary outcome measures, adjusting for sociodemographic characteristics, presence or absence of a regular source of care, insurance status, frequency of visits to providers, and health status. All analyses were weighted to make the results representative of the US population aged ≥18 y. Results • Approximately one-third of respondents (36%) had avoided seeing their doctors within the 12 mo prior to the survey. Approximately 24% had used CAM within the prior 12 mo, and 51.7% of CAM users had discussed their CAM use with their doctors. Higher levels of patient-centered communication were significantly associated with lower odds of provider avoidance (AOR = 0.63; 95% CI = 0.52, 0.76) and CAM use (AOR = 0.60; 95% CI = 0.46, 0.78) but were not associated with CAM-use disclosure. Conclusions • Findings suggest that patients may be more likely to avoid seeing their doctors and more likely to use CAM when they perceive low levels of patient-centered communication. Further research to understand the role of the characteristics of patient-provider relationships on provider avoidance, CAM use, and CAM-use disclosure is warranted.