Matter-Walstra Klazien, Schoeni-Affolter Franziska, Widmer Marcel, Busato André
Institute for Evaluative Research in Orthopedic Surgery, MEM Center, University of Bern, Stauffacherstrasse, Bern, Switzerland.
J Eval Clin Pract. 2008 Feb;14(1):75-82. doi: 10.1111/j.1365-2753.2007.00799.x.
Patients with chronic diseases, including cardiovascular conditions, increasingly rely on complementary and alternative medical (CAM) therapies.
The Swiss Program for Complementary Medicine Evaluation offers a unique opportunity to analyse cardiovascular patients' satisfaction with CAM and conventional medical (COM) therapies. The treatment choices of doctors certified in conventional as well as complementary therapies also could be studied.
A national observational evaluation on treatment satisfaction of patients consulting COM or CAM doctors. Out of this evaluation project, data related to patients with cardiovascular diseases were specifically analysed for patient satisfaction with treatment and outcome when treated by COM or CAM doctors.
Of 199 included doctors (78 COM, 121 CAM) treating cardiovascular patients, COM doctors treated twice as many cardiovascular patients per doctor than CAM doctors. CAM doctors treated less than 1/3 of their cardiovascular patients solely by CAM, while they treated 42% exclusively by COM therapies. Patients seeing a CAM doctor had a significantly longer consultation and were more likely to be highly satisfied with overall treatment outcome and patient-practitioner communication. Moreover, patients seeing a CAM doctor and being treated solely by a CAM therapy more often report 'complete fulfilment of outcome expectation' and 'high overall satisfaction with treatment', although their symptoms less often disappear totally than those of COM therapy-treated patients.
CAM therapies are not the first treatment choice for cardiovascular diseases. However, even though CAM doctors preferentially apply COM therapies, cardiovascular patients treated by CAM doctors are more likely to be satisfied with the overall treatment outcome, possibly because of the longer and better patient-practitioner interaction.
患有包括心血管疾病在内的慢性病的患者越来越依赖补充和替代医学（CAM）疗法。
瑞士补充医学评估项目提供了一个独特的机会来分析心血管疾病患者对CAM和传统医学（COM）疗法的满意度。同时也可以研究获得传统医学和补充医学认证的医生的治疗选择。
对咨询COM或CAM医生的患者的治疗满意度进行全国性观察评估。在这个评估项目中，专门分析了与心血管疾病患者相关的数据，以了解他们在接受COM或CAM医生治疗时对治疗和治疗结果的满意度。
在199名治疗心血管疾病患者的医生中（78名COM医生，121名CAM医生），每位COM医生治疗的心血管疾病患者数量是CAM医生的两倍。CAM医生仅用CAM疗法治疗的心血管疾病患者不到三分之一，而他们仅用COM疗法治疗的患者占42%。看CAM医生的患者咨询时间明显更长，并且更有可能对总体治疗结果和医患沟通高度满意。此外，看CAM医生且仅接受CAM疗法治疗的患者更常报告“完全达到预期结果”和“对治疗总体高度满意”，尽管他们症状完全消失的情况比接受COM疗法治疗的患者少。
CAM疗法不是心血管疾病的首选治疗方法。然而，尽管CAM医生优先采用COM疗法，但接受CAM医生治疗的心血管疾病患者更有可能对总体治疗结果感到满意，这可能是因为医患互动时间更长且更好。
