Sirois Fuschia M, Purc-Stephenson Rebecca J
Department of Psychology, University of Windsor, Windsor, Ontario, Canada.
Complement Ther Clin Pract. 2008 Nov;14(4):228-36. doi: 10.1016/j.ctcp.2008.06.002. Epub 2008 Jul 21.
The aim of this study was to examine the attitudes, behaviours, and intentions to consult complementary and alternative medicine (CAM) providers, of health-care consumers living in a region with low physician availability. A survey was completed by a convenience sample of 235 CAM clients and nonconsumers recruited from an underserved urban centre in Canada. Nearly half had experienced difficulties getting an appointment with a physician when needed, and those who had experienced difficulties were more dissatisfied with conventional health care. Most participants (85.1%) indicated that they would consider consulting a CAM provider should they have difficulty getting an appointment with a physician in the future, including nearly 60% of the CAM nonconsumers. Participants who had more experience with CAM, greater perceived control over their symptoms, and were dissatisfied with conventional health care, were more likely to express intentions to use CAM should they experience access difficulties in the future. By situating the motivations for CAM within the context of physician availability our findings highlight the importance of geographical context, or place, for understanding attitudes towards CAM and its utilisation.
本研究的目的是调查生活在医生资源稀缺地区的医疗保健消费者咨询补充和替代医学（CAM）提供者的态度、行为和意向。通过便利抽样，对从加拿大一个服务不足的城市中心招募的235名CAM消费者和非消费者进行了一项调查。近一半的人表示在需要时难以预约到医生，而那些有过困难经历的人对传统医疗保健更不满意。大多数参与者（85.1%）表示，如果未来难以预约到医生，他们会考虑咨询CAM提供者，其中包括近60%的非CAM消费者。对CAM有更多体验、对自身症状有更强控制感且对传统医疗保健不满意的参与者，若未来遇到就医困难，更有可能表示有使用CAM的意向。通过将使用CAM的动机置于医生可及性的背景下，我们的研究结果凸显了地理背景或地点对于理解对CAM的态度及其使用的重要性。
