Determinants of patients preferring Complementary and Alternative medicine attending public hospitals in Lahore, Pakistan

J Pak Med Assoc. 2018 Jun;68(6):914-918.

Abstract

Objective: To find the frequency and determinants of patients preferring complementary and alternative medicine over registered medical doctors..

Methods: This cross-sectional study was conducted at Services Hospital, Mayo Hospital and Jinnah Hospital in Lahore, Pakistan, from June 8 to August 20, 2017.A pre-tested self-administered questionnaire was used to collect data. SPSS 20 was used for data analysis. .

Results: Of the 385 subjects, 200(51.9%) had visited at least one complementary and alternative medicine healer in their life. Besides, 166(83%) subjects confirmed positive outcome of such therapies. When asked about reasons behind their choice,227(59%)subjects mentioned cost effectiveness, 99(25.7%) better understanding, 131(34%) guidance about disease by such healers, 198(51.4%) harmless therapies, 198(51.4%) natural ingredients of medicines, 154(40%) accessibility, 161(41.8%) psychological satisfaction, 221(57.4%) said fewer appointments, 222(57.7%) said diagnosis without laboratory tests, 131(34%)family influence, 52(13.5%) had surgical fears, 101(26.2%) said faith in spiritual exercises, 63(16.4%) were addicted to complementary and alternative medicine products, 122(31.7%) said better communication) while183(47.5%) said sparing more time for consultation.

Conclusions: There were a variety of beliefs and reasons behind patients preferring complementary and alternative medicine providers over medical doctors.

Keywords: Complementary and alternative medicine, Patient's preferences, Health beliefs models.

MeSH terms

  • Biological Products
  • Communication
  • Complementary Therapies*
  • Comprehension
  • Cost-Benefit Analysis
  • Cross-Sectional Studies
  • Crotalid Venoms
  • Family
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Health Services Accessibility
  • Herbal Medicine
  • Homeopathy
  • Humans
  • Male
  • Pakistan
  • Patient Preference*
  • Patient Satisfaction
  • Professional-Patient Relations
  • Spiritual Therapies
  • Surveys and Questionnaires
  • Time Factors

Substances

  • Biological Products
  • Crotalid Venoms
  • acurhagin protein, Agkistrodon acutus