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eCAM Advance Access originally published online on May 2, 2006
eCAM 2006 3(2):273-278; doi:10.1093/ecam/nel009
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© The Author (2006). Published by Oxford University Press. All rights reserved
The online version of this article has been published under an open access model. Users are entitled to use, reproduce, disseminate, or display the open access version of this article for non-commercial purposes provided that: the original authorship is properly and fully attributed; the Journal and Oxford University Press are attributed as the original place of publication with the correct citation details given; if an article is subsequently reproduced or disseminated not in its entirety but only in part or as a derivative work this must be clearly indicated. For commercial re-use, please contact journals.permissions@oxfordjournals.org

Satisfaction with Family Physicians and Specialists and the use of Complementary and Alternative Medicine in Israel

Amir Shmueli1 and Judith Shuval2

1 The Hebrew University and the Gertner Institute Jerusalem Israel, and 2 The Hebrew University Jerusalem Israel

Higher utilization of complementary and alternative medicine (CAM) is commonly explained by dissatisfaction or disappointment with conventional medical treatment. To explore, at two points in time in Israel, the associations between six domains of satisfaction (attitude, length of visits, availability, information sharing, perceived quality of care and overall) with conventional family physicians' and specialists' services and the likelihood of consulting CAM providers. This is a secondary analysis of interviews, which were conducted with 2000 persons in 1993 and 2500 persons in 2000, representing the Israeli Jewish urban population aged 45–75 in those years. Bivariate and multivariate analyses were used in the investigation. In 1993, users of CAM were less satisfied than non-users with both family physicians' and specialists' care. Lower satisfaction with the attitude of, the amount of information sharing by and in general with family physicians, and with the length of visits and perceived quality of care of specialists were significantly associated with CAM use. In 2000, lower satisfaction with specialists' attitude, length of visits, availability and in general was significantly related to the use of CAM. Lower satisfaction with family physicians and specialists is significantly associated with consulting CAM providers. However, with CAM becoming a mainstream medical care specialty in its own, lower satisfaction with conventional medicine specialists becomes the most important factor.

Keywords: CAM – family physicians – Israel – logistic regression – satisfaction – specialists

For reprints and all correspondence: Amir Shmueli, Department of Health Management, The Hebrew University, PO Box 12272, Jerusalem, Israel. Tel: +972-2-675-8514; Fax: +972-2-643-5083; E-mail: ashmueli{at}md2.huji.ac.il


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