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eCAM Advance Access published online on May 2, 2006
eCAM, doi:10.1093/ecam/nel009
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© The Author (2006). Published by Oxford University Press. All rights reserved.
Received July 21, 2005
Accepted February 10, 2006

Original Article

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

Amir Shmueli 1 * and Judith Shuval 2

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

* To whom correspondence should be addressed.
Amir Shmueli, E-mail: ashmueli{at}md2.huji.ac.il


  Abstract

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.
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