Office Visits

Publication Title: 
Archives of Family Medicine

BACKGROUND: The use of homeopathy is growing in the United States, but little is known about practice patterns of physicians using homeopathy and the patients who seek homeopathic care. MATERIALS AND METHODS: Data for consecutive patient visits to 27 doctors of medicine and doctors of osteopathy using homeopathy in 1992 were collected and compared with the National Ambulatory Medical Care Survey of 1990. RESULTS: Patients seen by the homeopathic physicians were younger, more affluent, and more likely to present with long-term complaints.

Author(s): 
Jacobs, J.
Chapman, E. H.
Crothers, D.
Publication Title: 
Southern Medical Journal

Primary care physicians may often see patients with transient emotional or behavioral problems. Brief office counseling is an action-oriented treatment method that requires the physician to develop both a therapeutic relationship and behavioral contract with the patient. The physician needs to create a secure, permissive, and confidential atmosphere in which the patient can feel comfortable to discuss freely his innermost thoughts and feelings.

Author(s): 
Pfeiffer, S. I.
Publication Title: 
Southern Medical Journal

Primary care physicians may often see patients with transient emotional or behavioral problems. Brief office counseling is an action-oriented treatment method that requires the physician to develop both a therapeutic relationship and behavioral contract with the patient. The physician needs to create a secure, permissive, and confidential atmosphere in which the patient can feel comfortable to discuss freely his innermost thoughts and feelings.

Author(s): 
Pfeiffer, S. I.
Publication Title: 
Contemporary Pediatrics

Guided imagery, self-hypnosis, and related strategies can help improve patient comfort during medical procedures. Use them to relieve pain and nausea, control heightened anxiety and phobias, and generally make the office visit easier for everyone.

Author(s): 
Brown, J. L.
Publication Title: 
The Western Journal of Medicine

Various forms of distant healing (DH), including prayer and "psychic healing," are widely practiced, but insufficient formal research has been done to indicate whether such efforts actually affect health. We report on a double-blind randomized trial of DH in 40 patients with advanced AIDS. Subjects were pair-matched for age, CD4+ count, and number of AIDS-defining illnesses and randomly selected to either 10 weeks of DH treatment or a control group. DH treatment was performed by self-identified healers representing many different healing and spiritual traditions.

Author(s): 
Sicher, F.
Targ, E.
Moore, D.
Smith, H. S.
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

OBJECTIVE: The objective of this study was to characterize the practice of pediatric chiropractic. DESIGN: The study design was a cross-sectional descriptive survey. SETTINGS/LOCATION: The settings were private practices throughout the United States, Canada, and Europe. PARTICIPANTS: The participants were 548 chiropractors, the majority of whom are practicing in the United States, Canada, and Europe.

Author(s): 
Alcantara, Joel
Ohm, Jeanne
Kunz, Derek
Publication Title: 
Archives of Pediatrics & Adolescent Medicine

OBJECTIVE: To describe the practice characteristics and pediatric care of homeopathic practitioners (HPs) and naturopathic doctors (NDs). DESIGN: Cross-sectional, descriptive survey. SETTING: Homeopathic and naturopathic practices in Massachusetts. PARTICIPANTS: Homeopathic practitioners (N = 42) and NDs (N = 23) identified from the yellow pages, regional and national society membership lists, schools, magazine advertisements, and by word-of-mouth. The response rate was 55% (23/42) for HPs and 65% (15/23) for NDs.

Author(s): 
Lee, A. C.
Kemper, K. J.
Publication Title: 
BMC complementary and alternative medicine

BACKGROUND: The demand for complementary medicine (CM) is growing worldwide and so is the supply. So far, there is not much insight in the activities in Dutch CM practices nor in how these activities differ from mainstream general practice. Comparisons on diagnoses and visit length can offer an impression of how Dutch CM practices operate. METHODS: Three groups of regularly trained physicians specialized in CM participated in this study: 16 homeopathic physicians, 13 physician acupuncturists and 11 naturopathy physicians.

Author(s): 
Heiligers, Phil J. M.
de Groot, Judith
Koster, Dick
van Dulmen, Sandra
Publication Title: 
BMC complementary and alternative medicine

BACKGROUND: Naturopaths and Western herbal medicine (WHM) practitioners were surveyed to identify their extent, experience and roles within the community pharmacy setting and to explore their attitudes to integration of complementary medicine (CM) practitioners within the pharmacy setting. METHOD: Practising naturopaths and WHM practitioners were invited to participate in an anonymous, self-administered, on-line survey. Participants were recruited using the mailing lists and websites of CM manufacturers and professional associations. RESULTS: 479 practitioners participated.

Author(s): 
Braun, Lesley A.
Spitzer, Ondine
Tiralongo, Evelin
Wilkinson, Jenny M.
Bailey, Michael
Poole, Susan
Dooley, Michael
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

OBJECTIVES: This study quantifies and compares patient characteristics in outpatient acupuncture. SETTING/DESIGN: Prospective primary source evidence was gathered at two prominent outpatient acupuncture clinics in Beijing, China (n = 563, n = 233). RESULTS: The most common condition was Bell's palsy, which represented 20.6% and 25.3% of total cases at the two clinics, respectively. The second most common condition was cerebrovascular accident (CVA) rehabilitation. These treatments represented 11.9% and 12.0% of treatments at the two clinics, respectively.

Author(s): 
Napadow, Vitaly
Kaptchuk, Ted J.

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