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Patients' Experiences and Perceptions of a Consultative Model Integrative Medicine Clinic: A Qualitative Study

Department of Medicine (Program in Integrative Medicine) at The University of Arizona Health Sciences Center, Tucson, mkoithan{at}nursing.arizona.edu, Department of Family and Community Medicine at The University of Arizona Health Sciences Center, Tucson

Iris R. Bell, MD, PhD

Department of Family and Community Medicine at The University of Arizona Health Sciences Center, Tucson

Opher Caspi, MD, PhD

Recanati Center for Medicine and Research, Rabin Medical Center, Beilinson Campus, Petah Tikva, Israel

Lynn Ferro, BA

NPI-Semel Institute, University of California, Los Angeles

Victoria Brown, PhD

Department of Medicine (Program in Integrative Medicine) at The University of Arizona Health Sciences Center, Tucson

Objective: A common theme in integrative medicine (IM) is patient-centered partnering in care between patients and providers. Despite the stated ideals, few studies have assessed patients' perspectives on their actual experience in the context of a specific care model. The purpose of the present study was to retrospectively explore and compare experiences of cancer and noncancer patients under care in a consultative IM outpatient teaching clinic in the south-western United States. Design: Qualitative study using inductive content analysis of focus group interview transcripts (2 groups of adult patients with cancers of various types and 1 group of chronically ill noncancer patients with mixed diagnoses). Method: Participants were recruited by random selection from a pool of eligible patients. Groups were conducted with patients who had completed their initial conventional cancer treatment and were at least 6 months postconsultation with an IM clinic physician. Transcripts of the audiotaped focus groups were analyzed. Results: Cancer patients (n = 15) and noncancer patients (n = 6) (mean age, 60 years; 77% women) expressed overall satisfaction with IM, emphasizing (1) expansion of treatment options with lower perceived toxicity than conventional therapies, (2) positive experiences of the IM physician as caring and taking time to listen, and (3) improved self-care skills and sense of empowerment. Cancer patients noted positive relationships with their conventional MDs more than did noncancer patients, although both groups appreciated the IM physicians' communication styles. Conclusion: Patients experience a consultative integrative clinic model overall as favorable. The impact on outcomes, costs, and long-term quality of life requires additional study.

Key Words: integrative medicine • models of care • qualitative methods • cancer patients • consultative model • integrative medicine clinic • outcomes

Integrative Cancer Therapies, Vol. 6, No. 2, 174-184 (2007)
DOI: 10.1177/1534735407301992


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