Show simple item record

dc.contributor.authorSalamonsen, Anita
dc.contributor.authorWiesener, Solveig
dc.date.accessioned2019-07-17T10:31:57Z
dc.date.available2019-07-17T10:31:57Z
dc.date.issued2019-04-30
dc.description.abstract<b>Background</b><br> Complementary and alternative medicine (CAM) is a rather novel issue within public healthcare and health policy-making. CAM use in Europe is widespread, patient-initiated, and patient-evaluated, and the regulation across countries has been evaluated as disharmonized. CAM users are left in an uncertain position, and patient safety may be threatened. How “risk” is understood by individuals in health policy-making and clinical encounters involving the use of CAM has not yet been much debated. The aim of this article is to explore and discuss the existence and possible consequences of differing risk understandings among stakeholders maneuvering in the complex landscape of CAM practice and CAM regulation contextualized by European public healthcare systems.<br><b> Methods</b><br> Qualitative data were derived from two studies on CAM in European healthcare contexts. Findings from the EU project CAMbrella on legislation and regulation of CAM were mixed with data from an interview study exploring risk understandings, communication, and decision-making among Scandinavian CAM users and their doctors. In a secondary content analysis, we constructed the case Sara as a typology to demonstrate important findings with regard to risk understandings and patient safety involving European citizens’ use of CAM in differing contexts.<br><b> Results</b><br>By combining and comparing individual and structural perspectives on risk and CAM use, we revealed underexplored gaps in risk understandings among individuals involved in European CAM regulation and legislation, and between CAM users and their medical doctors. This may cause health risks and uncertainties associated with CAM use and regulation. It may also negatively influence doctor-CAM user communication and CAM users’ trust in and use of public healthcare. Conclusion Acknowledging implications of stakeholders’ differing risk understandings related to CAM use and regulation may positively influence patient safety in European healthcare. Definitions of the concept of risk should include the factors uncertainty and subjectivity to grasp the full picture of possible risks associated with the use of CAM. To transform the findings of this study into practical settings, we introduce sets of questions relevant to operationalize the important question “What is risk?” in health policy-making, clinical encounters and risk research involving European patients’ use of CAM.en_US
dc.description.sponsorshipNo external funding was received. The publication charges for this article have been funded by a grant from the publication fund of UiT The Arctic University of Norway, grant number IN-1096130.en_US
dc.descriptionPublished version, available at: <a href=https://doi.org/10.1186/s12906-019-2499-3>https://doi.org/10.1186/s12906-019-2499-3</a>en_US
dc.identifier.citationSalamonsen, A., Wiesener, S. (2019) “Then I went to a hospital abroad”: acknowledging implications of stakeholders’ differing risk understandings related to use of complementary and alternative medicine in European health care contexts.<i> BMC Complementary and Alternative Medicine, 2019, 19:93</i>, 11s. https://doi.org/10.1186/s12906-019-2499-3.en_US
dc.identifier.issn1472-6882
dc.identifier.otherFRIDAID 1694766
dc.identifier.other10.1186/s12906-019-2499-3
dc.identifier.urihttps://hdl.handle.net/10037/15774
dc.language.isoengen_US
dc.publisherSpringer Nature, BMCen_US
dc.relation.isbasedonThe data in the interview study among Norwegian CAM users and their medical doctors are not publicly available due to ethical standards. <br> The CAMbrella EU reports are available at: <a href=http://phaidra.univie.ac.at/o:291583>http://phaidra.univie.ac.at/o:291583</a>, <a href=http://phaidra.univie.ac.at/o:291682>http://phaidra.univie.ac.at/o:291682</a> and <a href=http://phaidra.univie.ac.at/o:291585>http://phaidra.univie.ac.at/o:291585</a> <br>Updated data after CAMbrella deliveries are available at: <a href=http://cam-regulation.org>http://cam-regulation.org</a>en_US
dc.relation.journalBMC Complementary and Alternative Medicine
dc.relation.urihttps://doi.org/10.1186/s12906-019-2499-3
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Other health science disciplines: 829en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Andre helsefag: 829en_US
dc.title“Then I went to a hospital abroad”: acknowledging implications of stakeholders’ differing risk understandings related to use of complementary and alternative medicine in European health care contextsen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record