Should your GP be an osteopath? Patients' views of an osteopathy clinic based in primary care
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid
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Yn: Complementary Therapies in Medicine, Cyfrol 15, Rhif 2, 06.2007, t. 121-7.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid
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TY - JOUR
T1 - Should your GP be an osteopath?
T2 - Patients' views of an osteopathy clinic based in primary care
AU - Westmoreland, Jayne L
AU - Williams, Nefyn H
AU - Wilkinson, Clare
AU - Wood, Fiona
AU - Westmoreland, Alex
PY - 2007/6
Y1 - 2007/6
N2 - BACKGROUND: Spinal pain is a common reason for consulting general practitioners (GPs), and complementary therapists such as osteopaths and chiropractors. Patients express greater satisfaction with the care from chiropractors and osteopaths, because they are perceived as having more empathy, diagnostic skill and effective treatment, but their attitude to a GP providing an osteopathy service is unknown.AIM: To explore patients' views of receiving osteopathy in contrast with usual GP care, to provide insight into the psychological benefit of treatment, and to explore their views on how such a service should be provided and funded.DESIGN OF STUDY: Qualitative study using semi-structured interviews preceded by short questionnaires.SETTING: Primary care osteopathy clinic treating patients from Llanfairfechan Health Centre, which also accepted referrals from neighbouring practices in North West Wales in a randomised controlled trial.METHOD: Short questionnaires followed by semi-structured interviews with 20 participants. The interview transcripts were analysed by open coding into categories, axial coding to define the categories' properties and selective coding for the final thematic account.RESULTS: Traditional GP skills were valued, but GP care for spinal pain was perceived as limited and ineffective. Osteopathy was attractive because it did not involve drugs, but it had short-term painful side effects, and some found it frightening. Physical benefits included increased mobility and reduced pain; psychological benefits included removal of fear and improved understanding. Provision of osteopathy by a GP was welcomed, so long as the GP was properly qualified, and had sufficient time.CONCLUSION: A GP run osteopathy clinic provided additional physical and psychological benefit. GP consultation might be improved by adopting some features from the osteopathic consultation.
AB - BACKGROUND: Spinal pain is a common reason for consulting general practitioners (GPs), and complementary therapists such as osteopaths and chiropractors. Patients express greater satisfaction with the care from chiropractors and osteopaths, because they are perceived as having more empathy, diagnostic skill and effective treatment, but their attitude to a GP providing an osteopathy service is unknown.AIM: To explore patients' views of receiving osteopathy in contrast with usual GP care, to provide insight into the psychological benefit of treatment, and to explore their views on how such a service should be provided and funded.DESIGN OF STUDY: Qualitative study using semi-structured interviews preceded by short questionnaires.SETTING: Primary care osteopathy clinic treating patients from Llanfairfechan Health Centre, which also accepted referrals from neighbouring practices in North West Wales in a randomised controlled trial.METHOD: Short questionnaires followed by semi-structured interviews with 20 participants. The interview transcripts were analysed by open coding into categories, axial coding to define the categories' properties and selective coding for the final thematic account.RESULTS: Traditional GP skills were valued, but GP care for spinal pain was perceived as limited and ineffective. Osteopathy was attractive because it did not involve drugs, but it had short-term painful side effects, and some found it frightening. Physical benefits included increased mobility and reduced pain; psychological benefits included removal of fear and improved understanding. Provision of osteopathy by a GP was welcomed, so long as the GP was properly qualified, and had sufficient time.CONCLUSION: A GP run osteopathy clinic provided additional physical and psychological benefit. GP consultation might be improved by adopting some features from the osteopathic consultation.
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Attitude to Health
KW - Back Pain
KW - Family Practice
KW - Female
KW - Health Services Accessibility
KW - Humans
KW - Insurance Coverage
KW - Male
KW - Middle Aged
KW - Neck Pain
KW - Osteopathic Medicine
KW - Physician's Role
KW - Physician-Patient Relations
KW - Primary Health Care
KW - State Medicine
KW - Wales
KW - Journal Article
KW - Research Support, Non-U.S. Gov't
U2 - 10.1016/j.ctim.2005.11.006
DO - 10.1016/j.ctim.2005.11.006
M3 - Article
C2 - 17544863
VL - 15
SP - 121
EP - 127
JO - Complementary Therapies in Medicine
JF - Complementary Therapies in Medicine
SN - 0965-2299
IS - 2
ER -