© 2017 Journal of Basic and Clinical Pharmacy
62
ORIGINAL ARTICLE
Doctor’s Perception on Integrated Medicine: A Survey
Asha Basavareddy, Meenakshi Lella, Sarala Narayana
Department of Pharmacology, Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Education and Research Tamaka, Kolar, Karnataka, India
ABSTRACT
Objective: To assess attitude and practice of the modern medicine
practitioners towards integration of modern medicine (MM) and traditional
medicine (TM) using questionnaire. Methods: A cross sectional
questionnaire based study was conducted to assess the knowledge,
attitude and practice among doctors regarding integrated medicine. Two
hundred and seven out of 250 completed questionnaires were received
from various doctors from in and around Indian city Kolar and Bangalore.
Data were analyzed using descriptive statistics and chi-square test.
Results: A total of 82.8% participants responded to the questionnaire, of
which 69 were general practitioners and 138 were consultants from various
specialties. About 56.5% accessed the information regarding TM and had
better knowledge (47%) regarding integrated medicine compared to those
who didn’t (13%) (p<0.001). More than 57% opined that TM was cheap
and easily accessible, however, majority of participants believed MM to be
more popular (74.5%). The disadvantages reported of TM being minimum
training (63.7%), unqualifed traditional medicine practitioners (TMPs)
(63.7%), inappropriate dose calculation (52.1%), lack of scientifc evidence
(57%), toxicity (42%) and unreliable diagnostic techniques (74.3%). About
71.5% doctors took history about TM use from their patients and 85.9%
doctors treated them. Majority (77%) did not advise any TM. Though
81.6% had never collaborated with TMPs, 55.6% supported integration of
TM with MM and believed this integrated approach would have positive
impact on patients. Conclusion: Majority of modern medicine practitioners
were aware of traditional medicine. They believed that adequate scientifc
evidence and training of TMPs is required to accept and integrate TM with
MM which may help in better patient care.
Key words: Allopathic doctors, perception, integrated medicine
Correspondence:
Dr. Sarala Narayana
Department of Pharmacology, Sri Devaraj Urs
Medical College Sri Devaraj Urs Academy of
Higher Education and Research, Tamaka,
Kolar-563 101, Karnataka, India.
E-mail: n_sarala@rediffmail.com
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Website: www.jbclinpharm.org
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INTRODUCTION
Integrated medicine is a combination of conventional (Modern) and
alternative (Traditional) medicine (TM) which addresses the biological,
psychological, social and spiritual aspects of patient’s illness.
[1]
Traditional medications were developed by diferent philosophies with
diverse cultural background. Te utilization of TM is popular in rural
and urban areas because of its unique quality and afordability.
[2]
Te
treatment approach varies in diferent systems of medicine, however
all of them deal with human beings and aim at improving health. Te
World Health Organization (WHO) has recommended its member
states to promote and integrate TM into their National health care
system.
[3]
In the last few years, India has implemented integrated medicine with
the idea of providing optimum solution to growing health care crisis
at manageable cost.
[4]
Department of Ayurveda, Yoga, Naturopathy,
Siddha, Unani and Homeopathy (AYUSH), under the ministry of health
and family welfare proposed a new approach by integrating various
traditional practices of Ayurveda, Siddha, Unani and Homeopathy with
modern medicine to ensure health for all.
[5]
Te integrated approach to treat an aliment is not a new concept but its
position in India is still at infancy. Te success of this depends on the
practitioner’s opinion and attitude towards other health care systems.
All the practitioners should identify the values, beliefs, fundamentals,
strengths and weaknesses of all the systems. Studies have shown that
TM practitioner’s look for their counter parts of modern medicine to
get more information about the illness/disease, but the same may not be
with modern medicine practitioners.
[6,7]
Tis study was undertaken to
assess attitude and practice of modern medicine practitioners towards
integration of modern and traditional medicine using questionnaire.
MATERIALS AND METHODS
Tis was a cross sectional questionnaire based study, which was
conducted from June to August 2015 at Sri Devaraj Urs Medical College,
Tamaka, Kolar in Karnataka, India. Te study protocol was approved
by Institutional Ethics Committee (reference: DMC/KLR/UDOME/
IEC/10/2015-16). All the general practitioners, post graduate students
and consultants willing to participate in the study from hospitals in
and around Kolar and Bangalore were included afer obtaining written
informed consent. Te participants were briefed about the purpose
of the study and participant information sheet was provided. A
predesigned validated, questionnaire consisting of 24 questions (both
open and close ended) was used to assess the knowledge, attitude and
practice. Te questionnaire was validated for face and content validity
by faculty from various departments and a pilot study was conducted
among 10 consultants and their feedback from this pilot was used to
make further changes in the questionnaire. Survey reliability was
assessed using the Cronbach-alpha. Te principal investigator was
available to answer questions and clarifcation from the participant
while flling the questionnaire. Tese flled in questionnaires which
were used to assess reliability were not included in the fnal study.
Te questionnaire consisted of four parts. First part of the questionnaire
contained eight questions regarding participants’ demographic
information, qualifcation, specialization and assessing knowledge of
traditional medicine. Second part of questionnaire (nine questions) was
intended to collect opinion regarding advantages and disadvantages
of traditional medicines. Seven questions were included in the third
and fourth part of the questionnaire which assessed attitude towards
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Cite this article as: Basavareddy A, Lella M, Narayana S. Doctor’s perception
on integrated medicine: A survey. J Basic Clin Pharma 2017;8:62-65.