Evidence map›Paper›PMID 32615961›Full record

ArticleBMC complementary medicine and therapies2020

Patients' and clinicians' expectations on integrative medicine Services for Diabetes: a focus group study.

Kam Wa Chan, Pak Wing Lee, Crystal Pui Sha Leung, Gary Chi Wang Chan, Wai Han Yiu, Hoi Man Cheung, Bin Li, Sarah Wing Yan Lok, Hongyu Li, Rui Xue and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMC complementary medicine and therapies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 2 countries.

Kam Wa ChanDivision of Nephrology, Department of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR.
Pak Wing LeeDivision of Nephrology, Department of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR.
Crystal Pui Sha LeungDepartment of Family Medicine and Primary Healthcare, Hong Kong East Cluster, Hospital Authority, Hong Kong, Hong Kong SAR.
Gary Chi Wang ChanDivision of Nephrology, Department of Medicine, Queen Mary Hospital, Hong Kong, Hong Kong SAR.
Wai Han YiuDivision of Nephrology, Department of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR.
Hoi Man CheungDivision of Nephrology, Department of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR.
Bin LiDivision of Nephrology, Department of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR.
Sarah Wing Yan LokDivision of Nephrology, Department of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR.
Hongyu LiDivision of Nephrology, Department of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR.
Rui XueDivision of Nephrology, Department of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR.
Loretta Yuk Yee ChanDivision of Nephrology, Department of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR.
Joseph Chi Kam LeungDivision of Nephrology, Department of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR.
Tai Pong LamDepartment of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong, Hong Kong SAR.
Kar Neng LaiDivision of Nephrology, Department of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR.
Sydney Chi Wai TangDivision of Nephrology, Department of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR. scwtang@hku.hk.
University of Hong Kong · HKHospital Authority · CNQueen Mary Hospital · CN

Funding

Health and Medical Research Fund 12133341, 14151731
6 · The paper itself

Abstract

backgroundDifference of perspective between patients and physicians over integrative medicine (IM) research and service provision remains unclear despite significant use worldwide. We observed an exceptionally low utilisation of IM and potential underreporting in diabetes. We aimed to explore the barriers and recommendations regarding service delivery and research of IM service among diabetes patients and physicians.

methodsA 10-group, 50-participant semi-structured focus group interview series was conducted. Twenty-one patients with diverse severity of disease, comorbidities and education levels; and 29 physicians (14 conventional medicine (ConM) and 15 Chinese medicine (CM)) with diverse clinical experience, academic background and affiliation were purposively sampled from private and public clinics. Their perspectives were qualitatively analysed by constant comparative method.

resultsSeven subthemes regarding barriers towards IM service were identified including finance, service access, advice from medical professionals, uncertainty of service quality, uncertainty of CM effect, difficulty in understanding CM epistemology and access to medical records. Patients underreported the use of CM due to the concern over neutrality of medical advice among physicians. Inconvenience of service access, frequent follow-up, use of decoction and long-term financial burden were identified as key obstacles among patients. Regarding research design, ConM physicians emphasised standardisation and reproducibility while CM physicians emphasised personalisation. Some CM-related outcome measurements were suggested as non-communicable. Both physicians acknowledged the discordance in epistemology should be addressed by pragmatic approach.

conclusionKey obstacles of CAM clinical utilisation are different between patients. Further assessment on IM should be pragmatic to balance between standardisation, reproducibility and real-world practice. Evidence-based IM programs and research should merge with existing infrastructure.

Indexed as

Attitude of Health PersonnelAttitude to HealthIntegrative MedicineAdultDiabetes MellitusFemaleFocus GroupsHumansMaleMiddle AgedDiabetesExpectationGeneral practiceIntegrative medicineInternal medicineQualitative

Identifiers

PMID32615961
PMCPMC7331247
OpenAlexW3038199281

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.