General practitioners and classical homeopaths treatment models for asthma and allergy
Received19 May 2004
revised02 August 2004
accepted02 November 2004
13 December 2017 (online)
Complementary and alternative treatment (CAT) is increasingly popular with patients and health-care providers. In the western societies an increasing number of patients with asthma and allergy combine conventional and CAT. But health-care providers knowledge about the different treatment models applied within the conventional health care system and alternative treatment is generally poor. ‘Treatment model’ includes understanding of disease, diagnostic approach, treatment methods and expected effects of treatment. Different treatment models represent different social constructions of understanding. We present a conceptualization of general practitioners’ (GPs) and classic homeopaths’ (CHs) perceptions of their treatment models in patients with asthma and allergy. This is a first phase of a research project conducted in Denmark to study prerequisites for bridge building between conventional and alternative therapists.
The research questions were: How do the GPs and the CHs describe their treatment models for asthma and allergy? What are the differences and similarities between the treatment models? Is there a logical connection between the components of the GPs and CHs treatment models?
Six GPs and 11 CHs participated in semi-structured interviews. The main difference is in the GPs and CHs descriptions of the purpose of treatment. Similarities are found in the perception of a successful treatment. Both the GPs and the CHs experience treatment effects to be dependent on contextual conditions. Differences and similarities between treatment models are discussed in relation to potential bridge building between conventional and alternative health care.
- 1 Launsø L. Brugen af alternative behandlere. (The use of alternative therapists.). Nor disk Med 1981; 96: 177-180.
- 2 Launsø L. Integrated medicine in practice—a challenge to the health care system. Acta Sociol 1989; 32 (03) 237-251.
- 3 Eisenberg D.M, Kessler R.C, Foster C. et al. Unconventional medicine in the United States; prevalence, costs and patterns of use. N Engl J Med 1993; 328: 246-252.
- 4 Fisher P, Ward A. Complementary medicine in Europe. BMJ 1994; 309: 107-111.
- 5 Launsø L. People choose alternative therapies! consequences for future pharmacy practice. J Social Admin Pharm 1995; 12 (01) 43-52.
- 6 Launsø L. Det alternative behandlingsområde. Brug og udvikling; rationalitet og paradigmer. (The Field of Alternative Treatment. Use and Development; Rationality and Paradigms.) København: Akademisk Forlag, 1996.
- 7 MacLennan A.H, Wilson D.H, Taylor A.W. Prevalence and cost of alternative medicine in Australia. Lancet 1996; 347: 569-573.
- 8 Eisenberg D.M, Davis R.B, Ettner S.L. et al. Trends in alternative medicine use in the United States, 1990–1997. results of a follow-up national survey. JAMA 1998; 280: 1569-1600.
- 9 Norges offentlige utredninger. Alternativ medisin. (Alternative Medicine.) NOU 1998: 21. Oslo: Statens Forvaltningstjeneste, Seksjon statens trykning, 1998.
- 10 Launs L. The use ofalternative treatments in Denmark. patterns of use and patients’ experience with treatment effects. Altern Ther Health Med 2000; 2000: 102-107.
- 11 Salomonsen L.J, Grimsgaard S, Fønnebø V. Bruk av alternativmedicinsk behandling ved norske sykehus. (Use of alternative treatment in Norwegian hospitals.). Tidsskr Nor Lægeforen 2003; 123: 631-633.
- 12 Hanssen B, Grimsgaard S, Launsø L, Fønnebø V, Falkenberg T, Rasmussen NKr. Use of complementary and alternative medicine in the Scandinavian countries (revised and submitted December 2004 to Scandinavian Journal of Primary Health Care).
- 13 Thomas K.J, Nicholl J.P, Coleman P. Use and expenditure on complementary medicine in England. a population based survey. Complement Ther Med 2001; 9: 2-11.
- 14 National Institute of Allergy and Infectious Disease. Report of the Expert Panel on the Extramural Asthma and Allergy Research Program. USA. 2000. http://www.niaid.nih.gov/dait/aarp.html (visited 21.10.2004)
- 15 Blands J. Astmaforekomst i Danmark–hvor står vi–og hvordan kommer vi videre. (Asthma in Denmark–Status and How to Progress.) Københavns Universitet: Institut for Folkesundhedsvidenskab, 2002.
- 16 Kjøller M, Rasmussen NK. Sundhed & Sygelighed i Danmark & udviklingen siden 1987. (Health and Morbidity in Denmark & the Development Since 1987.) København: Statens Institut for Folkesundhed, 2002.
- 17 Mossing R, Nielsen GD. De samfundsøkonomiske omkostninger ved astma i Danmark i 2000. (Cost-of-illness of asthma in Denmark in the year 2000.) Ugeskrift for Læger 2003; 23 (26).
- 18 Herborg H, et al. Lægemidler i astmabehandlingen (Drugs used in asthma treatment). In: Launsø L, Sørensen EW (red.). Lægemidler og lægemiddelanvendelse (Drugs and Drug Usage.) København: Akademisk Forlag, 1996.
- 19 Ernst E. Complementary therapies for asthma. what patients use. J Asthma 1998; 35 (08) 667-671.
- 20 Schafer T, Riehle A, Wichmann H.E, Ring J. Alternative medicine in allergies—prevalence, patterns of use, and costs. Allergy 2002; 57 (08) 694-700.
- 21 Steinsbekk A, Fønnebø V. Users of homeopathy in Norway in 1998, compared to previous users and GP patients. Homeopathy 2003; 92: 3-10.
- 22 Becker-Witt C, Ludtke R, Weisshuhn T.E, Willich S.N. Diagnoses and treatment in homeopathic medical practice. Forsch Komp Klass Nat 2004; 11 (02) 98-103.
- 23 Kvale S. Interviews. Introduction to Qualitative Research Interviewing. USA: Sage; 1996
- 24 Creswell J.W. Qualitative Inquiry and Research Design. Choosing Among Five Traditions. Thousand Oaks: Sage; 1998
- 25 Launsø L, Rieper O. Forskning om og med mennekser. (Research on and Together with Human Beings.) København: Nyt Nordisk Forlag, 2000.
- 26 Patton M.Q. Qualitative Research and Evaluation Methods. Thousand Oaks: Sage; 2002
- 27 Bryman A, Cramer D. Qualitative Data Analysis for Social Scientists. London: Routledge; 1990
- 28 Denzin N.K, Lincoln Y.S. Handbook of Qualitative Research. California: Sage; 1994
- 29 Miles M.B, Huberman A.M. Qualitative Data Analysis. Thousand Oaks: Sage; 1994
- 30 Gannik DE. Situationel sygdom. Fragmenter til en social sygdomsteori baseret på en undersøgelse af ryglidelser. (Situational Disease. Fragments of a Social Disease Theory based on an Investigation of Back Disorders.) København: Samfundslitteratur, 1999.
- 31 Fairclough N. Discourse and Social Change. Cambridge: Polity Press; 1992
- 32 Engeström Y. Learning by Expanding. an Activity-Theoretical Approach to Developmental Research. Helsinki: Orienta-kunsultit; 1987
- 33 Morsing M. Conflicts as the driving force in project organizations. In: Morsing M, Eiberg K (eds). Managing the Unmanageable for a Decade. Hellerup: Oticon, 1998.