Titre :
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Mind the gap : Disclosure of dietary supplement use to hospital and family physicians (2017)
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Auteurs :
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BEN-AYRE E.
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Type de document :
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Article : texte imprimé
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Dans :
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Patient Education and Counseling (Vol. 100 n° 1, Janvier 2017)
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Article en page(s) :
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pp.98-103
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Note générale :
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biblio.
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Langues:
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Anglais
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Catégories :
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PATIENT
MEDECINE ALTERNATIVE
COMMUNICATION
HOPITAL
SOINS DE SANTE PRIMAIRES
MEDICAMENT
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Mots-clés:
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COMMUNICATION
;
HOPITAL
;
SOINS DE SANTE PRIMAIRES
;
MEDICAMENT
;
MEDECINE ALTERNATIVE
;
PATIENT
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Résumé :
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ObjectiveWe aim to compare patients’ perspectives on communication with their hospital physicians (HPs) and primary care physicians (PCPs) on patients' dietary and herbal supplements (DHS) use.MethodsWe conducted a cross-sectional prospective study among in-patients using structured questionnaires on DHS use. Multivariate logistic regression models assessed variables influencing doctor-related reasons for patients' nondisclosure of supplement use.ResultsOf 452 DHS users identified, 133 (29.4%) used herbs and 319 (70.6%) used non-herbal supplements. DHS users reported that PCPs were more aware of DHS consumption than HPs (70.1% vs. 34.1%, P < 0.0001). PCPs initiative to detect supplement use was higher compared with HPs (P < 0.0001). Doctor-related reasons for non-disclosure of DHS use were more prominent in a hospital setting. Multivariate logistic regression model suggested association between older patient age and doctor-related non-disclosure (p = 0.03). DHS use was recorded in only 33 patients medical files.ConclusionsDoctor-patient communication concerning DHS use is significantly poorer during hospitalization compared with primary-care settings. A significant barrier for in-hospital disclosure is doctor-related.Practice implicationsContinuity of care between community and hospital physicians regarding patients' DHS use should be improved due to the safety implications of such use. Educating physicians on DHS and improving communication could bridge this gap.
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Note de contenu :
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SCIENTIFIQUE
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