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Biomedical subjects

Judith Shuval

Publications and source records attributed to Judith Shuval.

5 recordsLinked to original sources
PubMed2006

Nurses in alternative health care: integrating medical paradigms.

The article is concerned with nurses in Israel who incorporate alternative health care practices into their work, and considers strategies used by them to reconcile a variety of theoretical and practice traditions. The analysis utilizes boundary theory and focuses on the following boundaries: territorial, epistemological, authority, and social. In-depth narrative interviews were carried out in 2004 with 15 nurses who were working or recently worked in both biomedical and complementary and alternative medicine (CAM) settings. The findings show that nurses using CAM practices do not seek to change the epistemological and authority boundaries of biomedicine. Even so many believe that CAM methods should be included within the cognitive boundaries of biomedicine. They are not disturbed that most of these techniques have not passed the test of biomedical research criteria, though they feel blocked by physicians who keep the cognitive boundaries of biomedicine closed.

Adult↗
PubMed2006

Satisfaction with Family Physicians and Specialists and the use of Complementary and Alternative Medicine in Israel.

Higher utilization of complementary and alternative medicine (CAM) is commonly explained by dissatisfaction or disappointment with conventional medical treatment. To explore, at two points in time in Israel, the associations between six domains of satisfaction (attitude, length of visits, availability, information sharing, perceived quality of care and overall) with conventional family physicians' and specialists' services and the likelihood of consulting CAM providers. This is a secondary analysis of interviews, which were conducted with 2000 persons in 1993 and 2500 persons in 2000, representing the Israeli Jewish urban population aged 45-75 in those years. Bivariate and multivariate analyses were used in the investigation. In 1993, users of CAM were less satisfied than non-users with both family physicians' and specialists' care. Lower satisfaction with the attitude of, the amount of information sharing by and in general with family physicians, and with the length of visits and perceived quality of care of specialists were significantly associated with CAM use. In 2000, lower satisfaction with specialists' attitude, length of visits, availability and in general was significantly related to the use of CAM. Lower satisfaction with family physicians and specialists is significantly associated with consulting CAM providers. However, with CAM becoming a mainstream medical care specialty in its own, lower satisfaction with conventional medicine specialists becomes the most important factor.

Journal Article↗
PubMed2005

Complementary and alternative medicine: Beyond users and nonusers.

BACKGROUND: Studies of complementary and alternative medicine (CAM) commonly distinguish between "users" and "nonusers". OBJECTIVES: To examine the group of "users" of CAM practitioners' services, and to characterize its heterogeneity in relation to the conventional medicine system. DESIGN: The heterogeneity of CAM users was examined with respect to three variables: user-type-CAM only or both CAM and conventional therapies, provider-type-CAM provider is a medical doctor or not, and referral-type-by a physician or self-referral. METHODS: The data are drawn from two health surveys conducted among 4500 persons representing the Israeli Jewish urban population aged 45-75 in 1993 and in 2000. RESULTS: Multivariate analyses confirm the heterogeneity of CAM users, and indicate that the variation within "users" is often larger than the variation between "users" and "nonusers". CONCLUSIONS: For a better understanding of consumers' behavior with respect to CAM use, one must go beyond the classical classification of "users" versus "nonusers". The present analysis offers three additional dimensions-user-type, provider-type, and referral-type.

Aged↗
PubMed2004

Use of complementary and alternative medicine in Israel: 2000 vs. 1993.

BACKGROUND: Complementary and alternative medical care has gained increasing popularity in western societies in recent years. OBJECTIVES: To provide a cross-sectional and temporal (2000 vs. 1993) analysis of the use of complementary and alternative medicine in Israel. METHODS: The subjects studied represented the Israeli Jewish urban population aged 45-75 years. Full sit-down interviews were conducted with 2,003 respondents in 1993 and 2,505 respondents in 2000. RESULTS: For 1993, 6% of the population reported on consultations with CAM providers during the previous year. For 2000, that proportion increased to 10%. Being a woman, having higher education, enjoying better economic status, being younger, living in a big city, and being dissatisfied with specialists' care were all positively related to the use of non-conventional medicine, particularly in 2000. In both years, more than 50% of the consultations were with acupuncturists and homeopaths. However, chiropractors have doubled their market shares, and lower back pain became the leading problem for which care was sought. The main reason for consulting CAM was a reluctance to use too many drugs or to undergo an invasive procedure. However, a significant proportion of the users continue to use conventional medicine concurrently. Seventy-five percent in 2000 and 60% in 1993 reported that the treatment helped. CONCLUSIONS: Between 1993 and 2000, CAM in Israel changed from an infant industry into a mainstream medical commodity, reflected in both prevalence and different patterns of consumption.

Age Factors↗