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Development of trust between conventional and CAM practitioners: Insights from physicians and osteopaths in Quebec

Journal: Journal of Complementary and Integrative Medicine Date: 2016/10, 13(4):Pages: eA9-eA10. doi: Subito , type of study: qualitative study

Free full text   (https://www.degruyter.com/document/doi/10.1515/jcim-2016-0102/html)

Keywords:

Canada [20]
collaboration [13]
osteopaths [140]
pediatrics [387]
physicians [277]
qualitative study [213]

Abstract:

Background: To achieve successful interprofessional collaboration, health professionals need trust one other’s competencies and understand one other’s values. In Quebec, increasing numbers of parents are seeking paediatric osteopathic care in addition to conventional medical care. Objectives: This study explored enablers and barriers to the development of trusting relationships between osteopaths and physicians. Methods: Semi-structured individual interviews with 10 physicians and 11 osteopaths involved in paediatric practice were carried out. Participants were selected using a purposeful sampling method among respondents to a survey on collaborative practice. Thematic analysis was performed. Results: The strongest enabler of early development of trust between osteopaths and physicians was positive clinical results reported by parents. Successes fostered trust in one other’s competencies and openness for future referrals. The chief barrier to development of trust was misunderstandings arising from discrepancies in discipline-related language. Further enablers included former training of the osteopath as an allied health practitioner, paediatric experience, respect of professional boundaries, and perceived safety of osteopathic interventions. Additional barriers were the lack of osteopathic educational standards and regulation, uncertainty regarding one other’s roles, and paucity of interprofessional interactions and networking opportunities. Conclusion: Both physicians and osteopaths relied primarily on patient clinical results and feedback to build professional trust between one another. Outreach is challenging for osteopaths when exchanging information with physicians. With regulation of osteopathy pending in Quebec, gaps remain between current practices and key requirements to develop trust successfully, such as professional contact, information about one other’s roles, and effective communication skills.


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