2004, Number 2
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Rev Med Inst Mex Seguro Soc 2004; 42 (2)
Acceptance of Phytopharmaceuticals by Physicians and Patients in Primary-Care Clinics
Romero CO, Reyes MH, Herrera AA, Lozoya LX, Tortoriello J
Language: Spanish
References: 11
Page: 125-130
PDF size: 66.30 Kb.
ABSTRACT
Objective: our objective was to evaluate accept-ance of phytopharmaceuticals in physicians and patients at primary medical care level at the Instituto Mexicano del Seguro Social (IMSS) in Mexico.
Material and methods: we conducted a transversal, observational, and comparative study. A question-naire was applied to physicians and patients.
Results: we found that of a total of 106 physicians, 74.5 % knew of the phytopharmaceuticals and 41.5 % had already prescribed these kind of drugs. The majority (72.7 %) prescribed phytopharma-ceuticals occasionally and 27.3 %, frequently. Of the 400 patients included in this study, 42.7 % received phytopharmaceuticals, 83.7 % responded that they agree to be treated with these type of drugs if the disease was not serious, and 61.2 % accepted this treatment for serious diseases. If the patient could select the type of drug to be used for his treatment, 45.5 % would prefer use of phytopharmaceuticals. Analysis of results showed 68.8% acceptance among physicians and 44.5 % among patients.
Conclusions: despite scarce information available with regard to phytopharmaceuticals, we demon-strated significant acceptance of these products among physicians and patients. This highlighted the importance of promoting activities of education, research, and development of these products.
REFERENCES
1. Lozoya X. Some historical remarks on the deve-lopment of neurophytopharmaceuticals. En: Lozoya X, Gómez E, Brunner M, editors. Neuro-phytopharmaceuticals. México: IMSS-Farmasa Schwabe; 1998. p. 3-18.
2. Gupta M. La industria de fitofármacos en Latino-américa. En: Lozoya X, Gómez E, editores. Fitofár-macos. IMSS-Farmasa Schwabe, México: 1997. p. 19-70.
3. García-González M, Cáceres A. Legislación en Iberoamérica sobre fitofármacos y productos naturales. Primera edición. Costa Rica: Editorial de la Universidad de Costa Rica; 2000.
4. Farnsworth NR, Soejarto DD. Potential conse-quence of plant extinction. The United States on the current and future availability of prescription drugs. Economic Botany 1985;231-240.
5. Lawn SK, Lemeshow S. Sample size determination in health studies. Geneva: World Health Organi-zation; 1991. p. 25.
6. Taddei-Bringas GA, Santillana-Macedo MA, Romero-Cancio JA, Romero-Téllez MB. Acepta-ción y uso de la herbolaria en medicina familiar. Salud Publica Mex 1999;41:216-219.
7. Ni H, Simile C, Hardy AM. Utilization of com-plementary and alternative medicine by United States adults: results from the 1999 national health interview survey. Medical Care 2002;40:353-358.
8. Unützer J, Klap R, Sturm R, Young AS, Marmon T, Shatkin J, Wells KB. Mental disorders and the use of alternative medicine: results from a national survey. Am J Psychiatry 2000;157:1851-1857.
9. Freivogel KW, Gerhard I. Komplementarmedizi-nische therapien und patientenzufriedenheit; eine befragungsstudie. Forsch Komplementarmed Klass Naturheilkd 2001;8:137-142.
Wagner PJ, Jester D, LeClair B, Taylor AT, Woodward L, Lambert J. Taking the edge off: why patients choose St. John’s Wort. J Fam Pract 1999; 48:615-619.
Rivera JO, Ortiz M, Lawson ME, Verma KM. Evaluation of the use of complementary and alternative medicine in the largest United States- Mexico border city. Pharmacotherapy 2002;22:256-264.