Abstract

BackgroundSatisfaction with medical doctor (MD) has been studied as a possible motivation for trying complementary medicine. This study aimed to explore the relationship between Korean outpatients’ satisfaction with their MDs and their use of traditional Korean medicine (KM).MethodsData were drawn from the 2011 annual Korea Health Panel, a national representative sample. We analyzed the relationship between outpatients’ use of KM and outpatients’ satisfaction with MDs by using the responses of 9,753 outpatients, including 1,946 KM outpatients. The Andersen behavior model was applied to select the variables. The validity and reliability of the questionnaires were tested by Factor Analysis and Cronbach’s alpha. Multiple logistic regression was used to evaluate five MD satisfaction indicators (patient’s trust in MD, MD’s careful listening, MD’s sufficient explanation, MD’s consultation time, and MD’s respect for patient) and the overall satisfaction with the MD.ResultsThere was no significant difference between the MD satisfaction of KM users and that of nonusers in any of the 5 indicators of MD satisfaction. When we controlled for all independent variables from the Anderson behavior model, however, the patients’ overall dissatisfaction with MDs was associated with their use of KM (OR = 0.87,0.76–0.99). In addition, the more a patient was dissatisfied with the consultation time of their MD, the more they used KM (OR = 0.82, 072–0.94).ConclusionsPatients who were dissatisfied with their MD were more likely to use KM; the main indicator affecting MD dissatisfaction was the relatively short time of MD consultations. This could be one reason why KM plays a complementary role with conventional medicine in Korea.

Highlights

  • Satisfaction with medical doctor (MD) has been studied as a possible motivation for trying complementary medicine

  • Among many aspects of health beliefs, we focused on satisfaction with MDs, which has been studied as a possible motivation for trying complementary and alternative medicine (CAM) [6]

  • Among the various CAM modalities, we focused on traditional Korean medicine (KM), which is a representative modality of CAM in Korea and has a competing relationship with western medicine (WM) in some areas [12, 13]

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Summary

Introduction

Satisfaction with medical doctor (MD) has been studied as a possible motivation for trying complementary medicine. Interest in and use of complementary and alternative medicine (CAM) has increased worldwide [1,2,3,4]. With this heightened social interest, many studies have been conducted to determine who uses CAM, why they use it and how. Among many aspects of health beliefs, we focused on satisfaction with MDs, which has been studied as a possible motivation for trying CAM [6]. Previous studies have had limitations, such as not adjusting for the patient’s disease

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