Friday, 11 September 2015

Use of complementary and alternative medicine within Norwegian hospitals


R Jacobsen, V. M. Fønnebø, N. Foss and A. E. Kristoffersen*
The National Research Center in Complementary and Alternative Medicine (NAFKAM), Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
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BMC Complementary and Alternative Medicine 2015, 15:275  doi:10.1186/s12906-015-0782-5
The electronic version of this article is the complete one and can be found online at: http://www.biomedcentral.com/1472-6882/15/275

Received:24 April 2015
Accepted:16 July 2015
Published:13 August 2015
© 2015 Jacobsen et al.

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Abstract

Background

Over the recent decades complementary and alternative medicine (CAM) use within and outside of the public health care system in Norway has increased. The aim of this study is to describe to what extent CAM is offered in Norwegian hospitals in 2013 and investigate possible changes since 2008.

Methods

In January 2013 a one-page questionnaire was sent to the medical director of all included hospitals (n = 80). He/she was asked to report whether or not one or more specific CAM therapies were offered in the hospital. Fifty-nine (73.8 %) hospitals responded and form the basis for the analyses.

Results

CAM was offered in 64.4 % of the responding hospitals. No major differences were found between public and private, or between somatic and psychiatric, hospitals. Acupuncture was the most frequent CAM method offered, followed by art- and expression therapy and massage.
The proportion of hospitals offering CAM has increased from 50.5 % in 2008 to 64.4 % in 2013 (p = 0.089). The largest increase was found in psychiatric hospitals where 76.5 % of hospitals offered CAM in 2013 compared to 28.6 % in 2008 (p = 0.003). A small decrease was found in the proportion of hospitals offering acupuncture between 2008 (41.4 %) and 2013 (37.3 %).

Conclusions

A majority of Norwegian hospitals offer some sort of CAM. The largest increase since 2008 was found in psychiatric hospitals. Psychiatric hospitals seem to have established a practice of offering CAM to their patients similar to the practice in somatic hospitals. This could indicate a shift in the attitude with regard to CAM in psychiatric hospitals.
Keywords:
CAM; Hospitals; Norway; Trends; Complementary therapies; Alternative medicine