December 2012

Document Type


Degree Name



Dept. of Public Health and Preventive Medicine


Oregon Health & Science University


Background: Nearly forty percent of Americans use some form of complementary and alternative medicine (CAM). A large proportion of CAM users do not disclose their use to their primary care physician, and many allopathic physicians do not ask their patients about CAM use. Lack of open dialogue about CAM leaves physicians uninformed about the health behaviors and practices of their patients, compromising the quality of care provided. Physicians’ orientation toward CAM may influence their level of engagement in open dialogue about alternative health practices with their patients. Purpose: The purpose of this study was to develop and assess the validity of a conceptually driven measure of CAM orientation using survey data collected from 795 allopathic providers across the United States. Methods: Structural equation modeling was used to examine possible factor structures of a measure of CAM orientation using existing survey items. Correlations between CAM orientation and measures of cultura




School of Medicine



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