Most physicians pride themselves on their communication skills and ability to gather information from patients. But a 2022 study from the University of Michigan suggests they may not be as good at it as they thought—especially with older patients.

Use of and interest in integrative medicine strategies. University of Michigan Institute for Healthcare Policy & Innovation. July/August 2022.

 

However, only 18% have actually talked to their physician about which integrative medicine techniques they use.

 

An integrative medicine refresher

Also known as complementary and alternative medicine (CAM), integrative medicine helps people with a variety of conditions better manage symptoms and improve their quality of life.

Integrative medicine. Mayo Clinic. June 19, 2020.

Examples of integrated medicine include:

 

• Diet supplements

• Meditation

• Aromatherapy

• Massage

• Acupuncture

In many cases, patients use these forms of treatment for managing symptoms including digestive issues, insomnia, pain, or stress. Other people use CAM to help manage more chronic conditions, such as cancer, fibromyalgia, chronic fatigue, obesity, high blood pressure, diabetes, and depression and other mental health conditions.

Some treatments may even be inappropriate for certain patient populations.

 

Improving patient communication

Although 66% of the older adults in the University of Michigan study were already using some form of integrative medicine, an even larger percentage—87%—said they would be comfortable discussing ways to include it in their healthcare routines.

Types of complementary and alternative medicine. Johns Hopkins University. 2022.

 

Effective communication with patients goes well beyond merely communicating information and giving instructions.

Communicating with patients. MedlinePlus Medical Encyclopedia. Updated October 17, 2021.

Assessing the unique needs of individual patients is essential for understanding them as patients and meeting their needs. Physicians should be sure to assess each patient’s:

 

• Barriers to healthcare competency (physical and mental)

• Concerns about their condition

• Preferences and needs for their care

• Readiness to learn

Asking whether patients have specific concerns is more effective than simply asking if they have questions. Coupled with active listening, the answers clinicians receive help identify core beliefs that may influence motivation and compliance with treatment.

Patients will often readily tell physicians about their fears and worries. Using open-ended questions usually exposes misconceptions and other details, like the use of integrative medicine practices. This information should be noted in the patient’s health record.