Attitudes toward complementary and alternative medicine amongst oncology professionals in Brazil |
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| Affiliation: | 1. State University of Campinas (Unicamp), Brazil;2. Research Assistant at The University of New South Wales, Sydney, Australia;3. University of Technology Sydney, Australia;1. Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran;2. Department of Public Health, School of Public Health, Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran;3. Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;4. Student Research Committee, Department of Public Health, School of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran;1. Institute for Complementary and Integrative Medicine, University of Zurich, University Hospital Zurich, Zurich, Switzerland;2. Institute for Social Medicine, Epidemiology and Health Economics, Charité – Universitätsmedizin, Berlin, Germany;3. Center for Integrative Medicine, University of Maryland School of Medicine, Baltimore, MD, USA;4. Breast Cancer Unit, Champalimaud Cancer Center, Lisbon, Portugal;5. Mama Help Association – Support Centre for Breast Cancer Patients, Porto, Portugal;1. Department of Pharmacy Practice, Faculty of Pharmacy, Sri Ramachandra University, Porur, Chennai, India;2. Department of Pediatric Oncology, Sri Ramachandra Medical College, Sri Ramachandra University, Porur, Chennai, India;3. Faculty of Pharmacy, Sri Ramachandra University, Porur, Chennai, India;1. Department of Psychology, Faculty of Health, University of Debrecen, Hungary;2. Department of Nursing Science, Faculty of Health, University of Debrecen, Hungary;3. Department of Health Informatics, Faculty of Health, University of Debrecen, Hungary |
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| Abstract: | Complementary and alternative medicines (CAM) are popular amongst cancer patients in the Brazilian context, however little is known about oncology health professionals’ attitudes toward the role of CAM and their perspectives on the potential for integration into oncological care. In this study, drawing on a series of interviews with oncology professionals (i.e. doctors, nurses, nutritionists, pharmacologists and psychologists), we provide insight into their views on the rise, validity, and role of CAM in cancer care. The results reveal two key dynamics in relation to CAM in cancer care in Brazil. First, that doctors, nurses and other allied professionals hold considerably different views on the value and place of CAM, and in turn ascribe it varying levels of legitimacy potentially limiting integration. Second, that while some health professionals may articulate a degree of support for CAM, this is limited by perceptions of CAM as lacking efficacy and intruding on their respective jurisdictional claims. Further research is needed in the Brazilian context to explore patient and professional perspectives on experiences on CAM in cancer care, including how oncology professionals’ varying positions on CAM may influence what patients are prepared to use, or discuss, in the context of cancer care. |
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| Keywords: | CAM Cancer care Systematic thematic analysis Oncology professionals Brazilian National Health System |
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