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Roads Less Traveled: Finding a Path to Using Complementary and Alternative Medicine

机译：人迹罕至的道路：寻找使用补充和替代医学的途径

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摘要

An increasing number of health seekers in the United States are looking outside conventional medicine to address their health needs. It is estimated that in the United States, 38% of adults use complementary and alternative medicine (CAM). Extant research characterizes CAM users as a unified homogeneous group, with little understanding of the differences among them in terms of attitudes toward body, wellness, disease, and pivotal aspects of their personal histories. In this article, we seek to better understand the nuances of who uses CAM and why, using the following questions: How do people communicate their life stories that explain their decision to use CAM? How do the life stories enable us to understand the similarities and differences among CAM users? Based on analysis of the narratives of 18 individuals, three clusters or types of CAM users emerged: natives, immigrants, and tourists. In an effort to push our analysis further, we theorized three dimensions that help to explain CAM users' objectives, motives, and resultant sense of empowerment. Together, these dimensions comprise The Pathfinder Model of CAM Usage. The Pathfinder Model can be useful to clarify self-understanding among CAM users themselves, as well as for conventional and alternative practitioners, as they establish a working relationship and communicate with their patients during medical encounters. Understanding the path of the health seeker can help influence the quality of the relationship and the communicative strategies providers use to educate and influence.
机译：在美国，越来越多的寻求健康的人们正在寻找常规医学以外的方法来满足他们的健康需求。据估计，在美国，有38％的成年人使用补充和替代医学（CAM）。现有的研究将CAM用户定性为一个统一的同质群体，对他们在身体，健康，疾病和个人历史的关键方面的态度方面的了解很少。在本文中，我们试图通过以下问题来更好地了解谁使用CAM的细微差别以及为什么使用它：人们如何交流生活故事来解释使用CAM的决定？生活经历如何使我们了解CAM用户之间的异同？在对18个人的叙述进行分析的基础上，出现了三种类型或类型的CAM用户：本地人，移民和游客。为了进一步推动我们的分析，我们对三个维度进行了理论分析，这三个维度有助于解释CAM用户的目标，动机以及由此产生的授权感。这些维度共同构成了CAM使用的探路者模型。探路者模型对于阐明CAM用户自身以及传统从业人员和替代从业人员的理解很有用，因为他们可以建立工作关系并在医疗过程中与患者进行沟通。了解健康寻求者的路径可以帮助影响关系的质量以及提供者用于教育和影响的沟通策略。

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