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Table 2 Attitudes and Practice Experiences With Herbal and Natural Products

From: Evaluating the value of a web-based natural medicine clinical decision tool at an academic medical center

  Gender Specialty Degree Training Years in Practice Rank
  M (%) F (%) Ped (%) Int Med (%) FCM (%) MD, DO (%) NP, PA (%) In USA (%) Out of USA (%) In residency/fellowship or < 5 years post-training (%) 5-15 years (%) > 15 years (%) Resident (%) Board Certified/Eligible (%)
Practitioner knowledge of H/NP leads to better patient outcomes 55 79† 70 59 75 64 80 67 67 75 67 58 72 62
Practitioners should have knowledge or accessibility to information about common H/NP 86 98 100 82* 100 92 93 93 83 97 100 81* 100 90
Some herbal products hold promise for treatment of medical conditions 71 79 90 64 79 74 80 79 50 75 96 58 ξ 79 74
Patient counseling about H/NP is the practitioner's responsibility 39 61 φ 65 31 ψ 64 46 67 51 42 44 50 55 50 47
H/NP rarely cause side effects 81 51* 50 74 68 73 33 ξ 63 91 56 58 83 φ 57 75
H/NP rarely interact with prescription drugs 67 47 45 63 56 63 27† 54 73 47 50 72 36 68
Would like to learn more about H/NP 72 91 φ 85 74 89 77 100 83 73 91 88 67†† 93 74
Would feel more confident discussing H/NP with formal training 81 91 90 82 89 85 93 88 73 94 92 73†† 93 82
Would feel more confident discussing H/NP with access to a database that contained product monographs 93 95 95 95 93 93 100 96 82 94 100 90 85 95
It is easy for me to find reliable information about H/NP 37 19 30 13* 46 29 20 29 18 25 17 40 21 32
Would absolutely use an evidence-based tool to evaluate H/NP if one was available 50 76 ** 79 59 57 59 80 62 67 55 75 61 54 60
Always ask patients about H/NP when taking a drug history 11 35* 25 23 21 21 33 23 25 13 38 23 14 21
When my patients and I discuss H/NP, I usually initiate the conversation 36 37 35 41 32 35 47 41 8† 25 42 45 14 40
Often recommend H/NP to friends or relatives 2 16 21 3 11 9 13 9 8 6 9 13 7 9
Have personally used an H/NP within the past month 30 28 40 23 29 28 33 29 25 31 21 32 36 24
  1. Provider attitudes and practice experiences with herbal and natural products vary with gender, specialty, degree, country of training, years in practice, and rank achieved. * p = 0.01; † p = 0.02; **p = 0.03; ††p = 0.04; φ p = 0.05; ξ p = 0.006; ψ p = 0.007