The Needs of Patients with Cancer Interested in Complementary and Alternative Medicine with Respect to the Physician's Attitude and Behaviour.

Abstract

Many cancer patients use complementary and alternative medicine (CAM), often seeking a more holistic approach. This study explored whether patients have different communication expectations for oncologists and any professional provider of CAM. Patients attending CAM consultations at an integrative counseling unit of a German university hospital completed a standardized questionnaire. Most reported significant limitations in daily life due to cancer. Common motivations for CAM use included reducing side effects and supporting conventional treatment. Overall, patients expressed similar expectations for both oncologists and CAM providers regarding physician attitude, consultation behavior, and preferred topics. Respectful and honest behavior during medical consultations was most valued. Despite differing therapeutic goals between CAM and conventional medicine, patients did not differentiate in their communication needs. They valued honesty, trustworthiness, time for questions, and a clear treatment plan-regardless the provider's medical background. These findings suggest that cancer survivors seek concrete, evidence-based dialogue and consistent interpersonal qualities across disciplines. Communication preferences appear shaped more by interaction quality than by medical system. Patients want to feel heard, respected, and informed, whether consulting a conventional oncologist or a CAM provider. This underscores the importance of unified communication standards in oncology care and highlights shared expectations patients hold across treatment approaches.