Variations in Lay Health Theories: Implications for Consumer Health Care Decision Making

2008 ◽  
Vol 18 (12) ◽  
pp. 1687-1703 ◽  
Author(s):  
Renée Shaw Hughner ◽  
Susan Schultz Kleine

Wide variations in how contemporary consumers think about health and make health care decisions often go unrecognized by health care marketers and public policy decision makers. In the current global environment, prevailing Western viewpoints on health and conventional biomedicine are being challenged by a countervailing belief system forming the basis for alternative health care practices. The ways American consumers once thought about health have changed and multiplied in this new era of competing health paradigms. Our study provides empirical evidence for this assertion in two ways. First, it demonstrates that in the current environment consumers think about health and health care in a multiplicity of very different ways, leading to the conclusion that we should not classify health care consumers as either conventional or alternative. Second, the results provide clues as to how individuals holding diverse health theories make health care decisions that impact health behaviors, treatment efficacy, and satisfaction judgments.

2005 ◽  
Vol 10 (2) ◽  
pp. 133-146 ◽  
Author(s):  
Jean N. Groft ◽  
Ruth Grant Kalischuk

Informed by a philosophy that embraces wholeness and balance of body-mind-spirit, the authors each led a 13-week university course in which undergraduate students explored the history and practice of alternative and complementary healing modalities. Students submitted weekly journals chronicling their responses to and understanding of the course material. The journals were examined to gain an understanding of students’ experiences related to all aspects of the course content and process. Thematic analysis revealed a major concept (searching and re-searching) as well as five subconcepts (engaging, opening, hesitating, understanding, and knowing) that represented the iterative process of interacting with and reflecting on the learning of often unfamiliar approaches to healing. Of significant interest was the tremendous personal growth identified by students. Nursing students were also able to recognize the utility of their new awareness and knowledge within the context of nursing care delivery, acknowledging the role of alternative and complementary therapies and treatments in the choices made and care accepted by their clients. Implications of the findings for nursing education include the need to expose students to such information and experiences for improved professional nursing practice and health care in general.


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