与医生和替代医疗服务提供者的同时咨询：一项基于人群的研究结果
Concurrent consultations with physicians and providers of alternative care: results from a population-based study.
作者信息
Muhajarine N, Neudorf C, Martin K
机构信息
Department of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, 107 Wiggins Road, Saskatoon, SK S7N 5E5.
出版信息
Can J Public Health. 2000 Nov-Dec;91(6):449-53. doi: 10.1007/BF03404827.
OBJECTIVE
We examined the factors related to consultations with both physicians and alternative practitioners, compared with visits to physicians only.
METHODS
A telephone survey (random-digit dialling) collected information from 818 adults living in and around Saskatoon. Respondents reported consultations with alternative practitioners and physicians in the previous 12 months.
RESULTS
Approximately one in five respondents had consulted both a physician and an alternative practitioner. Among respondents under 65 years of age, having one or more chronic medical conditions significantly increased the likelihood of concurrent use of care. Men, individuals suffering from back pain or migraines, those reporting an elevation level of distress, and those for whom spiritual values were important were also more likely to use both types of care.
INTERPRETATION
Consultations with alternative care providers occur as an adjunct to, rather than a replacement of visits to physicians. Particular types of medical conditions as well as psychosocial and spiritual factors are determinants of concurrent use of physicians and alternative practitioners.
目的
我们研究了与同时咨询医生和替代疗法从业者相关的因素，并与仅看医生的情况进行了比较。
方法
通过电话调查（随机数字拨号）收集了居住在萨斯卡通及其周边地区的818名成年人的信息。受访者报告了过去12个月内与替代疗法从业者和医生的咨询情况。
结果
约五分之一的受访者同时咨询过医生和替代疗法从业者。在65岁以下的受访者中，患有一种或多种慢性疾病显著增加了同时使用两种疗法的可能性。男性、患有背痛或偏头痛的人、报告苦恼程度较高的人以及认为精神价值很重要的人也更有可能同时使用两种疗法。
解读
咨询替代疗法提供者是作为看医生的补充，而非替代。特定类型的疾病以及心理社会和精神因素是同时使用医生和替代疗法从业者的决定因素。
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