Chou P
Community Medicine Research Center, National Yang-Ming University, Taipei, Taiwan, R.O.C.
Zhonghua Yi Xue Za Zhi (Taipei). 2001 Apr;64(4):191-202.
Complementary and alternative medicine use is increasing worldwide. Expenses for complementary and alternative medicines are high, while the effectiveness of such medicines is still in debate. This paper reviewed the utilization of complementary and alternative medicines. Complementary and alternative therapies are used frequently and increasingly. Alternative therapies were used often for chronic conditions, including back problems, anxiety, depression and headaches in the United States. Musculoskeletal and respiratory complaints were the most frequent causes for complementary and alternative medicine consultation in Israel. In Taiwan, a systematic series of studies on factors related to utilization of traditional Chinese medicine (TCM) were conducted, including: (1) factors related to the choice of medical service (single or dual approach); (2) factors related to the choice of clinic type between TCM and western medicine among patients with single approach and among patients with dual approach; (3) factors related to patient choice of institute providing TCM (between TCM department in teaching hospital and regular TCM clinic) among patients using TCM only; and (4) knowledge, attitude and behavioral intention regarding TCM among patients using TCM only and among community residents over 30 years old. The findings of the above studies are summarized and presented accordingly.
全球范围内补充和替代医学的使用正在增加。补充和替代药物的费用高昂,而这些药物的有效性仍存在争议。本文回顾了补充和替代医学的使用情况。补充和替代疗法的使用频繁且呈上升趋势。在美国,替代疗法常用于慢性疾病,包括背部问题、焦虑、抑郁和头痛。在以色列,肌肉骨骼和呼吸系统疾病是补充和替代医学咨询最常见的原因。在台湾,针对与中医使用相关的因素开展了一系列系统性研究,包括:(1)与医疗服务选择(单一或双重方式)相关的因素;(2)单一方式患者和双重方式患者在中医诊所与西医诊所之间选择诊所类型相关的因素;(3)仅使用中医的患者在提供中医服务的机构(教学医院中医科与普通中医诊所)之间选择的相关因素;以及(4)仅使用中医的患者和30岁以上社区居民对中医的知识、态度和行为意向。上述研究结果据此进行了总结和呈现。