Robinson T
Barton House, Beaminster, Dorset DT8 3EQ, UK. doctortwrobinson.com
Homeopathy. 2006 Jan;95(1):9-14. doi: 10.1016/j.homp.2005.11.013.
To assess homeopathic consultations in NHS general practice over a 12-month study period; to analyse the conditions treated homeopathically and assess the responses to homeopathy prescribed in a standard 10 min GP consultation.
Data on each homeopathic consultation over 12 months were recorded: including patient details; condition/diagnosis; response score; prescribed medicine; prescribing strategy; medical specialty category. Clinical response was scored using a modified version of the Glasgow Homeopathic Hospital Outcome Scale.
Over the 12-month study period, a total of 5,331 consultations were conducted within the general practice; 489 (9%) of these consultations were homeopathic. A wide variety of conditions were treated homeopathically, 78% of patients had a positive clinical response, 19% no response, 3% negative response. Analysis of the prescribing strategies demonstrated that 73% of the homeopathic prescriptions were issued using the 'problem-based' strategy. The remainder were 'patient-based' (19%), 'context-based' (4%) and 'combined' (4%) strategies.
This study illustrates the varied and successful application of homeopathy within the general practice setting. Response scores reveal the beneficial effects of homeopathic treatment. This study supports the use of homeopathy within NHS general practice, delivered in a 10 min consultation.
评估在国民保健服务体系(NHS)全科医疗中为期12个月的顺势疗法会诊情况;分析接受顺势疗法治疗的病症,并评估在标准的10分钟全科医生会诊中开出的顺势疗法药物的疗效。
记录12个月内每次顺势疗法会诊的数据:包括患者详细信息、病症/诊断、疗效评分、所开药物、开药策略、医学专科类别。临床疗效采用格拉斯哥顺势疗法医院疗效量表的修订版进行评分。
在为期12个月的研究期间,全科医疗中共进行了5331次会诊;其中489次(9%)为顺势疗法会诊。接受顺势疗法治疗的病症种类繁多,78%的患者临床疗效为阳性,19%无疗效,3%为阴性疗效。对开药策略的分析表明,73%的顺势疗法处方采用“基于问题”的策略开出。其余为“基于患者”(19%)、“基于背景”(4%)和“综合”(4%)策略。
本研究说明了顺势疗法在全科医疗环境中的多样且成功的应用。疗效评分揭示了顺势疗法治疗的有益效果。本研究支持在NHS全科医疗中采用顺势疗法,并在10分钟的会诊中提供。