Poynton Louise, Dowell Anthony, Dew Kevin, Egan Tony
Department of Public Health, Wellington School of Medicine and Health Sciences, University of Otago, Wellington.
N Z Med J. 2006 Dec 15;119(1247):U2361.
This study aimed to update our understanding of how general practitioners view and use complementary and alternative medicine (CAM).
A nationwide cross-sectional postal questionnaire sent to 500 randomly selected general practitioners (GPs) of the 2358 who met the inclusion criteria of the study in December 2005.
300 completed questionnaires were returned thus giving a response rate of 60%. Twenty percent of the GP respondents practiced (and 95% referred patients to) one or more forms of complementary and alternative medicine. The most common CAM therapy practiced by GPs was acupuncture, and chiropractic manipulation was the most common GP-referred therapy for patients. Thirty-two percent of respondents had formal training and 29% had self education in one or more CAM therapies. Sixty-seven percent felt that an overview of CAM should be included in conventional medical education.
The number of GPs practising CAM therapies has decreased over the past 15 years, although the number referring patients to CAM has increased. The finding 'that GPs feel information about CAM should be included in medical education' is consistent with earlier research and should be taken into account when developing the medical curriculum.
本研究旨在更新我们对于全科医生如何看待和使用补充与替代医学(CAM)的理解。
2005年12月,向2358名符合研究纳入标准的全科医生(GPs)中随机抽取的500名发送了一份全国性横断面邮政调查问卷。
共收回300份完整问卷,回复率为60%。20%的全科医生受访者实践过(且95%会将患者转介至)一种或多种形式的补充与替代医学。全科医生实践的最常见的补充与替代医学疗法是针灸,而脊椎按摩疗法是全科医生转介给患者的最常见疗法。32%的受访者接受过一种或多种补充与替代医学疗法的正规培训,29%通过自学掌握了这些疗法。67%的人认为补充与替代医学概述应纳入传统医学教育中。
在过去15年中,实践补充与替代医学疗法的全科医生数量有所减少,尽管将患者转介至补充与替代医学的全科医生数量有所增加。“全科医生认为补充与替代医学信息应纳入医学教育”这一发现与早期研究一致,在制定医学课程时应予以考虑。