Kemper Kathi J, Dirkse Deborah, Eadie Dee, Pennington Melissa
Department of Pediatrics, Wake Forest University Baptist Medical Center, Winston-Salem, NC 27157, USA.
BMC Complement Altern Med. 2007 Feb 9;7:5. doi: 10.1186/1472-6882-7-5.
Use of complementary medicine is common, consumer driven and usually outpatient focused. We wished to determine interest among the medical staff at a North Carolina academic medical center in integrating diverse therapies and services into comprehensive care.
We conducted a cross sectional on-line survey of physicians, nurse practitioners and physician assistants at a tertiary care medical center in 2006. The survey contained questions on referrals and recommendations in the past year and interest in therapies or services if they were to be provided at the medical center in the future.
Responses were received from 173 clinicians in 26 different departments, programs and centers. There was strong interest in offering several specific therapies: therapeutic exercise (77%), expert consultation about herbs and dietary supplements (69%), and massage (66%); there was even stronger interest in offering comprehensive treatment programs such as multidisciplinary pain management (84%), comprehensive nutritional assessment and advice (84%), obesity/healthy lifestyle promotion (80%), fit for life (exercise and lifestyle program, 76%), diabetes healthy lifestyle promotion (73%); and comprehensive psychological services for stress management, including hypnosis and biofeedback (73%).
There is strong interest among medical staff at an academic health center in comprehensive, integrated services for pain, obesity, and diabetes and in specific services in fitness, nutrition and stress management. Future studies will need to assess the cost-effectiveness of such services, as well as their financial sustainability and impact on patient satisfaction, health and quality of life.
补充医学的使用很普遍，由消费者推动，且通常以门诊服务为重点。我们希望确定北卡罗来纳州一家学术医疗中心的医务人员对将多种疗法和服务整合到综合护理中的兴趣。
2006年，我们对一家三级医疗中心的医生、执业护士和医师助理进行了一项横断面在线调查。该调查包含了关于过去一年转诊和推荐情况的问题，以及如果未来在医疗中心提供某些疗法或服务，他们的兴趣如何。
共收到来自26个不同科室、项目和中心的173名临床医生的回复。对提供几种特定疗法有浓厚兴趣：治疗性锻炼（77%）、草药和膳食补充剂专家咨询（69%）以及按摩（66%）；对提供综合治疗项目，如多学科疼痛管理（84%）、综合营养评估和建议（84%）、肥胖/健康生活方式促进（80%）、“适合生活”（锻炼和生活方式项目，76%）、糖尿病健康生活方式促进（73%），兴趣更为浓厚；对包括催眠和生物反馈在内的综合心理压力管理服务也有浓厚兴趣（73%）。
学术健康中心的医务人员对针对疼痛、肥胖和糖尿病的综合、一体化服务以及健身、营养和压力管理方面的特定服务有浓厚兴趣。未来的研究需要评估这些服务的成本效益，以及它们的财务可持续性和对患者满意度、健康及生活质量的影响。
