National research center in complementary and alternative medicine, NAFKAM Faculty of health science, University of Tromsø, Norway.
BMC Complement Altern Med. 2011 Jan 18;11:4. doi: 10.1186/1472-6882-11-4.
Several studies have found that a high proportion of the population in western countries use complementary and alternative medicine (CAM). However, little is known about whether CAM is offered in hospitals. The aim of this study was to describe to what extent CAM is offered in Norwegian and Danish hospitals and investigate possible changes in Norway since 2001.
A one-page questionnaire was sent to all included hospitals in both countries. The questionnaire was sent to the person responsible for the clinical activity, typically the medical director. 99 hospitals in the authority (85%) in Norway and 126 in Denmark (97%) responded. Given contact persons were interviewed.
CAM is presently offered in about 50% of Norwegian hospitals and one-third of Danish hospitals. In Norway CAM was offered in 50 hospitals, 40 of which involved acupuncture. 19 hospitals gave other alternative therapies like biofeedback, hypnosis, cupping, ear-acupuncture, herbal medicine, art therapy, homeopathy, reflexology, thought field therapy, gestalt therapy, aromatherapy, tai chi, acupressure, yoga, pilates and other. 9 hospitals offered more than one therapy form. In Denmark 38 hospitals offered acupuncture and one Eye Movement Desensitization and Reprocessing Light Therapy. The most commonly reported reason for offering CAM was scientific evidence in Denmark. In Norway it was the interest of a hospital employee, except for acupuncture where the introduction is more often initiated by the leadership and is more based on scientific evidence of effect. All persons (except one) responsible for the alternative treatment had a medical or allied health professional background and their education/training in CAM treatment varied substantially.
The extent of CAM being offered has increased substantially in Norway during the first decade of the 21(st) century. This might indicate a shift in attitude regarding CAM within the conventional health care system.
多项研究发现，西方国家的很大一部分人口会采用补充和替代医学（CAM）。然而，关于 CAM 是否在医院提供知之甚少。本研究的目的是描述在挪威和丹麦的医院中提供 CAM 的程度，并调查 2001 年以来挪威的可能变化。
向两国所有纳入的医院发送了一份一页的问卷。问卷寄给临床活动负责人，通常是医疗主任。挪威的 99 家医院（85%）和丹麦的 126 家医院（97%）做出了回应。对联系人员进行了采访。
目前，大约 50%的挪威医院和三分之一的丹麦医院提供 CAM。在挪威，有 50 家医院提供 CAM，其中 40 家涉及针灸。19 家医院提供其他替代疗法，如生物反馈、催眠、拔罐、耳针、草药、艺术疗法、顺势疗法、反射疗法、思想场疗法、格式塔疗法、芳香疗法、太极、指压、瑜伽、普拉提和其他。9 家医院提供超过一种治疗形式。在丹麦，38 家医院提供针灸，一家提供眼动脱敏再处理光疗。在丹麦，提供 CAM 的最常见原因是科学证据。在挪威，这是医院员工的兴趣，除了针灸，针灸的引入更多是由领导层发起的，并且更多地基于效果的科学证据。负责替代治疗的所有人（除一人外）都具有医学或相关健康专业背景，他们在 CAM 治疗方面的教育/培训差异很大。
在 21 世纪的第一个十年中，挪威提供的 CAM 范围大大增加。这可能表明传统医疗保健系统中对 CAM 的态度发生了转变。
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