Department of Acupuncture and Moxibustion, Faculty of Health Sciences, Tokyo Ariake University of Medical and Health Sciences, Tokyo, 135-0065, Japan.
Evid Based Complement Alternat Med. 2011;2011:591868. doi: 10.1093/ecam/neq049. Epub 2011 Jun 18.
Complementary and alternative medicine (CAM) therapies have been provided at hospitals along with conventional medicine in industrialized nations. Previous studies conducted in Japan revealed high proportion of Japanese had experience of using CAM, but failed to discuss how it should be provided. The present study aims to clarify the demand for CAM practice at hospitals in Japan. A questionnaire consisting of 41 questions was mailed to 10 000 adults randomly selected from the electoral roll of Mie prefecture, Japan in January 2007. The questionnaire asked the subjects about demand for CAM practice at hospitals, types of CAM therapy to be provided and associated reasons. Sociodemographic characteristics, perceived health status, experience and purpose of CAM use, and information resource for CAM were also surveyed. Completed answers were collected from 2824 (28.6%) respondents. Two thousand and nineteen (71.5%) of the respondents demanded CAM practice at hospitals with the most likely reason of "patients can receive treatment under the guidance of a physicians". The three most popular CAM therapies were Kampo, acupressure/massage/Shiatsu and acupuncture/moxibustion. The demand was positively associated with gender, ages of 40-59 years, annual household incomes of 5-7 million yen, occupation of specialist and technical workers and sales workers and poor health status. Higher demand was observed among those who used both CAM and conventional medical therapies for curative purposes. In conclusion, Japanese show a high demand for CAM practice, hoping to use CAM for curative purposes with monitoring by physicians at hospitals.
在工业化国家，医院除了提供常规医学治疗外，还提供补充和替代医学（CAM）疗法。先前在日本进行的研究表明，很大比例的日本人有过使用 CAM 的经历，但未能讨论如何提供 CAM。本研究旨在阐明日本医院对 CAM 实践的需求。2007 年 1 月，向日本 Mie 县选民名册中随机抽取的 10000 名成年人邮寄了一份包含 41 个问题的问卷。问卷询问了受试者对医院 CAM 实践的需求、要提供的 CAM 治疗类型以及相关原因。还调查了社会人口特征、感知健康状况、CAM 使用经验和目的以及 CAM 信息资源。从 2824 名（28.6%）应答者中收集到完整答案。2019 名（71.5%）应答者要求在医院开展 CAM 实践，最有可能的原因是“患者可以在医生的指导下接受治疗”。三种最受欢迎的 CAM 疗法是汉方药、指压按摩/推拿/指压和针灸/艾灸。需求与性别、40-59 岁年龄、500-700 万日元的年收入、专家和技术工人以及销售人员的职业以及较差的健康状况呈正相关。那些出于治疗目的同时使用 CAM 和常规医疗疗法的人对 CAM 的需求更高。总之，日本人对 CAM 实践的需求很高，希望在医院里由医生监督下使用 CAM 进行治疗。
