英国医生使用补充和替代医学（CAM）的流行情况：系统评价调查。
Prevalence of use of complementary and alternative medicine (CAM) by physicians in the UK: a systematic review of surveys.
机构信息
Amani Alotaibi, Complementary Medicine, Peninsula Medical School, Exeter.
出版信息
Clin Med (Lond). 2012 Dec;12(6):505-12. doi: 10.7861/clinmedicine.12-6-505.
This systematic review aims to estimate the prevalence of use of complementary and alternative medicine (CAM) by physicians in the UK. Five databases were searched for surveys monitoring the prevalence of use of CAM, which were published between 1 January 1995 and 7 December 2011. In total, 14 papers that reported 13 separate surveys met our inclusion criteria. Most were of poor methodological quality. The average prevalence of use of CAM across all surveys was 20.6% (range 12.1-32%). The average referral rate to CAM was 39% (range 24.6-86%), and CAM was recommended by 46% of physicians (range 38-55%). The average percentage of physicians who had received training in CAM was 10.3% (range 4.8-21%). The three most commonly used methods of CAM were acupuncture, homeopathy and relaxation therapy. A sizable proportion of physicians in the UK seem to employ some type of CAM, yet many have not received any training in CAM. This raises issues related to medical ethics, professional competence and education of physicians.
本次系统综述旨在评估英国医生使用补充和替代医学（CAM）的流行情况。检索了五个数据库，以寻找监测 CAM 使用流行情况的调查，这些调查发表于 1995 年 1 月 1 日至 2011 年 12 月 7 日之间。共有 14 篇报告了 13 项独立调查的论文符合我们的纳入标准。这些论文的方法学质量大多较差。所有调查中 CAM 的平均使用率为 20.6%（范围为 12.1-32%）。CAM 的平均转诊率为 39%（范围为 24.6-86%），46%的医生推荐使用 CAM（范围为 38-55%）。接受过 CAM 培训的医生的平均百分比为 10.3%（范围为 4.8-21%）。使用最广泛的三种 CAM 方法是针灸、顺势疗法和放松疗法。英国相当一部分医生似乎采用了某种类型的 CAM，但许多医生并未接受过 CAM 培训。这引发了与医学伦理、专业能力和医生教育相关的问题。
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