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[哥伦比亚昆迪纳马卡省公立医院医生对补充替代医学(CAM)的知识、态度及实践]

[Knowledge, attitudes and practice concerning complementary and alternative medicine (CAM) amongst doctors working in public hospitals in Cundinamarca, Colombia].

作者信息

Sierra-Ríos Sandra P, Urrego-Mendoza Diana Z, Jaime-Jaimes Julián D

出版信息

Rev Salud Publica (Bogota). 2012 Jun;14(3):478-90.

PMID:23912438
Abstract

OBJECTIVE

Identifying the knowledge, attitudes and practices of doctors working in public hospitals in the Cundinamarca department, Colombia, regarding complementary and alternative medicine.

METHODS

This was a descriptive, quantitative observational study. The target population consisted of general practitioners and specialists involved in the 37 public hospitals in the Cundinamarca department from December 2009 to March 2010. The sample included 280 doctors (using 95 % confidence level and 0.5% error).

RESULTS

There was 93 % misunderstanding of complex medical systems and 91 % regarding therapeutic systems. However, 41 % of the doctors surveyed wished to receive formal training in the area of complementary and alternative medicine (CAM) and 15 % had some training in this area. 18 % referred patients for CAM-related treatment and 25 % had received MAC treatment. Half of the doctors considered that CAM should be taught to medical students. 40 % considered that CAM should be included in the compulsory health plan in Colombia.

CONCLUSIONS

A positive trend regarding CAM was related to a doctor's age and experience. It was also believed that demonstrable scientific evidence was available regarding CAM so they wished to receive formal education in this area. These drugs were perceived to be useful, in current use and recommended concerning their personal life and everyday medical practice, making explicit the need for access to MAC through the compulsory Colombian health plan.

摘要

目的

确定哥伦比亚昆迪纳马卡省公立医院医生关于补充和替代医学的知识、态度及实践。

方法

这是一项描述性定量观察研究。目标人群包括2009年12月至2010年3月在昆迪纳马卡省37家公立医院工作的全科医生和专科医生。样本包括280名医生(采用95%置信水平和0.5%误差)。

结果

对复杂医疗系统存在93%的误解,对治疗系统存在91%的误解。然而,41%接受调查的医生希望接受补充和替代医学(CAM)领域的正规培训,15%曾接受过该领域的一些培训。18%将患者转诊接受与CAM相关的治疗,25%接受过CAM治疗。一半的医生认为应该向医学生传授CAM。40%认为CAM应纳入哥伦比亚的强制健康计划。

结论

关于CAM的积极趋势与医生的年龄和经验有关。人们还认为有关于CAM的可证明的科学证据,所以他们希望接受该领域的正规教育。这些药物被认为是有用的,在当前使用中,并在他们的个人生活和日常医疗实践中被推荐,这明确了通过哥伦比亚强制健康计划获取CAM的必要性。

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