Klein Sabine D, Torchetti Loredana, Frei-Erb Martin, Wolf Ursula
Institute of Complementary Medicine, University of Bern, Bern, Switzerland.
PLoS One. 2015 Oct 29;10(10):e0141985. doi: 10.1371/journal.pone.0141985. eCollection 2015.
Complementary medicine (CM) is popular in Switzerland. Several CM methods (traditional Chinese medicine/acupuncture, homeopathy, anthroposophic medicine, neural therapy, and herbal medicine) are currently covered by the mandatory basic health insurance when performed by a certified physician. Treatments by non-medical therapists are partially covered by a supplemental and optional health insurance. In this study, we investigated the frequency of CM use including the evolvement over time, the most popular methods, and the user profile.
Data of the Swiss Health Surveys 2007 and 2012 were used. In 2007 and 2012, a population of 14,432 and 18,357, respectively, aged 15 years or older answered the written questionnaire. A set of questions queried about the frequency of use of various CM methods within the last 12 months before the survey. Proportions of usage and 95% confidence intervals were calculated for these methods and CM in general. Users and non-users of CM were compared using logistic regression models.
The most popular methods in 2012 were homeopathy, naturopathy, osteopathy, herbal medicine, and acupuncture. The average number of treatments within the 12 months preceding the survey ranged from 3 for homeopathy to 6 for acupuncture. 25.0% of the population at the age of 15 and older had used at least one CM method in the previous 12 months. People with a chronic illness or a poor self-perceived health status were more likely to use CM. Similar to other countries, women, people of middle age, and those with higher education were more likely to use CM. 59.9% of the adult population had a supplemental health insurance that partly covered CM treatments.
Usage of CM in Switzerland remained unchanged between 2007 and 2012. The user profile in Switzerland was similar to other countries, such as Germany, United Kingdom, United States or Australia.
补充医学（CM）在瑞士很受欢迎。目前，当由认证医生实施时，几种补充医学方法（中医/针灸、顺势疗法、人智医学、神经疗法和草药医学）被纳入强制性基本医疗保险范围。非医学治疗师提供的治疗部分由补充性和选择性医疗保险承保。在本研究中，我们调查了补充医学的使用频率，包括随时间的变化、最受欢迎的方法以及用户特征。
使用了2007年和2012年瑞士健康调查的数据。在2007年和2012年，分别有14432名和18357名15岁及以上的人群回答了书面问卷。一组问题询问了在调查前过去12个月内使用各种补充医学方法的频率。计算了这些方法以及总体补充医学的使用比例和95%置信区间。使用逻辑回归模型比较了补充医学的使用者和非使用者。
2012年最受欢迎的方法是顺势疗法、自然疗法、整骨疗法、草药医学和针灸。调查前12个月内的平均治疗次数从顺势疗法的3次到针灸的6次不等。15岁及以上人群中有25.0%在过去12个月内至少使用过一种补充医学方法。患有慢性病或自我感觉健康状况不佳的人更有可能使用补充医学。与其他国家类似，女性、中年人和受过高等教育的人更有可能使用补充医学。59.9%的成年人口拥有部分承保补充医学治疗的补充医疗保险。
2007年至2012年期间，瑞士补充医学的使用情况保持不变。瑞士的用户特征与德国、英国、美国或澳大利亚等其他国家相似。
