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孟加拉国达卡的医生对阿育吠陀医学的认知与态度

Perception and attitude of medical doctors in Dhaka, Bangladesh, with regard to Ayurvedic medicine.

作者信息

Yoshida Yoshitoku, Alim Md Abdul, Alam Zakia, Asaduzzaman Mohammad, Yoshida Yasuko, Manikdrs Shahabuddin

机构信息

Faculty of Nursing, Shubun University, Ichinomiya, Japan; Department of Healthcare Administration, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Institute of Public Health Nutrition, Dhaka, Bangladesh.

出版信息

Nagoya J Med Sci. 2017 Feb;79(1):55-64. doi: 10.18999/nagjms.79.1.55.

Abstract

The World Health Organization (WHO) Traditional Medicine Strategy (2014-2023) aimed to help member states promote the safe and effective use of traditional medicine. While economic conditions have markedly improved in Bangladesh, the country is experiencing significant public health problems. Because of limited medical resources, there is a strong incentive to enhance complementary and alternative medicine usage in Bangladesh. Therefore, this study aimed to confirm the perceptions and attitudes of medical doctors (MDs) in Dhaka, Bangladesh, with regard to Ayurvedic medicine (AM). A total number of 159 MDs in Dhaka were interviewed by face-to-face between February and June 2015. The study revealed that 62.0% of MDs had treated patients with AM and 55.3% believed that AM should be regarded as its own specialty, whereas 39.7% of MDs believed that AM should be part of the conventional medical curriculum and 32.7% thought that AM did not seem scientific. In terms of gender, 45.3% of male MDs agreed or strongly agreed that AM only had a placebo effect. On the other hand, 65.8% of female MDs disagreed or strongly disagreed it. In terms of age, 77.0% of MDs aged 36 or elder (elder MDs) believed they were more likely to recommend AM use and 80.3% of elder MDs believed that the government should encourage more initiatives to promote AM. To enhance AM use, scientifically robust information on the efficacy, safety and scientific basis of AM should be more effectively conveyed to male MDs.

摘要

世界卫生组织(WHO)的《传统医学战略(2014 - 2023)》旨在帮助成员国促进传统医学的安全有效使用。尽管孟加拉国的经济状况有了显著改善,但该国仍面临重大的公共卫生问题。由于医疗资源有限,孟加拉国有强烈的动机增加补充和替代医学的使用。因此,本研究旨在确认孟加拉国达卡的医生对阿育吠陀医学(AM)的看法和态度。2015年2月至6月期间,对达卡的159名医生进行了面对面访谈。研究显示,62.0%的医生曾用阿育吠陀医学治疗患者,55.3%的医生认为阿育吠陀医学应被视为一门独立的专业,而39.7%的医生认为阿育吠陀医学应成为传统医学课程的一部分,32.7%的医生认为阿育吠陀医学似乎不科学。在性别方面,45.3%的男医生同意或强烈同意阿育吠陀医学只有安慰剂效应。另一方面,65.8%的女医生不同意或强烈不同意这一观点。在年龄方面,77.0%年龄在36岁及以上的医生(年长医生)认为他们更有可能推荐使用阿育吠陀医学,80.3%的年长医生认为政府应鼓励更多举措来推广阿育吠陀医学。为了增加阿育吠陀医学的使用,应更有效地向男医生传达关于阿育吠陀医学疗效、安全性和科学依据的可靠科学信息。

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