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马来西亚砂拉越古晋地区基层医疗诊所中传统与补充医学使用情况及其相关因素向医生的披露。

Disclosure of Traditional and Complementary Medicine Use and Its Associated Factors to Medical Doctor in Primary Care Clinics in Kuching Division, Sarawak, Malaysia.

作者信息

Johny Anak Kelak, Cheah Whye Lian, Razitasham Safii

机构信息

Department of Community Medicine & Public Health, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kuching, Sarawak, Malaysia.

出版信息

Evid Based Complement Alternat Med. 2017;2017:5146478. doi: 10.1155/2017/5146478. Epub 2017 Apr 26.

Abstract

The decision by the patients to disclose traditional and complementary medicine (TCM) use to their doctor is an important area to be explored. This study aimed to determine the disclosure of TCM use and its associated factors to medical doctor among primary care clinic attendees in Kuching Division, Sarawak. It was a cross-sectional study using questionnaire, interviewer administered questionnaire. A total of 1130 patients were screened with 80.2% reporting using TCM. Logistic regression analysis revealed that being female (AOR = 3.219, 95% CI: 1.385, 7.481), perceived benefits that TCM can prevent complication of illness (AOR = 3.999, 95% CI: 1.850, 8.644) and that TCM is more gentle and safer (AOR = 4.537, 95% CI: 2.332, 8.828), perceived barriers of not having enough knowledge about TCM (AOR = 0.530, 95% CI: 0.309, 0.910), patient dissatisfaction towards healthcare providers being too business-like and impersonal (AOR = 0.365, 95% CI: 0.199, 0.669) and paying more for healthcare than one can afford (AOR = 0.413, 95% CI: 0.250, 0.680), and accessibility of doctors (AOR = 3.971, 95% CI: 2.245, 7.023) are the predictors of disclosure of TCM use. An open communication between patients and doctor is important to ensure safe implementation and integration of both TCM and medical treatment.

摘要

患者决定向医生透露其使用传统和补充医学(TCM)的情况是一个有待探索的重要领域。本研究旨在确定砂拉越古晋地区基层医疗诊所就诊者向医生透露使用TCM的情况及其相关因素。这是一项采用问卷调查的横断面研究,由访谈员进行问卷调查。共筛查了1130名患者,其中80.2%报告使用过TCM。逻辑回归分析显示,女性(优势比[AOR]=3.219,95%置信区间[CI]:1.385,7.481)、认为TCM可预防疾病并发症(AOR=3.999,95%CI:1.850,8.644)以及认为TCM更温和安全(AOR=4.537,95%CI:2.332,8.828)、认为对TCM了解不足(AOR=0.530,95%CI:0.309,0.910)、患者对医疗服务提供者过于商业化和冷漠的不满(AOR=0.365,95%CI:0.199,0.669)、医疗费用超出承受能力(AOR=0.413,95%CI:0.250,0.680)以及医生的可及性(AOR=3.971,95%CI:2.245,7.023)是使用TCM披露情况的预测因素。患者与医生之间的开放沟通对于确保TCM与医疗治疗的安全实施和整合至关重要。

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