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英国的补充医学:患者、从业者及会诊情况

Complementary medicine in the United Kingdom: patients, practitioners, and consultations.

作者信息

Fulder S J, Munro R E

出版信息

Lancet. 1985 Sep 7;2(8454):542-5. doi: 10.1016/s0140-6736(85)90473-8.

Abstract

Practitioners of complementary medicine took part in a questionnaire-based survey in 1980-81. Compliance was almost 100% in Oxfordshire and the Cambridge area but much less in five other areas of the UK. There were about 12 practitioners per 100 000 population, including all therapeutic specialties. Half the practitioners had had formal education; less than half were in full-time practice. They charged an average of 10 pounds for the first visit and 8 pounds for subsequent visits, which took 51 and 36 min, respectively. Annual consultation rates were 19.5-25.7 per 100 population (11.7-15.4 million consultations); there were about 2 million consultations each for acupuncture, osteopathy, and chiropractic. The average course of treatments was 9.7. Two-thirds of the patients were female, and most were young or middle-aged and of the higher social classes. Although the data indicate a growing and substantial subsidiary health-care system in the UK, there is evidence that it complements rather than competes with conventional medicine.

摘要

1980 - 1981年,替代医学从业者参与了一项基于问卷调查的研究。在牛津郡和剑桥地区,问卷回复率几乎达到100%,但在英国其他五个地区则低得多。每10万人口中约有12名从业者,涵盖所有治疗专业领域。一半的从业者接受过正规教育;不到一半为全职执业。他们首次就诊平均收费10英镑,后续就诊平均收费8英镑,首次就诊时长51分钟,后续就诊时长36分钟。每年每100人咨询率为19.5 - 25.7次(共1170 - 1540万次咨询);针灸、整骨疗法和脊椎按摩疗法各自约有200万次咨询。平均疗程为9.7次。三分之二的患者为女性,大多数是年轻人或中年人,且来自较高社会阶层。尽管数据表明英国存在一个不断发展且规模可观的辅助医疗保健系统,但有证据显示它是对传统医学的补充而非竞争。

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