The National Research Center in Complementary and Alternative Medicine (NAFKAM), Department of Community Medicine, Faculty of Health Sciences, UiT, The Arctic University of Norway, Tromsø, Norway.
BMC Complement Altern Med. 2018 Mar 27;18(1):109. doi: 10.1186/s12906-018-2179-8.
Intentional use of complementary and alternative medicine (CAM) has previously only been researched in small, possibly biased, samples. There seems to be a lack of scientific information regarding healthy individual's attitudes and presumed use of CAM. The aim of this study is to describe prevalence and characteristics of participants who intend to see a CAM provider compared to participants who intend to see a medical doctor (MD) only when suffering from a chronic, non- life-threatening disease and in the need of treatment. Further to describe differences between the groups regarding expected reasons for CAM use and expected skills of CAM providers.
The survey was conducted in January 2016 as part of the "TNS Gallup Health policy Barometer". In total, 1728 individuals aged 16-92 years participated in the study, constituting an overall response rate of 47%. The survey included questions regarding opinions and attitudes towards health, health services and health politics in Norway.
The majority of the participants (90.2%) would see a MD only if they were suffering from a chronic, non- life-threatening disease and were in the need of treatment. Men over the age of 60 with a university education tended to see a MD only. Only 9.8% of all respondents would in addition visit a CAM provider. Being an intentional user of a MD + CAM provider was associated with being a woman under the age of 60. The respondents believed that CAM providers have professional competence based on formal training in CAM. They also believed that individuals seeing a CAM provider have poor health and are driven by the hope of being cured. Further, that they have heard that others have good experience with such treatment.
Intentional use of CAM is associated with positive attitudes, trustworthiness, and presumed positive experiences in the CAM-patient-setting. Intentional CAM users also have the impression that CAM providers have professional competence based on formal training in alternative therapies.
以往对补充和替代医学（CAM）的有意使用仅在规模较小且可能存在偏差的样本中进行过研究。对于健康个体对CAM的态度及假定使用情况，似乎缺乏科学信息。本研究的目的是描述与仅在患有慢性、非危及生命疾病且需要治疗时才打算看医生（MD）的参与者相比，打算看CAM提供者的参与者的患病率和特征。进一步描述两组在CAM使用预期原因及CAM提供者预期技能方面的差异。
该调查于2016年1月作为“TNS盖洛普健康政策晴雨表”的一部分进行。共有1728名年龄在16 - 92岁的个体参与了研究，总体回复率为47%。该调查包括有关对挪威健康、健康服务和健康政策的意见及态度的问题。
大多数参与者（90.2%）仅在患有慢性、非危及生命疾病且需要治疗时才会看医生。60岁以上受过大学教育的男性倾向于仅看医生。所有受访者中只有9.8%还会去看CAM提供者。有意同时使用MD + CAM提供者与60岁以下女性相关。受访者认为CAM提供者基于CAM方面的正规培训具有专业能力。他们还认为看CAM提供者的个体健康状况不佳，且受治愈希望的驱使。此外，他们听说其他人在这种治疗中有良好体验。
CAM的有意使用与在CAM - 患者环境中的积极态度、可信度及假定的积极体验相关。有意使用CAM的用户还认为CAM提供者基于替代疗法的正规培训具有专业能力。
