补充医学的使用、观点及体验：英格兰的一项全国性调查
Complementary medicine use, views, and experiences: a national survey in England.
作者信息
Sharp Debbie, Lorenc Ava, Morris Richard, Feder Gene, Little Paul, Hollinghurst Sandra, Mercer Stewart W, MacPherson Hugh
机构信息
Professor of Primary Care, Centre for Academic Primary Care, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Senior Research Associate, Centre for Academic Primary Care, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
出版信息
BJGP Open. 2018 Nov 14;2(4):bjgpopen18X101614. doi: 10.3399/bjgpopen18X101614. eCollection 2018 Dec.
BACKGROUND
In 2005,12% of the English population visited a complementary and alternative medicine (CAM) practitioner.
AIM
To obtain up-to-date general population figures for practitioner-led CAM use in England, and to discover people's views and experiences regarding access.
DESIGN & SETTING: A face-to-face questionnaire survey was commissioned. A nationally representative adult quota sample (aged ≥15 years) was used.
METHOD
Ten questions were included within Ipsos MORI's weekly population-based survey. The questions explored 12-month practitioner-led CAM use, reasons for non-use, views on NHS-provided CAM, and willingness to pay.
RESULTS
Of 4862 adults surveyed, 766 (16%) had seen a CAM practitioner. People most commonly visited CAM practitioners for manual therapies (massage, osteopathy, chiropractic) and acupuncture, as well as yoga, pilates, reflexology, and mindfulness or meditation. Women, people with higher socioeconomic status (SES) and those in south England were more likely to access CAM. Musculoskeletal conditions (mainly back pain) accounted for 68% of use, and mental health 12%. Most was through self-referral (70%) and self-financing. GPs (17%) or NHS professionals (4%) referred and/or recommended CAM to users. These CAM users were more often unemployed, with lower income and social grade, and receiving NHS-funded CAM. Responders were willing to pay varying amounts for CAM; 22% would not pay anything. Almost two in five responders felt NHS funding and GP referral and/or endorsement would increase their CAM use.
CONCLUSION
CAM use in England is common for musculoskeletal and mental health problems, but varies by sex, geography, and SES. It is mainly self-referred and self-financed; some is GP-endorsed and/or referred, especially for individuals of lower SES. Researchers, patients, and commissioners should collaborate to research the effectiveness and cost-effectiveness of CAM and consider its availability on the NHS.
背景
2005年，12%的英国人口拜访过补充和替代医学（CAM）从业者。
目的
获取英国目前由从业者主导的CAM使用的总体人群数据，并了解人们在获取方面的观点和经历。
设计与设置
委托进行了一项面对面问卷调查。使用了具有全国代表性的成人配额样本（年龄≥15岁）。
方法
益普索·莫里（Ipsos MORI）基于人群的每周调查中包含了10个问题。这些问题探讨了过去12个月由从业者主导的CAM使用情况、不使用的原因、对国民保健服务（NHS）提供的CAM的看法以及支付意愿。
结果
在接受调查的4862名成年人中，766人（16%）拜访过CAM从业者。人们最常因手法治疗（按摩、整骨疗法、脊椎按摩疗法）、针灸以及瑜伽、普拉提、反射疗法和正念或冥想而拜访CAM从业者。女性、社会经济地位（SES）较高的人群以及英格兰南部的人群更有可能使用CAM。肌肉骨骼疾病（主要是背痛）占使用情况的68%，心理健康占12%。大多数是通过自我推荐（70%）和自费。全科医生（17%）或NHS专业人员（4%）将用户推荐和/或介绍给CAM从业者。这些CAM使用者更常失业，收入和社会等级较低，并接受NHS资助的CAM。受访者愿意为CAM支付不同金额；22%的人不愿支付任何费用。近五分之二的受访者认为NHS资金以及全科医生的推荐和/或认可会增加他们对CAM的使用。
结论
在英国，CAM常用于肌肉骨骼和心理健康问题，但因性别、地理位置和SES而异。它主要是自我推荐和自费；一些是由全科医生认可和/或推荐的，尤其是对于SES较低的个体。研究人员、患者和专员应合作研究CAM的有效性和成本效益，并考虑其在NHS上的可及性。
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