将补充和替代医学纳入全科医学培训:南蒂罗尔的一项区域调查。
Integrating Complementary and Alternative Medicine into General Practice Training: A Regional Survey in South Tyrol.
作者信息
Wiedermann Christian J, Piccoliori Giuliano, Engl Adolf
机构信息
Institute of General Practice and Public Health, Claudiana-College of Health Professions, 39100 Bolzano, Italy.
出版信息
Healthcare (Basel). 2025 Apr 2;13(7):797. doi: 10.3390/healthcare13070797.
Complementary and alternative medicine (CAM) is increasingly being recognized as an important component of primary care; however, its integration into medical education and practice remains inconsistent. This study explores the attitudes, practices, and educational needs of young career general practitioners in South Tyrol, a linguistically and culturally diverse region. A questionnaire was distributed to all 131 general practitioners currently in training or who completed their specialization within the last 10 years, and 37 responses were analyzed. The findings revealed moderate support for CAM modalities such as phytotherapy, manual therapies, and acupuncture. Participants demonstrated limited confidence in their knowledge of CAM. Although 72% acknowledged the importance of CAM training, only a minority demonstrated adequate knowledge of reimbursements and relevant legislation. Women and urban practitioners showed tendencies toward higher confidence and engagement with CAM compared to men and rural practitioners, as indicated by effect size results. This study highlights the need for focused, evidence-based CAM training programs to bridge knowledge gaps and enhance integration into primary care. Although constrained by factors such as a limited participant pool, the results of the small-scale study offer perspectives regarding CAM training and its significance in meeting the changing requirements of both health care providers and their clients.
补充和替代医学(CAM)日益被视为初级保健的重要组成部分;然而,其融入医学教育和实践的情况仍不一致。本研究探讨了南蒂罗尔地区年轻的职业全科医生的态度、实践和教育需求,该地区在语言和文化上具有多样性。向目前正在接受培训或在过去10年内完成专科培训的所有131名全科医生发放了问卷,并对37份回复进行了分析。研究结果显示,对植物疗法、手法治疗和针灸等补充和替代医学模式有适度的支持。参与者对自己补充和替代医学知识的信心有限。虽然72%的人承认补充和替代医学培训的重要性,但只有少数人对报销和相关立法有足够的了解。效应量结果表明,与男性和农村从业者相比,女性和城市从业者对补充和替代医学表现出更高的信心和参与度。本研究强调需要有针对性的、基于证据的补充和替代医学培训项目,以弥合知识差距并加强其融入初级保健。尽管受到参与者群体有限等因素的限制,但这项小规模研究的结果提供了有关补充和替代医学培训及其在满足医疗保健提供者及其客户不断变化的需求方面的重要性的观点。
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