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医生对补充医学或替代医学的态度:一项地区性调查。

Physicians' attitudes toward complementary or alternative medicine: a regional survey.

作者信息

Berman B M, Singh B K, Lao L, Singh B B, Ferentz K S, Hartnoll S M

机构信息

Department of Family Medicine, University of Maryland at Baltimore 21210, USA.

出版信息

J Am Board Fam Pract. 1995 Sep-Oct;8(5):361-6.

PMID:7484223
Abstract

BACKGROUND

A survey exploring attitudes toward complementary or alternative medicine was distributed to 295 family physicians in the Chesapeake region. Physicians were asked about their knowledge, usage of, and training in complementary therapies and what evidence they expected of complementary medicine to aid in accepting these therapies.

METHODS

Questionnaires were distributed at three separate conferences of family physicians with 180 physicians responding.

RESULTS

More than 70 to 90 percent of the physicians considered complementary medical therapies, such as diet and exercise, behavioral medicine, counseling and psychotherapy, and hypnotherapy, to be legitimate medical practices. A majority had referred patients to nonphysicians for these therapies or used some of them in their own practices. Homeopathy, Native American medicine, and traditional Oriental medicine were not favored as legitimate medical practice. Areas where physicians had the least amount of training were most likely to be considered as alternative medicine by them. Seventy percent of responding physicians expressed interest in training in multiple areas of alternative medicine. Additionally, there was a strong positive correlation between evidentiary rules physicians believed should apply to orthodox medicine and to alternative or complementary medicine.

CONCLUSIONS

Results of this survey show a high interest in alternative and complementary medicine by physicians. Some therapies are already being used by these physicians, and training is desired in most areas.

摘要

背景

一项关于补充和替代医学态度的调查被分发给切萨皮克地区的295名家庭医生。医生们被问及他们对补充疗法的知识、使用情况和培训情况,以及他们期望补充医学有哪些证据来帮助接受这些疗法。

方法

在家庭医生的三个不同会议上分发问卷,有180名医生回复。

结果

超过70%至90%的医生认为饮食和运动、行为医学、咨询和心理治疗以及催眠疗法等补充医学疗法是合法的医疗实践。大多数医生曾将患者转介给非医生进行这些疗法,或者在自己的实践中使用其中一些疗法。顺势疗法、美洲原住民医学和传统东方医学不被视为合法的医疗实践。医生培训最少的领域最有可能被他们视为替代医学。70%的回复医生表示对多个替代医学领域的培训感兴趣。此外,医生认为应适用于正统医学和替代或补充医学的证据规则之间存在很强的正相关。

结论

这项调查结果表明医生对替代和补充医学有很高的兴趣。这些医生已经在使用一些疗法,并且在大多数领域都希望接受培训。

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