Perkin M R, Pearcy R M, Fraser J S
St George's Hospital Medical School, London, UK.
J R Soc Med. 1994 Sep;87(9):523-5.
The aim of this study was to compare and contrast the views of general practitioners (GPs), hospital doctors and medical students to alternative medicine. A questionnaire was sent to a random sample of 100 GPs and 100 hospital doctors in the South West Thames Regional Health Authority (SWTRHA). A convenience sample of 237 pre-clinical medical students at St George's Hospital Medical School was also given a questionnaire. Eighty-seven GPs and 81 hospital doctors replied. Five therapies were investigated: acupuncture; chiropractice; homeopathy; naturopathy; and osteopathy. All respondents were asked about their attitude towards and knowledge of these therapies. Doctors were asked how often they referred patients for such treatment and whether they practised it themselves. GPs and hospital doctors had similar levels of knowledge of the therapies. Medical students were the least informed but the most enthusiastic respondents. Seventy per cent of hospital doctors and 93% of GPs had, on at least one occasion, suggested a referral for alternative treatment. GPs were making these referrals more frequently and earlier. Twelve per cent of hospital doctors and 20% of GPs were practising alternative medicine. The majority of the respondents felt that alternative medicine should be available on the National Health Service (NHS) and that medical students should receive some tuition about alternative therapies. A considerable proportion of those doctors referring patients to alternative practitioners were ignorant of their official qualifications.
本研究的目的是比较和对比全科医生（GPs）、医院医生和医学生对替代医学的看法。向泰晤士河南岸地区卫生局（SWTRHA）的100名全科医生和100名医院医生随机抽取的样本发放了问卷。还向圣乔治医院医学院的237名临床前医学生的便利样本发放了问卷。87名全科医生和81名医院医生进行了回复。研究调查了五种疗法：针灸；整脊疗法；顺势疗法；自然疗法；以及整骨疗法。所有受访者都被问及他们对这些疗法的态度和了解程度。医生们被问及他们将患者转介接受此类治疗的频率以及他们自己是否实践这些疗法。全科医生和医院医生对这些疗法的了解程度相似。医学生是了解最少但最热情的受访者。70%的医院医生和93%的全科医生至少有一次建议转介患者接受替代治疗。全科医生进行这些转介的频率更高且更早。12%的医院医生和20%的全科医生在实践替代医学。大多数受访者认为替代医学应该在国民健康服务体系（NHS）中可用，并且医学生应该接受一些关于替代疗法的课程。相当一部分将患者转介给替代疗法从业者的医生对他们的官方资质并不了解。
