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澳大利亚全科医疗中的针灸:从业者特征

Acupuncture in Australian general practice: practitioner characteristics.

作者信息

Easthope G, Beilby J J, Gill G F, Tranter B K

机构信息

Department of Sociology and Social Work, University of Tasmania, Hobart.

出版信息

Med J Aust. 1998 Aug 17;169(4):197-200. doi: 10.5694/j.1326-5377.1998.tb140221.x.

Abstract

OBJECTIVES

To ascertain the extent of the use of acupuncture and the characteristics of general practitioners using acupuncture.

DESIGN

Secondary analysis of 1996 Health Insurance Commission data on claims by all non-specialist medical practitioners for Medicare Benefits Schedule items for an attendance where acupuncture was performed by a medical practitioner.

MAIN OUTCOME MEASURES

Use of acupuncture by general practitioners and the practitioners' sex, age, place of primary medical qualification, and the socioeconomic disadvantage index of the practitioners' practice.

RESULTS

15.1% of general practitioners claimed for acupuncture. Acupuncture was more likely to be provided by male practitioners, by those aged 35-54 years, and by practitioners who have an overseas primary medical qualification. The socioeconomic index of the practice did not significantly affect the number of claims for acupuncture.

CONCLUSION

Acupuncture is used by about one in seven general practitioners. Its use is associated with middle-aged practitioners, who presumably have more clinical experience. This level of use by experienced doctors suggests that a critical review of the appropriate role of acupuncture in general practice should be considered.

摘要

目的

确定针灸的使用程度以及使用针灸的全科医生的特征。

设计

对1996年健康保险委员会的数据进行二次分析,该数据涉及所有非专科医生就医生实施针灸的就诊情况申领医疗保险福利计划项目的索赔。

主要观察指标

全科医生对针灸的使用情况以及医生的性别、年龄、初始医学资格获得地,以及医生执业地点的社会经济劣势指数。

结果

15.1%的全科医生申领了针灸服务费用。男性医生、年龄在35 - 54岁之间的医生以及具有海外初始医学资格的医生更有可能提供针灸服务。执业地点的社会经济指数对针灸索赔数量没有显著影响。

结论

约七分之一的全科医生使用针灸。其使用与中年医生相关,这些医生大概拥有更多临床经验。经验丰富的医生的这种使用水平表明,应考虑对针灸在全科医疗中的适当作用进行批判性审视。

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