Health care and consumer choice: Medical and alternative therapies
Health care and consumer choice: Medical and alternative therapies
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DOI：
10.1016/s0277-9536(96)00334-6
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发表时间：
1997-07-01
影响因子：
5.4
通讯作者：
Wellman, B
中科院分区：
文献类型：
--
作者：
Kelner, M;Wellman, B
本文报道了1994-1995年在加拿大一个大城市进行的研究。该研究考察了选择从五种不同类型的从业者中寻求护理的患者的动机：家庭医生，脊椎按摩师，针灸师/传统中医，自然疗法和灵气从业者。我们使用安德森社会行为模型来帮助解释为什么人们选择正统医学或一种替代护理。这些数据来自与300名患者的面对面访谈：五种治疗模式各60名。研究结果表明，这个模型可以解释使用替代以及正统的医疗服务。患者选择特定类型的医生来解决特定的问题，有些人使用混合医生来治疗特定的投诉。医生类型的选择是多方面的，不能仅仅用对医学的幻想破灭或“替代意识形态”来解释。(C)1997年爱思唯尔科学有限公司
This paper reports on research conducted in a large Canadian city during 1994-1995. The study examines the motivations of patients who choose to seek care from one of five different types of practitioners: family physicians, chiropractors, acupuncturists/traditional Chinese doctors, naturopaths and Reiki practitioners. We use the Andersen socio-behavioural model to help explain why people choose orthodox medicine or a type of alternative care. The data are derived from face to face interviews with 300 patients: 60 from each of the five modes of treatment. The findings demonstrate that this model can explain the use of alternative as well as orthodox medical services. Patients choose specific kinds of practitioners for particular problems, and some use a mixture of practitioners to treat a specific complaint. The choice of type of practitioner(s) is multidimensional and cannot solely be explained either by disenchantment with medicine or by an ''alternative ideology''. (C) 1997 Elsevier Science Ltd.