The Use of Alternative Health Care by a Family Practice Population
The Use of Alternative Health Care by a Family Practice Population
复制标题
家庭医生对替代医疗保健的使用
DOI：
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发表时间：
1998
影响因子：
2.9
通讯作者：
L. W. F. Miser
中科院分区：
文献类型：
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作者：
C. C. E. Drivdahl;L. W. F. Miser
背景：本研究调查了家庭执业患者使用替代医学的特点、导致他们使用替代医学的问题以及他们对使用替代医学的满意度。方法：随机抽取军队某大型家庭诊所的250名成人，邮寄一份机密问卷，最终应答率为71%。结果：超过28%的患者使用了某种形式的替代药物。典型的用户年龄在30岁到49岁之间，女性，白人，受过良好教育。常用的治疗方法有脊椎疗法(%)、推拿疗法(36%)、草药疗法(32%)和针灸疗法(16%)。患者寻求替代治疗的最常见问题是背痛(56%)、其他肌肉骨骼疼痛(22%)以及压力或其他心理社会问题(20%)。不到一半的人对他们的替代医疗保健感到满意，尽管82%的人报告说他们的条件至少有了一些改善。大多数(63%)没有告诉他们的家庭医生他们使用替代医疗保健的情况。结论：相当数量的家庭执业患者正在使用替代医学。尽管大多数人从中受益，但大多数人对结果并不满意。替代疗法的满意度和有效性之间存在差异的原因值得进一步研究。
Background: This study examined the characteristics of family practice patients using alternative medicine, the problems that led them to use it, and their satisfaction with its use. Methods: A confidential questionnaire was mailed to 250 randomly selected adults enrolled in a large military family practice clinic, with a final response rate of 71 percent. Results: More than 28 percent of patients used some form of alternative medicine. The typical user was 30 to 49 years old, female, white, and well educated. Common methods used were chiropractic (64 percent), massage therapy (36 percent), herbal therapy (32 percent), and acupuncture (16 percent). The most common problems for which patients sought alternative care were back pain (56 percent), other musculoskeletal pain (22 percent), and stress or other psychosocial problems (20 percent). Fewer than one half were satisfied With their alternative health care, although 82 percent reported at least some improvement in their conditions. Most (63 percent) had not told their family physician of their use of alternative health care. Conclusions: A substantial number of family practice patients are using alternative medicine. Although most derive some benefit, most are not satisfied with the results. Reasons for this disparity between satisfaction and effectiveness of alternative medicine deserve further study.