Internet survey on the provision of complementary and alternative medicine in Japanese private clinics: a cross-sectional study
Internet survey on the provision of complementary and alternative medicine in Japanese private clinics: a cross-sectional study
复制标题
DOI：
10.1016/j.joim.2018.11.003
复制
发表时间：
2019-01-01
影响因子：
4.8
通讯作者：
Arai, Ichiro
中科院分区：
文献类型：
--
作者：
Motoo, Yoshiharu;Yukawa, Keiko;Arai, Ichiro
目的：虽然一般人群使用补充和替代医学（CAM）的调查以前，日本医生在私人诊所提供补充和替代医学还没有研究。日本于1961年建立了全民健康保险制度，大多数CAMs都不在药品关税之列。方法：2017年2月6日至2月10日，对全国400名私人诊所的主任/医生进行了关于CAM提供情况的网络调查。调查项目包括受试者的属性、提供CAM的部门或设施的存在/不存在、医疗实践的健康保险覆盖比例以及信息来源。私人诊所被定义为一个由一名医生，少于20张beds. Results的诊所：通常提供的CAM汉方（传统的日本草药）药品（34.8%）和补充剂/保健食品（19.3%）。在诊所的46.5%的病例中提供了关于药品关税的CAM，但在不同的邻近设施中，只有16.5%的病例提供了不在药品关税上的CAM。在不同的专业中，汉方药物被用于妇产科（54.0%）、骨科（44.4%）和皮肤科（43.0%）。未提供任何CAM的诊所占53.5%。关于健康保险覆盖面，96.8%的诊所仅提供或主要提供全民健康保险费率下的保健服务（分别为29.8%和67.0%）。汉方药是日本私人诊所最常用的CAM，而全民健康保险被认为是其使用率高的原因。请引用这篇文章：Motoo Y，Yukawa K，Hisamura K，Tsutani K，Arai I.日本私人诊所提供补充和替代医学的互联网调查：一项横断面研究。J Integr Med.2019; 17（1）：8 - 13。(C)2018上海长海医院。Elsevier B.V.出版，保留所有权利。
Objective: Although the use of complementary and alternative medicine (CAM) by the general population has been surveyed previously, the provision of CAM by Japanese physicians in private clinics has not been studied. Universal health insurance system was established in Japan in 1961, and most CAMs are not on the drug tariff. We aimed to clarify the current status of CAM provided by physicians at private clinics in Japan.Methods: We conducted an internet survey on 400 directors/physicians of private clinics nationwide on the provision of CAM from February 6 to February 10, 2017. Survey items included attributes of subjects, presence/absence of sections or facilities for provision of CAM, proportions of health insurance coverage for medical practices, and source of information. Private clinic was defined as a clinic run by one physician, with less than 20 beds.Results: Commonly provided CAMs were Kampo (traditional Japanese herbal) medicines (34.8%) and supplements/health foods (19.3%). CAMs on the drug tariff were provided in 46.5% of cases at the clinics, but only 16.5% of cases were provided CAMs which were not on the drug tariff, at different neighboring facilities. Among different specialties, Kampo medicines were prescribed at obstetrics/gynecology (54.0%), orthopedics (44.4%), and dermatology (43.0%). Clinics not providing any CAM accounted for 53.5%. With regard to health insurance coverage, 96.8% of the clinics provided only or mainly health services on the universal national health insurance tariff (29.8% and 67.0%, respectively).Conclusion: Kampo medicines represent the most commonly used CAM in private clinics in Japan, and universal national health insurance coverage is considered to be the reason for the high rate of their use.Please cite this article as: Motoo Y, Yukawa K, Hisamura K, Tsutani K, Arai I. Internet survey on the provision of complementary and alternative medicine in Japanese private clinics: a cross-sectional study. J Integr Med. 2019; 17(1): 8-13. (C) 2018 Shanghai Changhai Hospital. Published by Elsevier B.V. All rights reserved.