A Survey of Selected Physician Views on Acupuncture in Pain Management
A Survey of Selected Physician Views on Acupuncture in Pain Management
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DOI：
10.1111/j.1526-4637.2010.00815.x
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发表时间：
2010-01-01
期刊：
影响因子：
3.1
通讯作者：
Mao, Jianren
中科院分区：
文献类型：
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作者：
Chen, Lucy;Houghton, Mary;Mao, Jianren
目的。从疼痛医师和管理临床疼痛状况的转诊医师那里收集有关针灸在疼痛管理中的作用的信息。方法。该调查是在 2007 年至 2008 年间通过全国直邮或电子邮件向目前在美国执业的 1083 名医生进行的。我们将 16 个调查问题分为五类：1）医生对针灸作为疼痛管理方式的态度； 2) 医生对于适合针灸转诊的疼痛类型的偏好或信念； 3) 转诊针灸的时机（例如，针灸作为一线疼痛治疗选择或传统疼痛治疗失败后的最后方法）； 4）针灸治疗效果的临床评价标准； 5) 转诊针灸的障碍（例如医生的个人观点、保险问题、患者拒绝等）。调查结果被计算并解释为响应百分比。结果。结果表明，绝大多数调查响应者对使用针灸作为慢性疼痛治疗的替代方式持积极态度和良好体验。然而，我们的调查受访者大多来自教学医院，这表明教学医院和其他医疗机构（私人诊所和社区医院）在利用针灸治疗疼痛方面可能存在差距。缺乏保险覆盖和针灸治疗设施的缺乏是进行针灸转诊的两个主要障碍。结论。调查结果表明，针灸被许多医生认为是治疗慢性疼痛的一种有用的替代方式。
Objectives.To collect information on the role of acupuncture in pain management from pain physicians and referral physicians who manage clinical pain conditions.Methods.The survey was conducted between 2007 and 2008 through nationwide direct mail or e-mail to 1083 physicians who are currently practicing in the United States. We divided our 16 survey questions into five categories: 1) physician's attitude toward acupuncture as a modality of pain management; 2) physician's preference or belief with regard to the type of pain condition suitable for acupuncture referrals; 3) timing for making acupuncture referrals (e.g., acupuncture as a first line pain treatment option or a last approach after failed conventional pain management); 4) clinical assessment criteria for the effectiveness of acupuncture therapy; and 5) barriers to making acupuncture referrals (e.g., physician's personal view, insurance issues, patient refusal, etc.). The survey results were calculated and interpreted as the percentage rate of response.Result.The results indicate that an overwhelming majority of survey responders have a positive attitude and favorable experience with using acupuncture as an alternative modality for chronic pain management. However, our survey responders are mostly from teaching hospitals, suggesting a possible gap between teaching hospitals and other medical facilities (private practice and community hospitals) in utilizing acupuncture for pain management. The lack of insurance coverage and facility for acupuncture treatment are two primary barriers to making acupuncture referrals.Conclusions.The survey results indicate that acupuncture is considered by many physicians to be a useful alternative modality for chronic pain management.