Complementary and alternative medical therapy use among Chinese and Vietnamese Americans: Prevalence, associated factors, and effects of patient-clinician communication
Complementary and alternative medical therapy use among Chinese and Vietnamese Americans: Prevalence, associated factors, and effects of patient-clinician communication
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DOI：
10.2105/ajph.2004.048496
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发表时间：
2006-04-01
影响因子：
12.7
通讯作者：
Phillips, RS
中科院分区：
文献类型：
--
作者：
Ahn, AC;Ngo-Metzger, Q;Phillips, RS
目标。我们调查了英语水平有限的中国和越南裔美国人对补充和替代医疗(CAM)疗法的使用情况，并探索了患者-临床医生对CAM治疗使用的讨论与患者对护理质量的评估之间的联系。我们调查了中国人和越南裔美国人，他们访问了美国8个主要城市的11个社区卫生中心。在接受调查的4410名患者中，3258名(74%)返回了完整的问卷。2/3的受访者称他们“曾经使用过”某种形式的CAM疗法；然而，这些患者中只有7.6%的人与临床医生讨论过他们使用的CAM疗法。在最近一次就诊前一周内使用过CAM疗法的患者中，临床医生与患者之间关于使用CAM疗法的讨论与较好的总体患者护理质量评分有关。在英语水平有限的华裔和越南籍美国人中，使用CAM疗法很常见。尽管与临床医生讨论CAM疗法的使用并不常见，但这些讨论与更好的护理质量评级有关。
Objective. We examined the use of complementary and alternative medical (CAM) therapies among Chinese and Vietnamese Americans who had limited proficiency with the English language and explore the association between patient-clinician discussions about CAM therapy use and patient assessments of quality of care.Methods. We surveyed Chinese and Vietnamese Americans who visited 11 community health centers in 8 major cities throughout the United Stateds.Results. Of the 4410 patients surveyed, 3258 (74%) returned completed questionnaires. Two thirds of respondents reported they had "ever used" some form of CAM therapy; however, only 7.6% of these patients had discussed their use of CAM therapies with clinicians. Among patients who had used CAM therapies during the week before their most recent visits, clinician-patient discussions about CAM therapy use were associated with better overall patient ratings oi quality of care.Conclusion. Use of CAM therapies was common among Chinese and Vietnamese Americans who had limited proficiency with the English language. Although discussions about CAM therapy use with clinicians were uncommon, these discussions were associated with better ratings of quality of care.