Perceptions about complementary therapies relative to conventional therapies among adults who use both: Results from a national survey
Perceptions about complementary therapies relative to conventional therapies among adults who use both: Results from a national survey
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DOI：
10.7326/0003-4819-135-5-200109040-00011
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发表时间：
2001-09-04
影响因子：
39.2
通讯作者：
Davis, RB
中科院分区：
文献类型：
--
作者：
Eisenberg, DM;Kessler, RC;Davis, RB
背景：很少知道的看法，补充和替代医学（CAM）治疗相对于传统治疗的患者谁使用两者。目的：记录使用辅助辅助治疗和常规治疗的人对辅助辅助治疗的看法。设计：具有全国代表性的随机家庭电话调查。背景：美国48个州。参与者：1997年看过医生并使用辅助医学疗法的831名成年人。测量：与传统疗法相比，对辅助替代疗法使用的有益性和模式的认知，以及不披露辅助替代疗法的原因。结果：在过去12个月中看过医生并使用辅助治疗的831名受访者中，79%的人认为联合治疗优于任何一种单独治疗。在411名报告既看过医生又看过CAM提供者的受访者中，70%的受访者通常在去CAM提供者之前或同时去看过医生；15%的人通常在看医生之前先看CAM提供商。人们对辅助医疗服务提供者的信心与对医生的信心并无本质差异。在831名在过去一年曾使用辅助医学疗法并看过医生的受访者中，63%至72%没有向医生透露至少一种辅助医学疗法。在507名报告不披露726种替代疗法使用原因的受访者中，不披露的常见原因是“医生知道不重要”（61%）、“医生从未问过”（60%）、“这不关医生的事”（31%）和“医生不会理解”（20%）。更少的受访者（14%）认为他们的医生不赞成或不鼓励使用CAM， 2%的人认为他们的医生可能不会继续作为他们的提供者。应答者认为辅助辅助治疗在治疗头痛、颈部和背部疾病方面比常规治疗更有帮助，但在治疗高血压方面则认为常规治疗比辅助辅助治疗更有帮助。结论：全国调查数据不支持在美国使用CAM治疗主要反映对传统护理的不满的观点。两者都使用的成年人似乎对两者都很重视，而且往往不太关心医生的反对，而更关心医生无法理解或在医疗管理的背景下结合CAM治疗的使用。
Background: Little is known about perceptions of complementary and alternative medical (CAM) therapy relative to conventional therapy among patients who use both.Objective: To document perceptions about CAM therapies among persons who use CAM and conventional therapies.Design: Nationally representative, random-household telephone survey.Setting: The 48 contiguous U.S. states.Participants: 831 adults who saw a medical doctor and used CAM therapies in 1997.Measurements: Perceptions about helpfulness and patterns of CAM therapy use relative to conventional therapy use and reasons for nondisclosure of CAM therapies.Results: Of 831 respondents who saw a medical doctor and used CAM therapies in the previous 12 months, 79% perceived the combination to be superior to either one alone. Of 411 respondents who reported seeing both a medical doctor and a CAM provider, 70% typically saw a medical doctor before or concurrent with their visits to a CAM provider; 15% typically saw a CAM provider before seeing a medical doctor. Perceived confidence in CAM providers was not substantially different from confidence in medical doctors. Among the 831 respondents who in the past year had used a CAM therapy and seen a medical doctor, 63% to 72% did not disclose at least one type of CAM therapy to the medical doctor. Among 507 respondents who reported their reasons for nondisclosure of use of 726 alternative therapies, common reasons for nondisclosure were "It wasn't important for the doctor to know" (61%), "The doctor never asked" (60%), "It was none of the doctor's business" (31%), and "The doctor would not understand" (20%). Fewer respondents (14%) thought their doctor would disapprove of or discourage CAM use, and 2% thought their doctor might not continue as their provider. Respondents judged CAM therapies to be more helpful than conventional care for the treatment of headache and neck and back conditions but considered conventional care to be more helpful than CAM therapy for treatment of hypertension.Conclusions: National survey data do not support the view that use of CAM therapy in the United States primarily reflects dissatisfaction with conventional care. Adults who use both appear to value both and tend to be less concerned about their medical doctor's disapproval than about their doctor's inability to understand or incorporate CAM therapy use within the context of their medical management.