Acupuncture in practice: mapping the providers, the patients and the settings in a national cross-sectional survey.
Acupuncture in practice: mapping the providers, the patients and the settings in a national cross-sectional survey.
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DOI：
10.1136/bmjopen-2011-000456
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发表时间：
2012
期刊：
影响因子：
2.9
通讯作者：
Macpherson H
中科院分区：
文献类型：
--
作者：
Hopton AK;Curnoe S;Kanaan M;Macpherson H
关于在英国提供针灸治疗的医生，患者咨询的条件和提供的治疗相对有限。了解治疗的条件和由谁治疗，检查治疗的特点，并探索随着时间的推移的趋势。英国针灸从业者进行了横断面调查，800名从业者被选为由计算机生成的随机序列从四个主要的英国专业协会。收集的有关从业者的数据包括人口统计详细信息、协会成员资格、法律监管状态、实践环境、针灸风格、诊断方法和寻求的针反应。从业人员记录了他们最近10名患者的详细信息，包括人口统计学细节，咨询的主要原因和提供的生活方式建议。330名从业人员做出了答复，其中包括医生（29%）、理疗师（29%）、护士（15%）和独立针灸师（27%）：62%为女性，中位年龄为48岁。 大多数人（68%）在独立的环境中执业，42%在国家卫生服务体系中执业。患者最常咨询下背部，颈部，肩部和膝盖疼痛，以及头痛和偏头痛。10年来，由独立的针灸师治疗不孕症的人数增加了5倍。 针灸为英国的医疗保健做出了巨大贡献，每年估计提供400万次治疗。患者咨询的主要投诉反映了针灸治疗这些疾病的证据越来越多。这些数据为政策和做法方面的决策提供了依据。这项调查提供了一个最新的概述在英国提供针灸的现状，包括诊断实践和提供给患者的生活方式建议的信息。据估计，2009年在英国提供了400万次针灸治疗，其中约三分之二是在国家卫生服务体系之外提供的。四大专业协会的从业人员大多具有医生、物理治疗师、护士和独立针灸师的背景。肌肉骨骼疾病的咨询率最高，通常是背部，肩部，颈部和膝盖疼痛，以及神经系统疾病，主要是头痛和偏头痛。稳健的调查方法被用来限制选择偏差;提供我们数据的从业者是通过随机化过程选择的。存在潜在的反应偏倚风险;然而，与早期报告的比较表明，我们的结果合理地代表了英国和美国人群。这一发现与目前针灸临床疗效和成本效益的证据基础是一致的。
There is relatively limited knowledge about the practitioners who provide acupuncture treatment within the UK, what conditions patients consult for and the treatment provided. To characterise the conditions treated and by whom, to examine characteristics of the treatment and to explore trends over time. A cross-sectional survey of the UK acupuncture practitioners was conducted; 800 practitioners were selected by computer-generated randomisation sequences from the four major UK-based professional associations. Data collected on the practitioners included demographic details, association membership, statutorily regulated status, practice setting, style of acupuncture, diagnostic methods and needle response sought. Practitioners recorded details of their 10 most recent patients, including demographic details, primary reason for consulting and lifestyle advice provided. 330 practitioners responded comprising doctors (29%) physiotherapists (29%), nurses (15%) and independent acupuncturists (27%): 62% were women with median age of 48 years. The majority (68%) practiced in independent settings and 42% practiced within the National Health Service. Patients most commonly consulted for low back, neck, shoulder and knee pain, as well as headaches and migraine. Treatment for infertility by independent acupuncturists was found to have increased fivefold in 10 years. Acupuncture provides a substantial contribution to the healthcare of the UK, with an estimated 4 million sessions provided annually. The primary complaints for which patients consult reflect the growing evidence base on acupuncture for these conditions. These data provide a basis for decision-making regarding policy and practice. This survey provides an up-to-date overview on the current state of provision of acupuncture in the UK, including information on diagnostic practices and lifestyle advice provided to patients. An estimated 4 million acupuncture sessions were provided in 2009 in the UK with approximately two-thirds of this provision outside the National Health Service. Most practitioners in the four major professional associations have backgrounds as doctors, physiotherapists, nurses and independent acupuncturists. Consultation rates were highest for musculoskeletal conditions, commonly back, shoulder, neck and knee pain, and neurological conditions, primarily headache and migraine. Robust survey methods were used to limit selection bias; practitioners who provided our data were selected through a randomisation process. There is a potential risk of response bias; however, comparisons to earlier reports suggest that our results are reasonably representative of the UK and the USA populations. The findings are consistent with the current evidence base on clinical efficacy and cost-effectiveness of acupuncture.
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影响因子：
8.4
作者：
Linde, Klaus;Allais, Gianni;Brinkhaus, Benno;Manheimer, Eric;Vickers, Andrew;White, Adrian R.
通讯作者：
White, Adrian R.
影响因子：
3.6
作者：
MacPherson, Hugh;Sinclair-Lian, Nityamo;Thomas, Kate
通讯作者：
Thomas, Kate
影响因子：
3.6
作者：
Hughes, J. G.;Goldbart, J.;Knowles, K.
通讯作者：
Knowles, K.
影响因子：
2.5
作者：
Hopton, A. K.;Thomas, K. J.;MacPherson, H.
通讯作者：
MacPherson, H.
影响因子：
2.5
作者：
Johnson, Gina;White, Adrian;Livingstone, Ruth
通讯作者：
Livingstone, Ruth