Use of acupuncture by American physicians.
Use of acupuncture by American physicians.
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DOI：
10.1089/acm.1997.3.119
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发表时间：
1997-01-01
期刊：
影响因子：
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通讯作者：
Hurwitz, E L
中科院分区：
文献类型：
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作者：
Diehl, D L;Kaplan, G;Hurwitz, E L
目标：人们对目前从事针灸治疗的美国医生的特征知之甚少。我们问：（1）从事针灸治疗的医生的人口统计数据与一般医生群体有何不同？ (2) 这些医生是否使用或认可其他替代疗法？ (3) 针灸最常用于哪些病症？ (4) 针灸对于哪些病症被认为最有效？设计：对将针灸纳入其实践的医生进行邮寄调查。参与者：美国医学针灸学会 (AAMA) 会员。结果指标：有关医生和实践特征的人口统计信息；治疗的具体疾病和感知的疗效；使用其他补充方式；结果：与国家数据相比，受访者更有可能是私人诊所的非专业人士，年龄在 35 岁至 54 岁之间。男性和女性比例相同。大多数人从事针灸治疗的时间不到 5 年；大多数患者的使用率低于 25%。支持或使用其他补充方法（脊柱推拿、草药、补充剂、顺势疗法）很常见。针灸比一般医疗问题或成瘾管理更常用于治疗疼痛。使用的原因包括：该技术的功效、标准医疗方法不足时的替代方案以及多维保健方法。结论：本研究中接受调查的医生将针灸纳入其实践主要是为了治疗疼痛问题。与全国平均水平相比，他们更有可能属于 35 至 54 岁的年龄组、非专科医生和私人诊所。这些医生也更有可能使用或认可其他补充方式。
OBJECTIVES: Little is known about the characteristics of American physicians who currently practice acupuncture. We asked: (1) Do the demographics of physicians practicing acupuncture differ from the general physician population? (2) Do these physicians use or endorse other alternative therapies? (3) For which conditions is acupuncture most commonly used? (4) For which conditions is acupuncture perceived to be most efficacious?DESIGN: Mailed survey of physicians who incorporate acupuncture into their practice.PARTICIPANTS: Membership of the American Academy of Medical Acupuncture (AAMA).OUTCOME MEASURES: Demographic information regarding physicians and practice characteristics; specific illnesses treated, and perceived efficacy; use of other complementary modalities; personal reasons for practicing acupuncture.RESULTS: Compared with national data, respondents were more likely to be nonspecialists, in private practice, and age 35 to 54. There was an equal proportion of men and women. Most had been doing acupuncture for < 5 years; most use it on < 25% of their patients. Endorsement or use of other complementary methods (spinal manipulation, herbal medicine, supplements, homeopathy) was common. Acupuncture was more commonly used for pain conditions than general medical problems or addiction management. Reasons for use included: efficacy of the technique, an alternative in cases of inadequacy of standard medical approach, and a multidimensional approach to health care.CONCLUSIONS: Physicians surveyed in this study who incorporate acupuncture into their practice do so mainly to treat pain problems. They are more likely to be in the 35 to 54 age group, nonspecialists, and in private practice when compared with national averages. These physicians are also more likely to use or endorse other complementary modalities.