Demographics and patterns of acupuncture use in the Chinese population: The Taiwan experience
Demographics and patterns of acupuncture use in the Chinese population: The Taiwan experience
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DOI：
10.1089/acm.2006.12.379
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发表时间：
2006-05-01
影响因子：
2.6
通讯作者：
Hwang, Shinn-Jang
中科院分区：
文献类型：
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作者：
Chen, Fang-Pey;Kung, Yen-Ying;Hwang, Shinn-Jang
背景资料：补充和替代医学（CAM），包括传统中医（TCM）和针灸的使用在过去十年中在西方国家大幅增加。然而，迄今为止，关于中国社会中使用针灸的大规模调查的信息数据仍然很少。设计和结果测量：本研究以台湾全民健康保险研究资料库提供之1996 ~ 2002年针灸门诊报销个案资料为研究对象，以及台湾针灸治疗的疾病类别进行分析。结果：截至2002年底，在21，869，478名国民健康保险有效受益人中，（6.2%）在这一年中使用针灸，但4，948，464名受试者（22.6%）自1996年以来使用了整整7年。每年平均增加1 191 164名（53.6%）新用户。在所有针灸使用者中，观察到女性占主导地位（女性：男性= 1.12：1），年龄分布显示40岁左右的峰值，其次是30岁和50岁。私人中医诊所针灸使用率（82.0%）高于私人中医医院（13.7%）。针灸治疗的疾病类别主要是肌肉骨骼系统疾病（46.2%）;损伤（41.8%）;神经系统疾病（3.5%）;和症状，体征和不明确的条件（2.7%）。结论：百分之二十三（23%）的人在台湾使用针灸在这7年期间。肌肉骨骼和神经系统疾病是针灸治疗的两大类。
Background: The use of complementary and alternative medicine (CAM), including Traditional Chinese Medicine (TCM) and acupuncture, has substantially increased in western countries in the past decade. However, informative data concerning large-scale investigations of acupuncture used in the Chinese society remain rare so far.Design and outcome measure: The complete datasets of acupuncture outpatient reimbursement claims from 1996 to 2002 were supplied by the National Health Insurance Research Database, Taiwan, and the usage frequencies and characteristics of the acupuncture users, as well as the disease categories that were treated by acupuncture in Taiwan were analyzed.Results: At the end of 2002, among the 21,869,478 total valid beneficiaries of National Health Insurance (NHI), 1,362,351 subjects (6.2%) used acupuncture during this year, but 4,948,464 subjects (22.6%) had used it for the whole 7-year period since 1996. A mean increment of 1,191,164 (53.6%) new users had been involved yearly. Among all those acupuncture users, a female predominance was observed (female:male = 1.12: 1), and the age distribution displayed a peak at around the 40s, followed by the 30s and 50s. Private TCM clinics provided more acupuncture usage (82.0%) than did private TCM hospitals (13.7%). The disease categories treated mostly by acupuncture were diseases of the musculoskeletal system (46.2%); injury (41.8%); diseases of the nervous system (3.5%); and symptoms, signs, and ill-defined conditions (2.7%).Conclusions: Twenty-three percent (23%) of people in Taiwan had used acupuncture during this 7-year period. Musculoskeletoal and neurologic disorders were two major categories commonly treated with acupuncture.