Sociomedical study on the attitudes to complementary and alternative medicine

我们比较了1999年和2005.1年间医生和公民对补充和替代医学的态度。医生的态度：对京都医学会的630名医生进行了问卷调查，回收了405名医生(回复率为64.2%)。结果显示：1熟悉“CAM”一词的医生由1999年的45%显著增加到2005.2年度的82%，执业医生由1999年的70%增加到2005.3年度的82%，针灸只有很少的医生使用，比例与1999年和2005.4相同，其他的针灸疗法也只有很少的医生使用，与1999年到2000.5的比例相当。2)京都市民的态度：对434名京都市民进行问卷调查，结果如下：1 2005年针刺、艾灸、推拿、推拿的使用率低于1999.2,2005年服用膳食补充剂的市民多于1999.3，在练习坎波、脊椎、水疗、催眠、海疗、气功和瑜伽方面没有发现变化。4中医治疗的目的发生了变化，即在坎波、推拿和脊椎，治疗目的减少了，但健康促进的目的增加了。5康复者的生活质量低于非康复者。

We compared the attitudes of medical doctors and citizens to complementary and alternative medicine (CAM) between 1999 and 2005.1)Doctor's attitude : The questionnaire was performed for 630 doctors belonging to the Kyoto Medical Association, and replies were received from 405 doctors (response rate ; 64.2%). The following results were obtained;1 The doctors familiar with the term "CAM" significantly increased from 45% in 1999 to 82% in 2005.2 The doctors practicing Kampo increased from 70% in 1999 to 82% in 2005.3 Acupuncture and moxibustion were practiced only by few doctors at the same rate of 1999 as 2005.4 The other CAM therapies were also practiced only by few doctors at the similar rate of 1999 to 2000.5 No changes in the beliefs of doctors in the effectiveness of CAM were found.2)Kyoto citizens' attitudes : The questionnaire was performed for 434 Kyoto citizens, and the following results were obtained;1 The rate of practicing acupuncture, moxibustion, acupressure, and massage were lower in 2005 than that in 1999.2 The more citizens took dietary supplements in 2005 than 1999.3 No changes in practicing Kampo, chiropractics, spa therapy, hypnosis, thalassotherapy, quigong and yoga were found.4 The changes in the aim to practice CAM therapies were found, namely in Kampo, massage and chiropractic, the therapeutic aim decreased, but the aim for health promotion increased.5 The QOL of CAM users was lower than non-CAM users.