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首页> 美国卫生研究院文献>Journal of the Royal Society of Medicine >Access to complementary medicine in general practice: survey in one UK health authority.
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Access to complementary medicine in general practice: survey in one UK health authority.

机译：在一般实践中获取补充医学的方法：在一个英国卫生部门进行的调查。

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Complementary therapy (CT) has become increasingly popular with the general public and interest from the health professions has been rising. There has been no study focusing on the pattern of availability of CT within urban and inner-city general practice. We aimed to describe the prevalence and pattern of access to complementary therapy in this setting, identifying the characteristics of practices offering CT and the perceived barriers to service provision. We sent a postal questionnaire to all 254 general practices on the Birmingham Family Health Services Authority list. Practices were asked whether they offered any access to CTs, how services were organized and which therapies were available and to identify any barriers to provision. 175 practices (68.9%) responded. Half of the practices offered access to CT. Of these, half offered an in-house service, usually provided by the doctor (81.8%). Of GPs practising therapies themselves, 58% began in or after 1990. Seventeen separate therapies were offered, most commonly acupuncture, osteopathy, chiropractic, hypnotherapy and homoeopathy. Practices significantly more likely to offer access to CT were of larger list size and training or teaching practices. They were equally likely to be fundholders or non-fundholders. Practices offering an in-house service tended to be fundholding, training and of larger list size. Finance was perceived as the major barrier. In the area studied, many patients now have some access to CT within primary care, often within their own practice. In the main, therapies offered are the 'medically acceptable face' of complementary medicine.
机译：补充疗法（CT）在普通大众中越来越受欢迎，并且医疗保健界对此的兴趣也越来越高。尚未有研究关注城市和市区内一般实践中CT的可用性模式。我们旨在描述在这种情况下获得补充疗法的普遍性和模式，确定提供CT的做法的特征以及在提供服务方面存在的障碍。我们向伯明翰家庭健康服务管理局名单上的所有254个常规诊所发送了邮政问卷。询问了实践，他们是否提供访问CT的途径，服务的组织方式以及可用的疗法，并确定提供障碍。 175例（68.9％）回复。一半的实践提供了使用CT的权限。其中一半提供了内部服务，通常由医生提供（81.8％）。在GP自己实践疗法的全科医生中，有58％的人开始于1990年或之后。提供了17种单独的疗法，最常见的是针灸，整骨疗法，捏脊疗法，催眠疗法和同种疗法。名单数量较大，培训或教学实践明显多于提供CT的实践。他们同样有可能是基金持有人或非基金持有人。提供内部服务的做法往往是资金持有，培训和更大规模的清单。人们认为金融是主要障碍。在所研究的领域中，许多患者现在通常在自己的实践中可以在初级保健中获得CT的机会。基本上，提供的疗法是补充医学的“医学上可接受的面孔”。

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