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A Qualitative Study of the Communication Process for Medical Acupuncture in Family Medicine

机译：家庭医学中医学针灸交流过程的定性研究

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Background and Objectives: As evidence establishes the efficacy of medical acupuncture, more family physicians and family medicine residents may receive medical acupuncture training and need to know how to effectively communicate about the treatment option with patients. By identifying how physicians talk about acupuncture treatment with their patients, we aimed to develop a model for physician training that could enhance their ability to integrate and practice medical acupuncture in conventional clinical settings.Methods: To capture the communication process that family physicians engage in when integrating acupuncture treatment into a clinical environment, we sought both physicians’ and patients’ perspectives. We conducted interviews with 17 family physicians and 15 patients in a US family medicine clinic that has integrated medical acupuncture into its practice. Audio recordings were transcribed and analyzed by two members of the study team in ATLAS.ti, using the constant comparative method.Results: Integrating acupuncture into family medicine entailed a three-phase communication process: (1) introduce acupuncture, (2) explain the medical process, and (3) evaluate treatment outcomes.Conclusions: The emerging three-phase process of communicating acupuncture described here provides an initial model for teaching communication in the context of medical acupuncture. Given the exploratory nature of this initial study and the rarity of acupuncture treatment integrated into family medical settings, this is a first step in building knowledge in this realm of practice. Future research is needed to better understand the experience of patients who do not report notable results of acupuncture and to extend this study into other family medicine settings.
机译：背景与目的：随着证据确立了针灸的功效，更多的家庭医生和家庭医学居民可能会接受针灸培训，并且需要知道如何与患者有效地交流治疗方案。通过确定医生如何与患者谈论针灸治疗，我们旨在为医生培训建立模型，以增强他们在常规临床环境中整合和实践针灸的能力。方法：了解家庭医生在何时进行的沟通过程将针灸治疗整合到临床环境中，我们寻求医生和患者的观点。我们在一家将医学针灸纳入其实践的美国家庭医学诊所对17位家庭医生和15位患者进行了访谈。音频记录由ATLAS.ti研究小组的两名成员使用恒定比较方法进行转录和分析。结果：将针灸纳入家庭医学需要三个阶段的交流过程：（1）引入针灸，（2）解释针灸医疗过程，以及（3）评估治疗效果。结论：本文所述的新兴的针灸交流过程分为三个阶段，为医学针灸教学中的交流教学提供了一个初始模型。鉴于这项初步研究的探索性质以及将针灸治疗纳入家庭医疗环境的罕见性，这是​​在这一实践领域中建立知识的第一步。需要进行进一步的研究，以更好地了解没有报告针灸结果的患者的经验，并将该研究扩展到其他家庭医学领域。

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