Physicians’ Attitudes Towards Modern and Complementary Medicine
Yıl 2023,
Cilt: 7 Sayı: 3, 371 - 380, 20.12.2023
Huriye Kete
,
Suleyman Ersoy
,
Emin Pala
Öz
Purpose: This study aims to evaluate the opinions of physicians in Umraniye Training and Research Hospital (UTRH), University of Health Sciences, Istanbul about modern medicine and Traditional and Complementary Medicine (T&CM).
Materials and Methods: Among the physicians working in UTRH 407 of them were interviewed. The participants were asked to complete the questionnaire prepared by the researchers. Questions evaluating their demographic information, their opinions on modern medicine and T&CM were asked to the participants.
Results: The mean professional experience of these physicians is 10.14±9.49 years. 76.7% of them think that T&CM methods are useful and supportive methods for modern medicine. 74.9% of the physicians think that more randomized controlled studies should be done to increase the awareness about T&CM methods. The most concerning option for physicians about the widespread application of T&CM methods is the employment of these methods by inappropriately trained people or those who have not received any training. 85.6% (n=125) of the physicians who received training on T&CM methods think that modern medicine does not give the due importance to preventive medicine. 93.8% (n=135) of the physicians who were trained in T&CM methods, preferred additional T&CM methods because the patients were not satisfied with modern medical methods, 86.6% (n=129) of them said that modern medicine has a disease-centered approach rather than a patient-centered approach.
Conclusion: Physicians think that T&CM methods are supportive and useful methods for modern medicine and state that more randomized controlled studies should be done about T&CM methods.
Kaynakça
- 1. Davidoff F, Haynes B, Sackett D, Smith R. Evidence based medicine. BMJ 1995;310(6987):1085-1086.
- 2. Pal S. Complementary and alternative medicine: An overview. Curr. Sci. 2002;82(5):518-524.
- 3. Bulut F, Özkan G. Evaluation of Cyborg Technology and Applications in terms of Medical Ethics. J. of Uludag U.Medicine 2020;46(2):255-262.
- 4. T.R. Ministry of Health Acupuncture Treatment Regulation T. 20885 Official Gazette No.29.05.1991; 20885.
- 5. T.R. Ministry of Health Regulation on Traditional and Complementary Medicine Practices. 29158 Official Gazette No.27.10.2014;29158.
- 6. Ekmekçi PE. Traditional Chinese Medicine from 3,000 Years ago to the Present; History, Present and Future. J Tradit Complem Med. 2018;1(3):132-140.
- 7. China Statistical Yearbook 2011: Chinese Medicine (1987–2010). Government of China, National Bureau of Statistics of China, China 2011.
- 8. Park YL, Huang C W, Sasaki Y, Ko Y, Park S, Ko SG. Comparative Study on The Education System of Traditional Medicine in China, Japan, Korea, and Taiwan. Explore. 2016;12(5):375-383.
- 9. WHO Traditional medicine Executive Board 111th Session Provisional agenda item 57 World Health Organization. Report by the Secretariat 2002. https://iris.who.int/handle/10665/78122. Access date: 01 February, 2023.
- 10. 3rd International Traditional and Complementary Medicine Congress. https://shgmgetatdb. saglik.gov.tr/TR-21264/uygulama-merkezleri.html Acces date: 01 February, 2023.
- 11. Olchowska-Kotala A, Barański J. Polish physicians' attitudes to complementary and alternative medicine. Complement Ther Med. 2016;27:51-57.
- 12. Koçak S. Perspective of Practices of Traditional and Complementary Medicines in Turkey (Medical Specialization Thesis). University of Health Sciences Ankara City Hospital Family Medicine Clinic;2020.
- 13. Patel SJ, Kemper KJ, Kitzmiller JP. Physician Perspectives on the Education, Teaching, and Practice of Complementary and Alternative Medicine. Adv Med Educ Pract. 2017;8:499-503.
- 14. Loh KP, Ghorab H, Clarke E, Conroy R, Barlow J. Medical students' knowledge, perceptions, and interest in complementary and alternative medicine. J Altern Complement Med. 2013;19(4):360-366.
- 15. Kaya R. Knowledge and Attitudes of Physicians and Society on Traditional and Complementary Medicine: Ankara Case (Medical Specialization Thesis). University of Health Sciences Ankara Dışkapı Yıldırım Beyazıt Health Application and Research Center Family Medicine Clinic;2020.
- 16. Arzu A, Onur Ö, Muhammet Ali O, Erdinç Y, The Knowledge Levels and Opinions of Medical Faculty Students on Traditional and Complementary Medicine. Turkish J of Family Med. 2020;24(4):196-202.
- 17. Aslan Yüksel N, Açıkgöz B, Yüksel C, Ayoğlu F, Er T. Physicians' Point of View Of Traditional And Complementary Medical Practices. ESTÜDAM J of Public H. 2019;4(3):276-286.
- 18. Gall G, Leske A, Adams S, et al. Traditional and complementary medicine use among indigenous cancer patients in Australia, Canada, New Zealand, and the United States: a systematic review. Integrative cancer therapies. 2018;17(3):568-581.
- 19. Bjerså K, Stener Victorin E, Fagevik Olsén M. Knowledge about complementary, alternative and integrative medicine (CAM) among registered health care providers in Swedish surgical care: a national survey among university hospitals. BMC Complement Altern Med. 2012;12(1):1-10.
- 20. Adorisio S, Fierabracci A, Rossetto A. Integration of Traditional and Western Medicine in Vietnamese Populations: A Review of Health Perceptions and Therapies. Nat Prod Commun. 2016;11(9):1409-1416.
- 21. Anderson BJ, Jurawanichkul S, Kligler BE, Marantz PR, Evans R. Interdisciplinary Relationship Models for Complementary and Integrative Health: Perspectives of Chinese Medicine Practitioners in the United States. J Altern Complement Med. 2019;25(3):288-295.
- 22. Hao P, Jiang F, Cheng J, Ma L, Zhang Y, Zhao Y. Traditional Chinese medicine for cardiovascular disease: evidence and potential mechanisms. J Am Coll Cardiol. 2017;69(24):2952-2966.
- 23. Yang M, Jiang L, Wang Q, Chen H, Xu G. Traditional Chinese medicine for knee osteoarthritis: An overview of systematic review. PLoS One. 2017;12(12): e0189884.
- 24. Sreenivasmurthy SG, Liu JY, Song JX, et al. Neurogenic Traditional Chinese Medicine as a Promising Strategy for the Treatment of Alzheimer's Disease. Int J Mol Sci. 2017;18(2):272.
- 25. Oral B, Öztürk A, Balcı E, Sevinç N. Opinions and Usage Status of Those Who Applied to the Family Health Center about Traditional/Alternative Medicine. TAF Prev Med Bull. 2016;15(2):75-82.
- 26. Kocabaş D, Eke E, Demir M. Evaluation of Individuals' Attitudes towards Traditional and Alternative Methods in Health Service Use. Bolu Abant İzzet Baysal Uni J of Social Sci Ins. 2019;19(1):63-80.
- 27. Nile SH, Kai G. Nile, S. H., & Kai, G. Recent clinical trials on natural products and traditional Chinese medicine combating the COVID-19. Indian J Microbiol. 2021;61(1):10-15.
- 28. Ren JL, Zhang AH, Wang XJ. Traditional Chinese medicine for the treatment of COVID-19. Pharmacol Res. 2020;155:104743.
- 29. Jou J, Johnson PJ. Nondisclosure of complementary and alternative medicine use to primary care physicians: findings from the 2012 National Health Interview Survey. JAMA Intern. Med. 2016;176(4):545-546.
- 30. Thomson P, Jones J, Evans JM, Leslie SL. Factors influencing the use of complementary and alternative medicine and whether patients inform their primary care physician. Comp. Therapies in Med. 2012;20(1-2):45-53.
- 31. Lim JW, Chee SX, Wong WJ, He QL, Lau TC. Traditional Chinese medicine: herb-drug interactions with aspirin. Singapore Med J. 2018;59(5):230-239.
- 32. Şahin E, Mıdık Özpak A. Cutaneous Lymphoid Reaction Due to Leech Therapy. STED / J of Continuing Med Edu. 2019;28(5):377-379.
- 33. Ragunathan M, Tadesse H, Tujuba R. A cross-sectional study on the perceptions and practices of modern and traditional health practitioners about traditional medicine in Dembia district, north western Ethiopia. Pharmacogn Mag. 2010;6(21):19-25.
Hekimlerin Geleneksel ve Tamamlayıcı Tıp ile Modern Tıbba Dair Görüş ve Düşünceleri
Yıl 2023,
Cilt: 7 Sayı: 3, 371 - 380, 20.12.2023
Huriye Kete
,
Suleyman Ersoy
,
Emin Pala
Öz
Giriş: Bu çalışma, İstanbul Sağlık Bilimleri Üniversitesi Ümraniye Eğitim ve Araştırma Hastanesi (UEAH) hekimlerinin modern tıp ile Geleneksel ve Tamamlayıcı Tıp (GETAT) hakkındaki görüşlerini değerlendirmeyi amaçlamaktadır.
Araçlar ve Yöntem: UEAH'de çalışan hekimlerden 407'si ile görüşülmüştür. Katılımcılardan araştırmacılar tarafından hazırlanan anketi doldurmaları istenmiştir. Anket demografik bilgilerin yanı sıra GETAT ve modern tıp hakkındaki görüşleri değerlendiren sorulardan oluşmaktaydı
Bulgular: Bu hekimlerin ortalama mesleki deneyimleri 10.14±9.49 yıldır. %76.7'si GETAT yöntemlerinin modern tıp için yararlı ve destekleyici yöntemler olduğunu düşünmektedir. Hekimlerin %74.9'u bu konuda farkındalığı artırmak için daha fazla randomize kontrollü çalışma yapılması gerektiğini düşünmektedir. GETAT yöntemlerinin yaygın olarak uygulanması konusunda hekimleri en çok endişelendiren durum bu yöntemlerin uygun veya hiç eğitim almamış kişiler tarafından uygulanmasıdır. Eğitim alan hekimlerin %85.6'sı (n=125) modern tıbbın koruyucu hekimliğe gereken önemi vermediğini düşünmektedir. GETAT yöntemleri konusunda eğitim almış hekimlerin %93.8'i (n=135) hastalarının modern tıp yöntemlerinden memnun kalmaması nedeniyle ek yöntemleri tercih ettiğini, %86.6'sı ise (n=129) modern tıbbın hasta merkezli bir yaklaşım yerine hastalık merkezli olduğunu belirtmiştir.
Sonuç: Hekimler, GETAT yöntemlerinin modern tıbbı destekleyici ve faydalı yöntemler olduğunu düşünmekte ve bu konuda daha fazla randomize kontrollü çalışmaların yapılması gerektiğini belirtmektedirler.
Kaynakça
- 1. Davidoff F, Haynes B, Sackett D, Smith R. Evidence based medicine. BMJ 1995;310(6987):1085-1086.
- 2. Pal S. Complementary and alternative medicine: An overview. Curr. Sci. 2002;82(5):518-524.
- 3. Bulut F, Özkan G. Evaluation of Cyborg Technology and Applications in terms of Medical Ethics. J. of Uludag U.Medicine 2020;46(2):255-262.
- 4. T.R. Ministry of Health Acupuncture Treatment Regulation T. 20885 Official Gazette No.29.05.1991; 20885.
- 5. T.R. Ministry of Health Regulation on Traditional and Complementary Medicine Practices. 29158 Official Gazette No.27.10.2014;29158.
- 6. Ekmekçi PE. Traditional Chinese Medicine from 3,000 Years ago to the Present; History, Present and Future. J Tradit Complem Med. 2018;1(3):132-140.
- 7. China Statistical Yearbook 2011: Chinese Medicine (1987–2010). Government of China, National Bureau of Statistics of China, China 2011.
- 8. Park YL, Huang C W, Sasaki Y, Ko Y, Park S, Ko SG. Comparative Study on The Education System of Traditional Medicine in China, Japan, Korea, and Taiwan. Explore. 2016;12(5):375-383.
- 9. WHO Traditional medicine Executive Board 111th Session Provisional agenda item 57 World Health Organization. Report by the Secretariat 2002. https://iris.who.int/handle/10665/78122. Access date: 01 February, 2023.
- 10. 3rd International Traditional and Complementary Medicine Congress. https://shgmgetatdb. saglik.gov.tr/TR-21264/uygulama-merkezleri.html Acces date: 01 February, 2023.
- 11. Olchowska-Kotala A, Barański J. Polish physicians' attitudes to complementary and alternative medicine. Complement Ther Med. 2016;27:51-57.
- 12. Koçak S. Perspective of Practices of Traditional and Complementary Medicines in Turkey (Medical Specialization Thesis). University of Health Sciences Ankara City Hospital Family Medicine Clinic;2020.
- 13. Patel SJ, Kemper KJ, Kitzmiller JP. Physician Perspectives on the Education, Teaching, and Practice of Complementary and Alternative Medicine. Adv Med Educ Pract. 2017;8:499-503.
- 14. Loh KP, Ghorab H, Clarke E, Conroy R, Barlow J. Medical students' knowledge, perceptions, and interest in complementary and alternative medicine. J Altern Complement Med. 2013;19(4):360-366.
- 15. Kaya R. Knowledge and Attitudes of Physicians and Society on Traditional and Complementary Medicine: Ankara Case (Medical Specialization Thesis). University of Health Sciences Ankara Dışkapı Yıldırım Beyazıt Health Application and Research Center Family Medicine Clinic;2020.
- 16. Arzu A, Onur Ö, Muhammet Ali O, Erdinç Y, The Knowledge Levels and Opinions of Medical Faculty Students on Traditional and Complementary Medicine. Turkish J of Family Med. 2020;24(4):196-202.
- 17. Aslan Yüksel N, Açıkgöz B, Yüksel C, Ayoğlu F, Er T. Physicians' Point of View Of Traditional And Complementary Medical Practices. ESTÜDAM J of Public H. 2019;4(3):276-286.
- 18. Gall G, Leske A, Adams S, et al. Traditional and complementary medicine use among indigenous cancer patients in Australia, Canada, New Zealand, and the United States: a systematic review. Integrative cancer therapies. 2018;17(3):568-581.
- 19. Bjerså K, Stener Victorin E, Fagevik Olsén M. Knowledge about complementary, alternative and integrative medicine (CAM) among registered health care providers in Swedish surgical care: a national survey among university hospitals. BMC Complement Altern Med. 2012;12(1):1-10.
- 20. Adorisio S, Fierabracci A, Rossetto A. Integration of Traditional and Western Medicine in Vietnamese Populations: A Review of Health Perceptions and Therapies. Nat Prod Commun. 2016;11(9):1409-1416.
- 21. Anderson BJ, Jurawanichkul S, Kligler BE, Marantz PR, Evans R. Interdisciplinary Relationship Models for Complementary and Integrative Health: Perspectives of Chinese Medicine Practitioners in the United States. J Altern Complement Med. 2019;25(3):288-295.
- 22. Hao P, Jiang F, Cheng J, Ma L, Zhang Y, Zhao Y. Traditional Chinese medicine for cardiovascular disease: evidence and potential mechanisms. J Am Coll Cardiol. 2017;69(24):2952-2966.
- 23. Yang M, Jiang L, Wang Q, Chen H, Xu G. Traditional Chinese medicine for knee osteoarthritis: An overview of systematic review. PLoS One. 2017;12(12): e0189884.
- 24. Sreenivasmurthy SG, Liu JY, Song JX, et al. Neurogenic Traditional Chinese Medicine as a Promising Strategy for the Treatment of Alzheimer's Disease. Int J Mol Sci. 2017;18(2):272.
- 25. Oral B, Öztürk A, Balcı E, Sevinç N. Opinions and Usage Status of Those Who Applied to the Family Health Center about Traditional/Alternative Medicine. TAF Prev Med Bull. 2016;15(2):75-82.
- 26. Kocabaş D, Eke E, Demir M. Evaluation of Individuals' Attitudes towards Traditional and Alternative Methods in Health Service Use. Bolu Abant İzzet Baysal Uni J of Social Sci Ins. 2019;19(1):63-80.
- 27. Nile SH, Kai G. Nile, S. H., & Kai, G. Recent clinical trials on natural products and traditional Chinese medicine combating the COVID-19. Indian J Microbiol. 2021;61(1):10-15.
- 28. Ren JL, Zhang AH, Wang XJ. Traditional Chinese medicine for the treatment of COVID-19. Pharmacol Res. 2020;155:104743.
- 29. Jou J, Johnson PJ. Nondisclosure of complementary and alternative medicine use to primary care physicians: findings from the 2012 National Health Interview Survey. JAMA Intern. Med. 2016;176(4):545-546.
- 30. Thomson P, Jones J, Evans JM, Leslie SL. Factors influencing the use of complementary and alternative medicine and whether patients inform their primary care physician. Comp. Therapies in Med. 2012;20(1-2):45-53.
- 31. Lim JW, Chee SX, Wong WJ, He QL, Lau TC. Traditional Chinese medicine: herb-drug interactions with aspirin. Singapore Med J. 2018;59(5):230-239.
- 32. Şahin E, Mıdık Özpak A. Cutaneous Lymphoid Reaction Due to Leech Therapy. STED / J of Continuing Med Edu. 2019;28(5):377-379.
- 33. Ragunathan M, Tadesse H, Tujuba R. A cross-sectional study on the perceptions and practices of modern and traditional health practitioners about traditional medicine in Dembia district, north western Ethiopia. Pharmacogn Mag. 2010;6(21):19-25.