病人看重顺势疗法的哪些方面?家庭医学能从中学到什么?

Quality in primary care Pub Date : 2014-01-01
Norbert Schmacke, Veronika Müller, Maren Stamer
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摘要

背景:顺势疗法是补充和替代医学(CAM)中最常用的领域之一。以前的研究主要集中在顺势疗法的药理学效果上。由于顺势疗法的流行,德国家庭医疗从业者就家庭医学是否应该采用顺势疗法的元素进行了激烈的讨论。目的:在德国,慢性病患者第一次被问及他们对顺势疗法医生提供的医疗保健的看法。方法:采用半结构化的专家访谈法,对访谈内容进行分析总结。结果:共调查女性21人,男性5人,年龄29 ~ 75岁。事实证明,治疗师和患者之间的“契合度”尤为重要。最初的顺势疗法咨询和寻找合适药物的过程都被患者视为对顺势疗法有效性的鼓舞人心的确认,他们认为这种个性化形式是可取的。结论:家庭医学可能采用顺势疗法的元素可能会被视为有争议的,但这项研究再次表明,成功的沟通对于确保可持续的医患关系至关重要。这一部门的进步不仅需要在医疗培训和专业发展领域不断努力,而且还涉及与发展有效医疗有关的基本问题,例如目前在"以病人为中心的医疗之家"的背景下讨论的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What is it about homeopathy that patients value? and what can family medicine learn from this?

Background: Homeopathy is one of the most frequently used areas of complementary and alternative medicine (CAM). Previous research has focused in particular on the pharmacological effectiveness of homeopathy. There is intense discussion among German family medical practitioners as to whether family medicine should adopt elements of homeopathy because of the popularity of this treatment method.

Aim: For the first time in Germany, patients with chronic conditions were asked about their views on the medical care provided by homeopathic medical practitioners.

Methods: The survey used questionnaire-based, semi-structured expert interviews, the contents of which were then analysed and summarised.

Results: A total of 21 women and five men aged from 29 to 75 years were surveyed. The 'fit' between therapist and patient proved to be particularly important. Both the initial homeopathic consultation and the process of searching for the appropriate medication were seen by patients as confidence-inspiring confirmations of the validity of homeopathic therapy which they considered desirable in this personalised form.

Conclusion: The possible adoption by family medicine of elements of homeopathy may be seen as controversial, but this study again indicates the vital importance of successful communication to ensure a sustainable doctor-patient relationship. Advances in this sector not only require continuous efforts in the areas of medical training and professional development, but also touch on basic questions relating to the development of effective medical care, such as those currently being discussed in the context of the 'patient-centred medical home'.

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