Engaging in the audit of acupuncture practice

Objectives: A pilot study was undertaken to examine the feasibility of auditing and developing a national databasc of acupuncture practice in the United Kingdom. Methods: One hundred forty-five (145) practitioners, members of the British Acupuncture Council, were invited to participate in the study. Those who accepted were given training and then asked to record demographic and treatment outcomes data on new patients attending their practices over a 3-month period. Two questionnaires, the Measure Your Own Medical Outcomes Profile and the College of Integrated Chinese Medicine outcome questionnaire, were compared. Baseline health status was assessed and repeated patient feedback questionnaires employed. Results: Of the 31 (21%) of practitioners who responded, only 9 (6%) eventually contributed data. A total of 69 patients participated in the study: 43 (68%) of the patients were female, and 46 (73%) were aged between 30 and 59. More than half (52%) had had their presenting problem for over 5 years and most (78%) were affected daily by it. Nineteen (30%) had had prior acupuncture treatment for their condition. The main categories of complaints reported were musculoskeletal and psychologic. Thirty-two (32) out of 41 (78%) patients with completed final outcomes data recorded moderate or major benefit in their main complaint, with no reports of deterioration. Conclusions: Although willing to be involved, practitioners found the research process time-consuming and were concerned how it could be balanced against the demands of a busy practice and the interests of patients. For a national audit study to succeed, the process would have to be simplified and practitioners encouraged to engage; collection of such information could then help to provide much-needed data on acupuncture treatment in the United Kingdom.