Exploring the Role of Multiple Chronic Conditions in Traditional Chinese Medicine Use and Three Types of Traditional Chinese Medicine Therapy Among Adults in Taiwan

被引：7

作者：

Cheng, Ting-Yi ^{[1
,4
]}

Chou, Yiing-Jenq ^{[1
,2
]}

Huang, Nicole ^{[5
]}

Pu, Christy ^{[3
]}

Chou, Yu-Ju ^{[6
]}

Chou, Pesus ^{[1
,7
]}

机构：

[1] Natl Yang Ming Univ, Inst Publ Hlth, Fac Med, Sch Med, Taipei 112, Taiwan

[2] Natl Yang Ming Univ, Inst Hosp & Hlth Care Adm, Fac Med, Sch Med, Taipei 112, Taiwan

[3] Natl Yang Ming Univ, Dept Publ Hlth & Med Humanities, Fac Med, Sch Med, Taipei 112, Taiwan

[4] Taipei City Hosp, Heping Fuyou Branch, Dept Tradit Chinese Med, Taipei, Taiwan

[5] Taipei City Hosp, Dept Educ & Res, Taipei, Taiwan

[6] Chang Gung Mem Hosp, Dept Med Res & Dev, Keelung, Taiwan

[7] Natl Yang Ming Univ, Community Med Res Ctr, Taipei 112, Taiwan

来源：

JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE | 2015年 / 21卷 / 06期

关键词：

ALTERNATIVE MEDICINE; UNITED-STATES; WESTERN MEDICINE; CHRONIC DISEASES; COMPLEMENTARY; PREVALENCE; HEALTH; EXPENDITURES; POPULATION; SERVICES;

D O I：

10.1089/acm.2014.0227

中图分类号：

R [医药、卫生];

学科分类号：

10 ;

摘要：

Introduction: Numerous people with chronic conditions like to use traditional Chinese medicine (TCM) treatment, or integrated treatment of TCM and Western medicine (WM). Our study explored the associations between multiple chronic conditions (MCC) and TCM use and the use of specific types of TCM therapy among adults in Taiwan. In addition, we explored the TCM use of adults with seven common types of chronic conditions. Methods: In our study, a national representative sample in 2005 was used. The Chronic Condition Indicator and the Clinical Classifications System created by the U.S. Agency for Healthcare Research and Quality were used to define the number of chronic conditions of adults. Logistic regressions adjusted for demographic characteristics were used to analyze the associations. The frequency of TCM use among adults with different numbers of chronic conditions was quantified. Results: TCM use for adults with 5 chronic conditions (odds ratio [OR] 1.86) was higher than TCM use for adults with 2-4 chronic conditions (OR 1.51) and TCM use for adults with one chronic condition (OR 1.48). The increase in the OR of the use of Chinese herbs and traumatology manipulative therapy according to the number of chronic conditions was not as substantial as that of acupuncture-moxibustion. The frequency of TCM use exhibited an increasing trend with the increase in the number of chronic conditions (p<.001). Among the seven common types of chronic conditions for adults, TCM use for adults with arthropathy (OR 2.01) was the highest. Conclusion: The probability and frequency of TCM use increased as the number of chronic conditions increased. The probability of Chinese herbs use, traumatology manipulative therapy use, and, particularly, acupuncture-moxibustion use increased as the number of chronic conditions increased. We suggest that government policy makers emphasize administering integrated TCM and WM care to people with chronic conditions or MCC.

引用

页码：350 / 357

页数：8