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. 1998 May;44:1009–1015.

Chinese herbal medicine and acupuncture. How do patients who consult family physicians use these therapies?

L K Wong 1, P Jue 1, A Lam 1, W Yeung 1, Y Cham-Wah 1, R Birtwhistle 1
PMCID: PMC2277654  PMID: 9612586

Abstract

OBJECTIVE: To determine how a population of Chinese patients consulting family physicians in Vancouver use traditional Chinese medicine (TCM), specifically Chinese herbal medicine and acupuncture. DESIGN: Bilingual survey (English and Chinese). SETTING: Four family practices with predominantly Chinese patients in metropolitan Vancouver. PARTICIPANTS: The 932 patients or family members who visited one of the practices. MAIN OUTCOME MEASURES: Demographic characteristics; frequency and reason for visiting a family physician, Chinese herbalist, or acupuncturist; choice of practitioner if affected by one of 16 common conditions. RESULTS: The study population was mostly Chinese and immigrant to Canada. Chinese herbal medicine was currently used by 28% (262/930) of respondents (more than one visit in the last year), and another 18% (172/930) were past users. Acupuncture was currently used by 7% (64/927) and had been used in the past by another 8% (71/927). Use of Chinese herbal medicine varied significantly (P < .01) according to age, sex, immigrant status, and ethnicity. Acupuncture use varied significantly only by age. The main reasons for consulting Chinese herbalists were infection (41%, 157/382), respiratory problems (11%, 42/382), and rheumatologic problems (10%, 38/382), whereas acupuncturists were consulted almost exclusively for rheumatologic problems (80%, 45/56). CONCLUSIONS: Using TCM in conjunction with visiting family physicians was very popular among this predominantly Chinese study population. Patients with acute conditions, such as influenza, consulted both their family physicians and Chinese herbalists in quick succession. On the other hand, those suffering from more chronic conditions, such as rheumatologic diseases, were more likely to start using TCM after repeated visits to their family physicians.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Boisset M., Fitzcharles M. A. Alternative medicine use by rheumatology patients in a universal health care setting. J Rheumatol. 1994 Jan;21(1):148–152. [PubMed] [Google Scholar]
  2. Eisenberg D. M., Kessler R. C., Foster C., Norlock F. E., Calkins D. R., Delbanco T. L. Unconventional medicine in the United States. Prevalence, costs, and patterns of use. N Engl J Med. 1993 Jan 28;328(4):246–252. doi: 10.1056/NEJM199301283280406. [DOI] [PubMed] [Google Scholar]
  3. Hessler R. M., Nolan M. F., Ogbru B., New P. K. Intraethnic diversity: health care of the Chinese-Americans. Hum Organ. 1975 Fall;34(3):253–262. doi: 10.17730/humo.34.3.l1x2x35634711638. [DOI] [PubMed] [Google Scholar]
  4. Lee R. P. Perceptions and uses of Chinese medicine among the Chinese in Hong Kong. Cult Med Psychiatry. 1980 Dec;4(4):345–375. doi: 10.1007/BF00051811. [DOI] [PubMed] [Google Scholar]
  5. Northcott H. C., Bachynsky J. A. Concurrent utilization of chiropractic, prescription medicines, nonprescription medicines and alternative health care. Soc Sci Med. 1993 Aug;37(3):431–435. doi: 10.1016/0277-9536(93)90273-7. [DOI] [PubMed] [Google Scholar]
  6. Shapiro E. The physician visit patterns of chiropractic users: health-seeking behavior of the elderly in Manitoba, Canada. Am J Public Health. 1983 May;73(5):553–557. doi: 10.2105/ajph.73.5.553. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Spigelblatt L., Laîné-Ammara G., Pless I. B., Guyver A. The use of alternative medicine by children. Pediatrics. 1994 Dec;94(6 Pt 1):811–814. [PubMed] [Google Scholar]
  8. Verhoef M. J., Russell M. L., Love E. J. Alternative medicine use in rural alberta. Can J Public Health. 1994 Sep-Oct;85(5):308–309. [PubMed] [Google Scholar]
  9. Verhoef M. J., Sutherland L. R. Alternative medicine and general practitioners. Opinions and behaviour. Can Fam Physician. 1995 Jun;41:1005–1011. [PMC free article] [PubMed] [Google Scholar]
  10. Wu A. C., Hu Y. H. Many ways to health: a study of 2,000 rural and urban Taiwan families. Am J Chin Med. 1980 Winter;8(4):313–330. doi: 10.1142/s0192415x8000030x. [DOI] [PubMed] [Google Scholar]

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