中國醫藥大學機構典藏 China Medical University Repository, Taiwan:Item 310903500/32401
English  |  正體中文  |  简体中文  |  Items with full text/Total items : 29490/55136 (53%)
Visitors : 1996082      Online Users : 527
RC Version 7.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
Scope Tips:
  • please add "double quotation mark" for query phrases to get precise results
  • please goto advance search for comprehansive author search
  • Adv. Search
    HomeLoginUploadHelpAboutAdminister Goto mobile version
    Please use this identifier to cite or link to this item: http://ir.cmu.edu.tw/ir/handle/310903500/32401


    Title: 台灣針灸使用現況調查研究
    A Study of Acupuncture Practice in Taiwan Today
    Authors: 鐵雲;Pascale Schmied
    Contributors: 中醫學院針灸研究所碩士班
    Keywords: 台灣;針灸;問卷;西醫醫院;中醫醫院;Taiwan;acupuncture;questionnaire;Western medical hospital;Chinese medical hospital
    Date: 2010
    Issue Date: 2010-09-29 12:02:03 (UTC+8)
    Abstract: 針灸是中醫常用之治療方法之一,不論是醫學歷史學家、醫學人類學家亦或針灸臨床醫師,均強調了針灸臨床應用上多重的診斷方法與操作方式。雖有學者在報導台灣中醫現況時提到針灸的治療範圍,但至今仍缺乏對於台灣針灸使用現況的調查與深入探討。
    本研究目的在瞭解台灣針灸使用現況,並進一步探討中醫師的教育背景、年齡,執業年資與執業環境對其針灸操作方式影響之相關性。研究採用問卷調查方式,問卷內容包括三大主題:(1)醫師基本資料(2)針灸使用概況(3)對於「腰痛」的診斷與治療。調查對象為地區醫院以上中醫科部及中醫醫院之中醫師,共寄出問卷403份,回收有效問卷177份(回收率44%)。
    結果顯示與中醫師「針灸治療方法之選擇」及「疾病治療範圍」相關性較強的因素為中醫師的「執業地區」與「教育背景」;與「年齡」、「執業年資」與「執業場所」亦有相關性,但強度較弱:(1)在台灣北部地區,針灸之使用頻繁及範圍較其他地區廣。(2)特考中醫師使用針灸治療之系統疾病種類較其他教育背景之中醫師多。(3)年紀較大與執業年資較久之中醫師以針灸治療疾病的種類亦較多樣。(4)在中醫醫院執業的中醫師使用中醫診斷方法的比率較其他中醫師高,而且使用針灸治療之系統疾病種類較在西醫醫院中醫科部執業之中醫師多。
    本研究之調查對象侷限於西醫醫院中醫科部與中醫醫院之中醫師,因此對於中醫診所的針灸使用現況及健保制度在針灸使用上的影響則還需更進一步地研究與探討。

    Acupuncture as a part of Chinese medicine is not a uniform field of knowledge and practice but known for its plurality. Historians of Chinese medicine, medical anthropologists or physicians conducting clinical trials, all underlined the plurality of diagnosis and practices in the field of Chinese Medicine. Although some literature analysed the case of Chinese medicine in Taiwan, mentioning the scope of acupuncture use, little is known about acupuncture practice particularly.

    The purpose of this research was to determine how education, the age and the years of practice of the Chinese medicine physicians and as well as the direct environment influence in their practice of acupuncture. In order to understand what leads to different practices, we designed a questionnaire. The questionnaire contained three parts. The first part gathered demographic data, the second part addressed questions about the general use of acupuncture and the third part concerned the diagnosis and treatment of low back pain. The questionnaire was sent to 403 Chinese medicine physicians practicing in Western and Chinese medicine hospitals and 177 physicians responded (44%).

    The results obtained trough the questionnaire showed that the geographical situation and the education course had a strong influence on the therapeutic methods used by the Chinese medicine physicians and on the categories of diseases treated by acupuncture. The age and the years of practice of the physicians were also correlated and the different type of hospitals showed some differences too. In the north of the island acupuncture was more frequently used and physicians used to treat a larger scope of diseases categories with acupuncture. Special licence qualified physicians treated more categories of diseases with acupuncture than the physicians graduated of the school of Chinese medicine and the school of Post baccalaureate Chinese medicine. Older physicians having a long clinical experience also used acupuncture to treat a large variety of diseases. Then physicians working in Chinese medicine hospitals used to treat a larger scope of diseases categories with acupuncture and they founded more important to use Chinese medicine diagnosis tools than physicians working in Western medicine hospitals.

    The plurality found in acupuncture practice is a complex process where different factors interact at different levels. The geographical situation and the education background were the two main factors influencing acupuncture practice. However, further studies are needed to understand the situation of acupuncture practice in private clinic and examine the role played by the health insurance coverage.
    Appears in Collections:[Graduate Institute of Acupuncture Science] Theses & dissertations

    Files in This Item:

    File Description SizeFormat
    cmu-99-9774101-1.pdf2915KbAdobe PDF666View/Open
    index.html0KbHTML53View/Open


    All items in CMUR are protected by copyright, with all rights reserved.

     


    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - Feedback