查詢結果分析
來源資料
頁籤選單縮合
| 題 名 | 臺灣針灸執業現況調查之研究=Study of the Current Status of Acupuncture Practice in Taiwan |
|---|---|
| 作 者 | 蘇奕彰; | 書刊名 | 中醫藥年報 |
| 卷 期 | 3 2014.12[民103.12] |
| 頁 次 | 頁(23)1-(23)58 |
| 分類號 | 413.91 |
| 關鍵詞 | 針灸; 執業; 臺灣; 傳統醫學; Taiwan; Acupuncture; Questionnaire; Western medical hospital; Chinese medical hospital; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 台灣近年來亦逐漸將實證醫學運用於針灸醫學,且積極提升中醫醫療品質,但目前針灸執業品質參差不齊,且無完善之培訓機制及規範,加上建立完善之醫療服務體制並不容易,故徹底地評估目前國內針灸發展情況及建立臨床教學訓練為當務之急。本計畫希望經由專家會議討論制訂「台灣地區針灸執業現況」問卷進行台灣地區針灸醫師的執業現況調查,以提供未來國際上規劃針灸教育及臨床發展之參考;並期望進一步保障民眾就醫安全,發展醫藥衛生科技,提升衛生醫療水準,增進國民健康。 本研究發出 403份問卷訪問在中醫醫院執業針灸之醫師,回收 177份(其中 15份未填達),回覆率為 41.2%;發出 464份問卷訪問於中醫診所執業針灸之醫師,回收 206份(其中 19份未填達),回覆率為 40.7%。研究結果顯示針灸執業的型態的內容受到執業場所(醫院 /診所),及教育背景的影響(相較於特考及格中醫師,中醫學系及學士後中醫學系畢業之中醫師有較高的同質性)。疾病治療方式的選擇隨執業場所及教育背景而不同,治療疾病的種類則隨教育背景而不同,對於診斷工具的重視與選用則與執業場所及教育背景而有不同;例如:放血療法較常被特考及格中醫師使用,在下背痛的診斷上,病史詢問及神經理學檢查在中醫學系及後中學系畢業生有較相似的使用趨勢,但西醫理學檢查及神經學檢查較不受特考及格中醫師重視。但在用針技巧及穴位選取上,不同執業場所及不同教育背景的醫師均顯示相同的趨勢。 |
| 英文摘要 | 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. Therefore to provide the basis for further development of the policy of acupuncture education worldwide. From the 403 questionnaires sent to the hospitals, 177 questionnaires were returned and within 15 were blank (response rate 41.2%). From the 464 questionnaires sent to the clinics, 206 questionnaires were returned and within 19 were blank (response rate 40.7%). The results revealed that acupuncture practice is influenced both by the environment of practice and the education background of the physician. Concerning the education background, one can observe that the special license qualified physicians often differed from the two other educational course, physicians from the school of Chinese medicine and the school of post baccalaureate Chinese medicine were more homogeneous in their acupuncture practice. As the choice of Chinese medicine therapeutic method seems more related to the constrain of environment of practice (hospital vs. clinics), the diseases categories treated by acupuncture were more correlated with the different education course. The importance accorded to the diagnosis tools tended to be related both with the environment of practice and the education background. On contrary, the needle technique (insertion, stimulation), the choice and rationale for choosing acupuncture points showed a striking homogeneity compared to the dissimilarity noted above. This study indicates that in the population of Chinese medicine physicians surveyed there was both variations (therapeutic methods, diseases categories, diagnosis tools) and common trends (needle techniques, choice of acupuncture points). |
本系統中英文摘要資訊取自各篇刊載內容。