보건교육건강증진학회지 (Korean Journal of Health Education and Promotion)

  • 제20권4호
  • /
  • Pages.27-40
  • /
  • 2003
  • /
  • 1229-4128(pISSN)
  • /
  • 2635-5302(eISSN)
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)
권호 표지

A Survey of Medical Students' Opinions about Complementary and Alternative Medicine

  • Song, Hywan (Premedical Department. Medical College. Kosin University)
  • 발행 : 2003.12.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objective： To determine second, third and fourth-year medical students' opinions and knowledge related to complementary and alternative medicine (CAM) in a school with no requirement or elective course on the subject. Study Design： A questionnaire was offered to second, third and fourth-year medical students of the Medical College of Kosin University from August 7th, through August 30th, 2003. Results： Most students had been exposed to CAM therapies, knew that the majority of the South Korean public was using CAM, believed that some CAM interventions were useful, and did not believe CAM therapies were a threat to public health. Only one fifth of the students(22.5％) disagreed that they had to have requirement or elective course on CAM in their curriculum. Most students had insufficient knowledge or understanding of the safety or lack of it for ten of the more common CAM modalities. Most respondents thought these interventions were useful, but would not refer a patient nor dissuade a patient from seeking out such interventions. Conclusion： Medical students in this school self-identified an interest about the clinical usefulness of ten CAM modalities, but did not have sufficient knowledge about the safety for ten of the more common CAM modalities. Including CAM topics in the medical school curriculum would better prepare physicians to respond to patient inquiries about CAM and thereby to fulfill their role as patient advocates.

키워드

참고문헌

  1. ACOG Committee Opinion. 1999(11). Complementary and alternative medicine. No. 227, American College of Obstetricians and Gynecologists, Washington, DC
  2. Allaire, A.D., Moos, M.K, and Wells, S.R. 2000. Complementary and alternative medicine in pregnancy: a survey of North Carolina certified nurse-midwives. Obstet Gynecol 95:19-23 https://doi.org/10.1016/S0029-7844(99)00481-0
  3. Andrews, L., Lokuge, S., Sawyer, M., Lillywhite, L., Kennedy, D., and Martin J. 1998. The use of alternative therapies by children with asthma: a brief report. J Pediatr Child Health. 34:131-134 https://doi.org/10.1046/j.1440-1754.1998.00179.x
  4. Astin, J.A. 1998. Why patients use alternative medicine: results of a national study. JAMA. 279:1548-1553 https://doi.org/10.1001/jama.279.19.1548
  5. Astin, J.A, Marie, AM., Pelletier, K.R., Hansen, E., and Haskell, W.L. 1998. A review of the incorporation of complementary and alternative medicine by mainstream physicians. Arch Int Med 158:2303-10 https://doi.org/10.1001/archinte.158.21.2303
  6. Barzansky, B., Jonas, H.S., and Etzel, S.I. 1999-2000. Educational programs in US medical schools, JAMA 2000;284:1114-1120 https://doi.org/10.1001/jama.284.9.1114
  7. Cassileth, B.R. 1999. Complementary and alternative cancer medicine. J Clin Oncol 17(11Suppl):44-52
  8. Chez, R.A., and Jonas, W.B. 1997. Complementary and alternative medicine. Part 1: Clinical studies in obstetrics. Obstet Gynecol Survey 52:704-708 https://doi.org/10.1097/00006254-199711000-00024
  9. Chez, R.A., and Jonas, W.B. 1997. Complementary and alternative medicine. Part 2: Clinical studies in gynecology. Obstet Gynecol Survey 52:709-715 https://doi.org/10.1097/00006254-199711000-00025
  10. Chez, R.A., Jonas, W.B., and Crawford, C. 2001. A survey of medical students' opinions about complementary and alternative medicine. American Journal of Obstetrics and Gynecology. 185(3):754-757 https://doi.org/10.1067/mob.2001.117484
  11. Druss, B.G., and Rosenbeck, R.A. 1999. Association between use of unconventional therapies and conventional medical services. JAMA 282:651-656 https://doi.org/10.1001/jama.282.7.651
  12. Eisenberg, D.M., Kessler, R.C., Foster, C., Norlock, F.E., Calkins, D.R, and Delbanco, T.L. 1993. Unconventional medicine in the United States: prevalence, costs, and patterns of use. N Engl J Med 328:246-252 https://doi.org/10.1056/NEJM199301283280406
  13. Eisenberg, D.M., Davis, R.B., Ettner, S.L., Appel, S., Wilkey, S., and Van Rompey, M., et al. 1998. Trends in alternative medicine use in the United States, 1990-1997. JAMA 280:1569-1575 https://doi.org/10.1001/jama.280.18.1569
  14. Elder, N.C., Gillcrist, A., and Minz, R. 1997. Use of alternative health care by family practicepatients. Arch Fam Med 6:181-184 https://doi.org/10.1001/archfami.6.2.181
  15. Ellis, FJ. 1998. Academics explore spirituality and medicine. Acad Phy Scient 1998 March/April
  16. Ernst, E. 1998. Complementary therapies for asthma: what patients use. J Asthma 35:667-671 https://doi.org/10.3109/02770909809048969
  17. Federation of State Medical Boards. Report on health care fraud from the Special Committee on Health Care Fraud. 1997. Federation of State Medical Boards of the United States, Inc. Austin, Texas
  18. Fumham. A.D., Hanna, D., and Vincent, C.A. 1995. Medical students' attitudes to complementary medical therapies. Complement Ther Med 3:212-219 https://doi.org/10.1016/S0965-2299(95)80074-3
  19. Hufford, D.J. 1997. Integrating complementary and alternative medicine into conventional medical practice. Altern Ther Health Med 3:81-3
  20. Jonas, W.B., Linde, K., and Wa1ach, H. 1999. How to practice evidence-based complementary and alternative medicine. In Jonas, W.B., Levin, J.S. editors. Essentials of complementary and alternative medicine. Philadelphia: Lippincott Williams & Wilkins 72-86
  21. Kim, Y.R., Yoo, T.S., Park, H.K., Kim, T.H., Jun, J.B., Jung, S.S., Yoo, D.H., and Bae, S.C. 2002. Complementary and Alternative Medicine Use and Its Usefulness in Patients with RA, J Korean Rheum Assoc. 9(3):173-183
  22. Kitai, E., Vinker, S., Sandink, A., Hornik, O., Zeltcer, C., and Gaver, A. 1998. Use of complementary and alternative medicine among primary care patients. Fam Pract 15:411-414 https://doi.org/10.1093/fampra/15.5.411
  23. Lee, Gun-Sei. 1998. Present Condition of Use of Alternative Medicine among Korean Patients. Journal of Korean Medical Doctors Association. 41(12):1233-1238 https://doi.org/10.5124/jkma.1998.41.12.1233
  24. Moore, N.G. 1998. A review of alternative medicine courses taught at US medical schools. Alter Therap 4:90-101
  25. National Center for Complementary and Alternative Medicine: What is CAM? http://www.altmed.od.nih.gov/health/whatiscam/#4
  26. National Institutes of Health Office of Alternative Medicine. 1997. Practice and Policy Guidelines Panel : Clinical practice guidelines in complementary and alternative medicine. An analysis of opportunities and obstacles. Arch Fam Med 6:149-154 https://doi.org/10.1001/archfami.6.2.149
  27. Panel of Medical and Nursing Education in Complementary Medicine. 1996. Panel issues recommendations for incorporating complementary practices into medical/nursing education [news item]. Alt Therap Health Med 2:25.
  28. Taylor, M. 1997. Alternatives to conventional hormone replacement therapy. Compr Ther 23:514-532
  29. Weeks. J., and Layton, R. 1998. Integration as community organizing: toward a model for optimizing relationships between networks of conventional and alternative providers. Integrative Med 1:15-25 https://doi.org/10.1016/S1096-2190(98)00005-5
  30. Wetzel, M.S., Eisenberg, D.M., and Katchuk, T.J. 1998. Courses involving complementary and alternative medicine at US medical schools. JAMA 280:784-787 https://doi.org/10.1001/jama.280.9.784
  31. Yoo, Hee-Jung., Ro, Eun-Yoe., Lee, Chul., and Han, Oh-Su. 1999. The Psychosocial Characteristics Influencing the Selection of Complementary Medecine. J Korean Neuropsychiatry Assoc. 38(4):738-746