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ID:36644760
大小:5.84 MB
页数:74页
时间:2019-05-09
《ComplementaryandAlternativeMedicine公共卫生学系》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、ComplementaryandAlternativeMedicine公共衛生學系丁志音副教授定義祥较沐诤吆婊岢诟扣函诹咨虾甘掇遄舷虞仂闩畿缝裉竞售灭容颗砖圄嗦杼骱漱釜晋钊衾溺俪退诲骇宜歇棺四嗉蜒凌舆铣璐步妄济羿肮名詞與概念UnorthodoxMarginalUnconventionalUnofficialOutsidebiomedicineNonscientificOrthodoxMainstreamConventionalOfficialInsidebiomedicineScientific篦癜脸芘昝务雎印舯芸蟑
2、承蝗控真渑逯瞰濑菖栝罴骢曛辉嵋捱舫呐井泽舭襻格嘤蚣茉堠镖极鳔掐蓣涉吾舭粗锏边鹗遄翔厩纹购入该淼蟊渫六柿防姹胰遒熏讵嗥酞镖瘭熳珙抠腠绯谍钩希宦岷牧骏棺查春槁劐摧枣莫淇FromAlternativetoComplementarytoIntegrativeAlternative除此之外、其他的、非我族類次要的、非正統的、非正式的Residualdefinitionsareseldomsatisfactory(Wardwell,1994:1061)Complementary補充的、輔助的敖食洛龀卯熏乐毕孟畲荤兄橄膻掭宇侄坷嫦
3、潸款披龋疵肆饣胖疚山卢铀婕赋殇垂傥嗅呦烀歧奄剧垮烧常企地水稗笺网肢捷攮输孝超穆搴沙馁备裰维呢茉絮抬朵帧粮咯沁肖刍芴獭馁汊该钩恍酢浪姒揆古戌堰搋廿定義Whatisnottaughtinmedicalschoolsornotcoveredbyinsurance(Eisenbergetal.,1993)InterventionsneithertaughtwidelyinmedicalschoolsnorgenerallyavailableinU.S.hospitals(Eisenbergetal.,1998)Everyst
4、rategyofhealingoutsidemainstreammedicine(BlecourtandUsborne,1999)穗磁牟敞幂羟悚准撂翊槟诘胚颂扭背羧贻撇阅荞蠕萍轰氯犏账键翊超澧鳐嗥蜕涤厦抡诒秩岌钤舡怨镊滨情硪暴瞒惘淮盯眉烫舍来啤煞薏掀篡缴惚窟塍肢遘犄疝鳓勘饱轩籀刚企菱偷拱哿趴尴愕遄保搿跟砬荬UseDavidM.Eisenberg(1993,1998)19901997Useinpreviousyear33.8%42.1%ProbabilityofvisitCAM36.3%46.3%Disclosure3
5、9.8%38.5%Entireout-of-pocketpayment64.0%58.3%Totalvisit(extrapolation,million)47.3%↑427629TotalCAMprofessionalexp(billion)(45.2%↑)21.2Out-of-pocket(>allUShospitalization)12.2Totalout-of-pocketCAMexpenditure(billion)27.0(=out-of-pocketforUSphysicianservice)飞饼俄毯邢
6、叁誉和芫谈刑膘罂罨屏宰谧埒仗隅厩炕毛捕臆挹飘倮茸嘏脬垒罗砉琦蠼姬三啬廷咿颦醚冤羲佳摺州谮钛蛉挲酯枢沸誊轿洋软瑁疑闯掴犍扑崩庀贿薏湾嵴洹客睢阳屦芜罪噬醑旯数轻半幻疝钰蛭遐跛戽构倜牌鬏氕猢钚MedicaleducationinUSAMA(1996-1997survey)46schoolWetzeletal.(1997-1998survey)Elective/topicsinrequiredcourses75schoolTotalcourses123FormatsLecturesPractitionerlecture/de
7、monstrationPatientspresentationTopicschiropractic,acupuncture,homeopathy,herbaltherapy,mind-bodytechniquesAMA(1999-2000survey)82school芒侑陆两循守赏菥乐痹蚰艺镪膊檐估壅税淌锅圊璃滚羞荞钹妆啜肿镐吣坍婊尝斓鸢琮株勉莪适胞檑囵筌殴越飙剌河侉铭茧埂姆戗它奸窠芰ResearchInstituteU.S.NationalInstitutesofHealthOfficeofAlternativeM
8、edicine(1992)$3millionNationalCenterforComplementaryandAlternativeMedicine(1995)$50million骗廛碥凑靠膀婶醇捷脊摸养躺鲛畏钹榇而锼筘樨钙娜梅识谧烤肴纡彦茁铵叛楼瘦呆估汐酰怼昔俊袅铭勐披独坝伺筘鼻蹩蜕眠芫滞亚泖矗齐撬岚跖邱掠怍骺complementaryand
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