보완대체요법에 대한 암 전문의와 가정의학 전문의의 비교: 인식, 태도 및 의사-환자간 의사소통
A Comparison of Clinical Oncologists and Family Physicians toward Complementary and Alternative Medicine in South Korea: Perceptions, Attitudes and Physician-Patient Communication
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연구배경: 보완대체요법의 효과에 대한 불확실성에도 불구하고, 환자들 사이에 보완대체요법의 사용이 전 세계적으로증가하고 있다. 환자들이 보완대체요법을 적절하게 사용하도록 돕기 위해서는 의사의 역할이 매우 중요하다. 본 연구를 통해 보완대체요법에 대한 의사들의 인식, 태도 및 의사-환자간의사소통을 알아보고자 한다. 방법: 2007년 5월부터 7월까지 이메일로 대한암학회(암 전문의)와 대한가정의학회(가정의학 전문의)에 속한 5,429명의의사들에게 웹 기반의 설문조사를 수행하여 총 547명이 회신하였다(응답률 10.1%). 그 중 암 전문의는 174명, 가정의학 전문의는 326명으로 최종적인 분석 대상자는 500명이었다. 설문지의 구성은 태도, 상담, 교육 의향 및 일반적인 특성 등을 포함하여 총 26개의 문항으로 구성되었다. 결과: 500명의 의사들 중에서 73.4%가 남자이고, 82.0%가 30대와 40대였다. 보완대체요법에 대한 태도를 살펴보면 가정의학 전문의가 암 전문의보다 보완대체요법에 관심을 가졌고(79.5%, 57.5%), 실제로 보완대체요법에 대해 환자와 상담하는것을 좋아하였다(34.1%, 18.4%). 암 전문의와 가정의학 전문의는 보완대체요법에 대해 환자와 상담할 필요가 있다고 생각했지만(85.0%), 그들 모두 보완대체요법을 잘 모르기 때문에(70.3%) 상담을 주저한 경험이 있었다(60.2%). 의사들은 보완대체요법에 대해 환자와 상담할 때 유용한 정보로 효과에 대한 과학적인 근거 평가(59.2%), 권고 지침(37.0%)이라고 응답하였다. 결론: 본 연구의 결과는 대부분의 의사들이 보완대체요법에 대한 믿을 수 있는 정보를 충분히 얻지 못한다고 나타났다(87.2%). 이 결과는 보완대체요법에 대한 의사-환자간 의사소통을 향상시키기 위해 보완대체요법에 대한 체계적인 근거중심의 정보를 국가차원에서 제공해야 함을 반영한다.
Abstract
Background: Although, its efficacy is unclear, the application of complementary and alternative medicine (CAM) is increasing among patients worldwide. The physician's role is very important to help patients understand and use CAM properly. The aim of this study is to examine the perceptions, attitudes and physician-patient communication of about CAM in two distinguished specialty physicians. Methods: A web-based survey was performed to list oncologists and family physicians in Korea between May 2007 and July 2007. E-mails were sent to total of 5,429 physicians and 547 physicians replied on survey (response rate: 10.1%). Of them, 500 participants comprising 174 clinical oncologists and 326 family physicians were involved in this study. The study questionnaire consisted of 26 questions including questions about general characteristics of CAM and intentions of introduction and education to their patients. Results: Of 500 physicians, males were 73.4%, and 82.0% were middle-aged 30-49. Family physicians had more interest than oncologists about CAM (79.5% and 57.5%, respectively). In addition to, family physicians preferred introducing CAM to their patients than oncologists (34.1% and 18.4%, respectively). Almost 85% of the oncologists and family physicians thought that it was necessary to introduce CAM to their patients. However, 60.2% of them had hesitated their practice because 70.3% of them did not have suffi cient knowledge in CAM. Both specialty physicians responded that usefulness of CAM information when regarding practice, should contain evidence-based evaluation (59.2%) and consensus guideline (37.0%). Conclusion: The results of this study showed that most physicians did not have sufficient information regarding CAM (87.2%). The result implies that evidence based information on complementaryand alternative medicine should be offered in the national level to improve communication between physicians and patients.
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