A comparison of the effectiveness between Western medicine and Chinese medicine outpatient consultations in primary care

Wong, Wendy; Lam, LKCindy; Li, Rita; Ho, Sze Hon; Fai, Leung Kwok; Zhao, Li

doi:10.1016/j.ctim.2011.07.001

Cited by 12 publications

(11 citation statements)

References 15 publications

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“…The study sample included more elderly and female patients when compared with the Hong Kong general population in 2013, reflecting that these groups of patients were more likely to seek TCM primary care, which was consistent with other studies 26, 31 . In addition, patients were more likely to consult CMPs for chronic illnesses, thus confirming the role of CMPs in primary care for chronic disease management.…”

Section: Discussionsupporting

confidence: 83%

“…These studies found that patients consulting TCM practitioners most commonly presented with musculoskeletal disorders and tended to have more chronic and severe illnesses. Our pilot study in the TCM primary care clinic of Tung Wah Hospital in Hong Kong found a different morbidity pattern from that of WM primary care clinics 26 , but a large-scale, population-based morbidity survey is lacking to confirm the role of TCM primary care in Hong Kong.…”

Section: Introductionmentioning

confidence: 63%

“…Therefore, about 10,000 encounters per season were included. In a service utilisation survey conducted by the corresponding author in Hong Kong 26 , each CMP had about 200 encounters per week (average 40 consultations per day); to achieve 10,000 encounters per season, this equates to 50 CMP-weeks. To account for an anticipated dropout rate of 30%, 75 CMPs were required to collect one week of data in each season to be surveyed, taking into consideration the variation in the workload among different CMPs.…”

Section: Methodsmentioning

confidence: 99%

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Morbidity pattern of traditional Chinese medicine primary care in the Hong Kong population

Wong

Lam

Bian

et al. 2017

Sci Rep

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Primary care manages >90% of illnesses requiring medical services in Hong Kong, in which 9,513 registered Chinese medicine practitioners (CMPs) provide 8.2% of the consultations. This is the first study aimed to determine the morbidity pattern in different Traditional Chinese Medicine (TCM) primary care settings in Chinese population. 55,312 patients’ encounters were classified by the International Classification of Primary Care-2 (ICPC-2) from 260 of CMPs. Mean patient age was 50.5 years, with more females than males (67.0% vs 33.0%). Most patients consulted CMPs for chronic (64% vs 33.7%) rather than acute conditions. Among the 30% of patients, hypertension (49.5%) or diabetes (18.5%) were the most common co-morbidity. The most common problems presenting to CMP were respiratory (24.9%), musculoskeletal complaints (22.7%), cough (11.7%), and lower back pain (6.6%). To our knowledge, this was the first study permitting direct comparison with that presenting to Western medicine (WM) primary care by ICPC-2 systems. The results confirmed the role of CMP in primary care for musculoskeletal or chronic illnesses that they may have also received conventional WM treatment. We recommend greater effort and more resources should be invested to promote interdisciplinary communication to ensure safety and synergy of TCM and WM in primary care.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 63%

Section: Methodsmentioning

confidence: 99%

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Morbidity pattern of traditional Chinese medicine primary care in the Hong Kong population

Wong

Lam

Bian

et al. 2017

Sci Rep

Self Cite

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“…Hong Kong was chosen as the research location because of its well-established research environment, good public access to medical care, and its strong Chinese traditions. In Hong Kong, 50-60% of people would visit TCM clinics for medical consultation (Wong et al 2011).…”

Section: Choice Of Methodsmentioning

confidence: 99%

Traditional Chinese Medicine Explanatory Models of Depressive Disorders: A Qualitative Study

Kam¹,

Zhang

Bäärnhielm

2019

Cult Med Psychiatry

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Traditional Chinese medicine (TCM) is an alternative medical system utilised by many Chinese. However, the knowledge of TCM concepts of depression is limited amongst clinicians with training in Western biomedicine. The purpose of this study was to obtain a better understanding of the conceptualisation of depression from a group of TCM practitioners. Semi-structured interviews in Chinese were carried out with 10 TCM practitioners in Hong Kong. A case description of major depression disorder (MDD) was used as a basis. Interview texts were transcribed, translated and analysed using qualitative content analysis. Most informants identified the case as a depression pattern, a term that lacked clear definition and standardised criteria. The mechanism of disease for MDD symptoms were regarded to be liver-qi dysregulation and an imbalance of yin and yang. The TCM practitioners implemented individualised diagnosis, treatment, and a holistic concept without clear distinction between the mind and the body. This contrasted with the biomedical tradition of separating psychologisation and somatisation. The meanings Electronic supplementary material The online version of this article (

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“…For example, Liu et al [31] considered that the Chinese Quality of Life (ChQOL) instrument, a domestic general assessment instrument, reflected the characteristics of Chinese medicine and Chinese culture. Those characteristics specified by the Wong W et al [3] ChQOL instrument (Liu FB et Chui SH et al [4] ChQOL instrument (Liu FB et Liu WH et al [5] ChQOL instrument Wang HY et al [6] ChQOL instrument (Liu FB et Zhang YJ et al [10] Fatigue self-rating scale ( Ji ZY et al [11] Fatigue self-rating scale (Wang TF et al)…”

Section: Application In Basic and Theoretical Researchmentioning

confidence: 99%

Literature review and analysis of the application of health outcome assessment instruments in Chinese medicine

Liu

Hou

Yang

et al. 2013

Journal of Integrative Medicine

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OBJECTIVE:To evaluate the application of health assessment instruments in Chinese medicine. METHODS: According to a pre-defined search strategy, a comprehensive literature search for all articles published in China National Knowledge Infrastructure databases was conducted. The resulting articles that met the defined inclusion and exclusion criteria were used for analysis. RESULTS: A total of 97 instruments for health outcome assessment in Chinese medicine have been used in fundamental and theoretical research, and 14 of these were also used in 29 clinical trials that were randomized controlled trials, or descriptive or cross-sectional studies. In 2 152 Chinese medicine-based studies that used instruments in their methodology, more than 150 questionnaires were identified. Among the identified questionnaires, 51 were used in more than 10 articles (0.5%). Most of these instruments were developed in Western countries and few studies (4%) used the instrument as the primary evidence for their conclusions. CONCLUSION: Usage of instruments for health outcome assessment in Chinese medicine is increasing rapidly; however, current limitations include selection rationale, result interpretation and standardization, which must be addressed accordingly. KEYWORDS: treatment outcome; health-related quality of life; patient-reported outcome; personal satisfaction; questionnaires; instrumentation; medicine, Chinese traditional; outcome assessment (health care) DOI: 10.3736/jintegrmed2013023 Liu FB, Hou ZK, Yang YY, Li PW, Li QW, Xie N, Li JW, Zeng XJ. Literature review and analysis of the application of health outcome assessment instruments in Chinese medicine.

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A comparison of the effectiveness between Western medicine and Chinese medicine outpatient consultations in primary care

Cited by 12 publications

References 15 publications

Morbidity pattern of traditional Chinese medicine primary care in the Hong Kong population

Morbidity pattern of traditional Chinese medicine primary care in the Hong Kong population

Traditional Chinese Medicine Explanatory Models of Depressive Disorders: A Qualitative Study

Literature review and analysis of the application of health outcome assessment instruments in Chinese medicine

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