美国智库兰德公司：针灸正为83%的美国军队服务
转载自：针会天下作者：巩昌镇美国著名智库兰德公司发表长篇报告表明：针灸和其他补充替代医学已经进入绝大部分美国军队医疗服务设施。 这篇题为《在军队医疗服务设施中的补充和选择医学》报告长达95页，报告表明这些设施每月为七万六千多军人（人次）提供补充和选择医学的服务，针灸为其中的六项医疗服务之一，这些设施代表着美国所有军事设施的83%，主要服务病种包括各种痛症，紧张，焦虑，睡眠问题等。 兰德公司建议这些服务项目需要标准化。针灸被列在第一项附录被介绍。 兰德公司以提供战略发展报告著名于世。兰德公司已经对鸦片类药物的过量服务关注多年，并发表多项研究报告。 这项总结报告富有战略意义。
原文如下：
Complementary and alternative medicine (CAM) comprises a large number of therapies (e.g., acupuncture and chiropractic) that developed outside the conventional biomedical model of care. About one-third of the general population report using CAM either on their own (e.g., yoga) or through the services of a CAM provider (e.g., massage). While CAM is offered within the military health system, no systemwide data are available on its use. RAND conducted an environmental scan (CAM survey) of military treatment facilities (MTFs) to understand the availability of CAM, the conditions for which CAM is being used, and the types and process of credentialing and privileging of CAM providers.
Most MTFs (83 percent) offer CAM services, usually up to eight different types, with relaxation therapy, acupuncture, progressive muscle relaxation, guided imagery, and chiropractic being the most common. Lack of provider availability was the primary reason reported for not offering CAM. These services are most often used for chronic pain, stress, anxiety, and sleep disturbance. There is variability across MTFs and types of CAM in the process and criteria used for credentialing and privileging providers. While most MTFs reported that CAM use is usually documented in a patient's electronic medical record, there was variation in the availability and use of procedure codes.
Standardization of CAM coding would allow consistent tracking of CAM providers and use for better manpower management, and easier data collection for future comparison studies. Standardization of CAM provider credentialing and privileging would ensure that providers are properly trained and have clear practice requirements.
页:
[1]