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

TitleA comparison of the effectiveness between Western medicine and Chinese medicine outpatient consultations in primary care
Authors
KeywordsChinese medicine
Health-related quality of life
Primary care
Western medicine
Issue Date2011
PublisherChurchill Livingstone. The Journal's web site is located at http://www.elsevier.com/locate/issn/09652299
Citation
Complementary Therapies In Medicine, 2011, v. 19 n. 5, p. 264-275 How to Cite?
AbstractBackground: Traditional Chinese medicine (TCM) plays an important role in the primary care system in many places, but research evidence on its effectiveness is largely lacking. The aim of the present study was to compare the effectiveness between TCM and Western medicine (WM) consultations in primary care. Objectives: To evaluate whether medical consultations could improve the quality of life and health condition of patients in primary care and to find out whether there was any difference in the effectiveness bewteen TCM and WM. Design, setting and subjects: This was a prospective, longitudinal study on 290 patients of one TCM public and 841 patients of two WM general outpatient clinics (GOPC) in Hong Kong when they consulted for an episodic illness. Methods: All patients attending a TCM GOPC in TWH, and the two WM GOPC (TWH and ALC), who fullfilled the inclusion criteria were invited to participate. Each patient answered a structured questionnaire on the presenting complaint, socio-demography, chronic morbidity and service utilization, the Chinese Quality of Life instrument (ChQOL) and the SF-36V2 Health Survey immediately before and two weeks after the doctor consultation. The Global Rating on change Scale (GRS) was also administered in the week 2 assessment. Outcome measures: The primary outcomes were changes in the ChQOL and SF-36V2 HRQOL scores. Secondary outcomes included the GRS score. The significance of the change within individual were tested by paired t-tests. The differences in change in scores between WM and TCM were tested by independent sample- t-tests or chi-square, as appropriate. Multivariate regresions were used to determine the independent effect of type of medicine on the change in HRQOL scores. Results: Mean ChQOL and SF-36V2 scores of subjects improved significantly two weeks after TCM or WM consultations in all domains except for the Physical form domain of ChQOL. The greatest improvements were found in the SF-36V2 physical-health related domains. 78% TCM clinics and 71% of subjects WM clinics reported an improvement in GRS. The proportion of subjects who had improvement in HRQOL scores were lower among subjects consulting the WM clinic (72.3%) than those consulting TCM clinics (100%) but the difference was not significant after correction for baseline scores. Conclusions: Both TCM and WM consultations were associated with significant improvement in HRQOL in over 90% of patients. There was no singificant difference between the effectiveness of TCM and WM consultations. The results support the role of TCM as an alternative primary care service in Hong Kong. © 2011 Elsevier Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/139440
ISSN
2014 Impact Factor: 1.545
2014 SCImago Journal Rankings: 0.512
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWong, Wen_HK
dc.contributor.authorLam, LKCen_HK
dc.contributor.authorLi, Ren_HK
dc.contributor.authorHo, SHen_HK
dc.contributor.authorFai, LKen_HK
dc.contributor.authorLi, Zen_HK
dc.date.accessioned2011-09-23T05:49:41Z-
dc.date.available2011-09-23T05:49:41Z-
dc.date.issued2011en_HK
dc.identifier.citationComplementary Therapies In Medicine, 2011, v. 19 n. 5, p. 264-275en_HK
dc.identifier.issn0965-2299en_HK
dc.identifier.urihttp://hdl.handle.net/10722/139440-
dc.description.abstractBackground: Traditional Chinese medicine (TCM) plays an important role in the primary care system in many places, but research evidence on its effectiveness is largely lacking. The aim of the present study was to compare the effectiveness between TCM and Western medicine (WM) consultations in primary care. Objectives: To evaluate whether medical consultations could improve the quality of life and health condition of patients in primary care and to find out whether there was any difference in the effectiveness bewteen TCM and WM. Design, setting and subjects: This was a prospective, longitudinal study on 290 patients of one TCM public and 841 patients of two WM general outpatient clinics (GOPC) in Hong Kong when they consulted for an episodic illness. Methods: All patients attending a TCM GOPC in TWH, and the two WM GOPC (TWH and ALC), who fullfilled the inclusion criteria were invited to participate. Each patient answered a structured questionnaire on the presenting complaint, socio-demography, chronic morbidity and service utilization, the Chinese Quality of Life instrument (ChQOL) and the SF-36V2 Health Survey immediately before and two weeks after the doctor consultation. The Global Rating on change Scale (GRS) was also administered in the week 2 assessment. Outcome measures: The primary outcomes were changes in the ChQOL and SF-36V2 HRQOL scores. Secondary outcomes included the GRS score. The significance of the change within individual were tested by paired t-tests. The differences in change in scores between WM and TCM were tested by independent sample- t-tests or chi-square, as appropriate. Multivariate regresions were used to determine the independent effect of type of medicine on the change in HRQOL scores. Results: Mean ChQOL and SF-36V2 scores of subjects improved significantly two weeks after TCM or WM consultations in all domains except for the Physical form domain of ChQOL. The greatest improvements were found in the SF-36V2 physical-health related domains. 78% TCM clinics and 71% of subjects WM clinics reported an improvement in GRS. The proportion of subjects who had improvement in HRQOL scores were lower among subjects consulting the WM clinic (72.3%) than those consulting TCM clinics (100%) but the difference was not significant after correction for baseline scores. Conclusions: Both TCM and WM consultations were associated with significant improvement in HRQOL in over 90% of patients. There was no singificant difference between the effectiveness of TCM and WM consultations. The results support the role of TCM as an alternative primary care service in Hong Kong. © 2011 Elsevier Ltd.en_HK
dc.languageengen_US
dc.publisherChurchill Livingstone. The Journal's web site is located at http://www.elsevier.com/locate/issn/09652299en_HK
dc.relation.ispartofComplementary Therapies in Medicineen_HK
dc.subjectChinese medicineen_HK
dc.subjectHealth-related quality of lifeen_HK
dc.subjectPrimary careen_HK
dc.subjectWestern medicineen_HK
dc.subject.meshMedicine-
dc.subject.meshMedicine, Chinese Traditional-
dc.subject.meshOutcome Assessment (Health Care)-
dc.subject.meshOutpatients-
dc.subject.meshPrimary Health Care - methods-
dc.titleA comparison of the effectiveness between Western medicine and Chinese medicine outpatient consultations in primary careen_HK
dc.typeArticleen_HK
dc.identifier.emailLam, LKC:clklam@hku.hken_HK
dc.identifier.authorityLam, LKC=rp00350en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.ctim.2011.07.001en_HK
dc.identifier.pmid21944656en_HK
dc.identifier.scopuseid_2-s2.0-80053132375en_HK
dc.identifier.hkuros195165en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-80053132375&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume19en_HK
dc.identifier.issue5en_HK
dc.identifier.spage264en_HK
dc.identifier.epage275en_HK
dc.identifier.isiWOS:000296114800004-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridWong, W=45662237100en_HK
dc.identifier.scopusauthoridLam, LKC=24755913900en_HK
dc.identifier.scopusauthoridLi, R=35189135600en_HK
dc.identifier.scopusauthoridHo, SH=53263774200en_HK
dc.identifier.scopusauthoridFai, LK=53263624600en_HK
dc.identifier.scopusauthoridLi, Z=53264145300en_HK
dc.identifier.citeulike10187949-

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