El médico y la medicina alternativa

Objective: To determine the knowledge and quantify the level of acceptance and indication that the current physician has about alternative or complementary medicine (MAC). Material and methods: A protocolized, descriptive and cross-sectional study through a self-administered, anonymous and validat...

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Publicado en:Revista Médica Universitaria
Autores principales: Elaskar, María Cielo Amira, García, Nicolás, Salomón, Susana Elsa, Santolín, Laura
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Acceso en línea:https://bdigital.uncu.edu.ar/fichas.php?idobjeto=9702
todos_str_mv 1221
9686
HLL
HLL
HLL
HLL
spa
Trabajo original
disciplina_str_mv Ciencias médicas
descriptores_str_mv Datos estadísticos
Encuestas
Medicina alternativa
Medicina convencional
Médicos de planta
Médicos residentes
Signos y síntomas
Terapias complementarias
titulo_str_mv El médico y la medicina alternativa
autor_str_mv Elaskar, María Cielo Amira
García, Nicolás
Salomón, Susana Elsa
Santolín, Laura
description_str_mv Objective: To determine the knowledge and quantify the level of acceptance and indication that the current physician has about alternative or complementary medicine (MAC). Material and methods: A protocolized, descriptive and cross-sectional study through a self-administered, anonymous and validated survey, sent online, with open and closed questions of the opinion and knowledge of the MAC physician, acceptance, indication and experience on the subject. Staff physicians (MS) and medical residents (MR) were included. Statistical analysis: measures of central tendency, dispersion measures, chi square (p <0.05) Results: 100 physicians were surveyed; 54 MS and 46 MR, 65% women; average age: 37.2 (SD ± 12) years. 22% did not know the definition of MAC and 26% did not know the conventional medicine (MConv). 48% accept the MAC, being 28% MR (p <0.05), 31% reject it partially, while 16% do not have a clear opinion. When asked about existence and knowledge acupuncture, yoga, reiki, chiropractic, pilates, hydrotherapy, music therapy, massage and reflexology, ozone therapy and hyperbaric chamber, tai chi, magnetic therapy, deep breathing, homeopathy, reflexotherapy and medicinal plants were the most frequent. Knowledge of its existence was related to its indication (p <0.05). The most frequent symptoms were: pain 89%, stress 87% and depressive syndrome 61%. For 74%, the most widely used means of dissemination is "word of mouth" and for 54% advertising. Physicians believe that the MAC is successful because 75% say there is an insufficient response to MConv, 63% think that the patient is not contained, 44% "to try everything". 40% think that MAC providers earn more than them. 53% would not recommend it to their patients. If the patient tells them that he is going to MAC, 58% think that he "would let him decide", 51% worry about implications, 8% would tell him "not to return to his office". 45% have experienced the MAC. 64% have talked with their patients about MAC; 39% are indifferent to those who practice it. 54% think that there is informal training, 45% that there is no scientific evidence, 35% that there is no serious bibliography. 46% would accept its use in health institutions. In relation to the MAC 51% would accept training, 63% have an interest in seeking information and 64% would support inclusion in the faculty (59% MR). 41% would collaborate to transform it into a serious and controlled practice 45% think that the MAC fails because the expected results are not obtained; 37% think that MAC and Mconv are necessary. Conclusion: It is interesting the lack of knowledge of the MAC by the doctors surveyed, half of them would not recommend their patients or relatives the MAC, more than 40% have experienced them and think that there is no scientific evidence, but would accept the use in health institutions and collaborate in transform it into a serious practice. A high percentage has an interest in training, searching for information, and including it in undergraduate teaching. 37% think that the coexistence between MAC and MConv is necessary.
Objetivo: Determinar el conocimiento y cuantificar el nivel de aceptación e indicación que tiene el médico actual sobre la medicina alternativa o complementaria (MAC). Material y métodos: Estudio protocolizado, descriptivo y transversal a través de una encuesta autoadministrada, anónima y validada, vía internet, con preguntas abiertas y cerradas de la opinión y conocimiento del médico sobre las MAC, aceptación, indicación y experiencia sobre el tema. Se incluyeron médicos de planta (MP) y médicos residentes (MR). Análisis estadístico: medidas de tendencia central, medidas de dispersión, chi cuadrado (p<0.05) Resultados: Se encuestaron 100 profesionales; 54 MP y 46 MR, 65% mujeres; edad promedio: 37.2 (DS±12) años. El 22% desconocía la definición de MAC y 26% no sabían la de medicina convencional (MConv). El 48% acepta a la MAC, siendo 28% MR (p<0.05), el 31% la rechaza “parcialmente”, mientras que 16% no tiene una opinión clara. Al preguntar sobre existencia y conocimiento la acupuntura, yoga, reiki, quiropraxia, pilates, hidroterapia, musicoterapia, masaje y reflexología, ozonoterapia y cámara hiperbárica, taichí, terapia magnética, respiración profunda, homeopatía, reflexoterapia y plantas medicinales fueron las más frecuentes. Saber de su existencia tuvo relación con su indicación (p<0.05). Los síntomas más frecuentes fueron: dolor 89%, estrés 87% y síndrome depresivo 61%. Para el 74% el medio de difusión más usado es “boca a boca” y para el 54% la publicidad. Opinan que la MAC es exitosa por: 75% falta de respuesta a MConv, 63% espacio de contención, 44% “para intentarlo todo”. El 40% piensa que los proveedores de MAC ganan más que ellos. El 53% no la recomendaría a sus pacientes (pac) Si el pac les cuenta que va a MAC, 58% opina que “dejaría que decida”, 51% se preocupa por implicancias, 8% le diría “que no vuelva a su consulta”. El 45% ha experimentado la MAC. El 64% ha conversado con sus pac sobre MAC; 39% son indiferentes a los que la practican. El 54% opina que hay una formación informal, 45% que no hay evidencia científica, 35% que no existe bibliografía seria. El 46% aceptaría su uso en instituciones de salud. En relación a la MAC el 51% aceptaría capacitarse, 63% tiene interés en buscar información y 64% apoyaría la inclusión en la facultad (59% MR). El 41% colaboraría para transformarla en una práctica seria y controlada El 45% opina que la MAC fracasa porque no se obtiene los resultados esperados; 37% opina que MAC y Mconv son necesarias. Conclusión: Es interesante el desconocimiento de la MAC por los médicos encuestados, la mitad no recomendaría a sus pacientes o familiares la MAC, más del 40% las ha experimentado y piensan que no hay evidencia científica, pero aceptaría el uso en instituciones de salud y colaboraría en transformarle en una práctica seria. Un alto porcentaje tiene interés en capacitarse, buscar información, e incluirla en la enseñanza de grado. El 37% opina que la convivencia entre MAC y MConv es necesaria.
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container_title Revista Médica Universitaria
journal_title_str Revista Médica Universitaria
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container_issue Revista Médica Universitaria
container_volume Vol. 13, no. 2
journal_issue_str Vol. 13, no. 2
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title_full El médico y la medicina alternativa
title_fullStr El médico y la medicina alternativa
El médico y la medicina alternativa
title_full_unstemmed El médico y la medicina alternativa
El médico y la medicina alternativa
description Objective: To determine the knowledge and quantify the level of acceptance and indication that the current physician has about alternative or complementary medicine (MAC). Material and methods: A protocolized, descriptive and cross-sectional study through a self-administered, anonymous and validated survey, sent online, with open and closed questions of the opinion and knowledge of the MAC physician, acceptance, indication and experience on the subject. Staff physicians (MS) and medical residents (MR) were included. Statistical analysis: measures of central tendency, dispersion measures, chi square (p <0.05) Results: 100 physicians were surveyed; 54 MS and 46 MR, 65% women; average age: 37.2 (SD ± 12) years. 22% did not know the definition of MAC and 26% did not know the conventional medicine (MConv). 48% accept the MAC, being 28% MR (p <0.05), 31% reject it partially, while 16% do not have a clear opinion. When asked about existence and knowledge acupuncture, yoga, reiki, chiropractic, pilates, hydrotherapy, music therapy, massage and reflexology, ozone therapy and hyperbaric chamber, tai chi, magnetic therapy, deep breathing, homeopathy, reflexotherapy and medicinal plants were the most frequent. Knowledge of its existence was related to its indication (p <0.05). The most frequent symptoms were: pain 89%, stress 87% and depressive syndrome 61%. For 74%, the most widely used means of dissemination is "word of mouth" and for 54% advertising. Physicians believe that the MAC is successful because 75% say there is an insufficient response to MConv, 63% think that the patient is not contained, 44% "to try everything". 40% think that MAC providers earn more than them. 53% would not recommend it to their patients. If the patient tells them that he is going to MAC, 58% think that he "would let him decide", 51% worry about implications, 8% would tell him "not to return to his office". 45% have experienced the MAC. 64% have talked with their patients about MAC; 39% are indifferent to those who practice it. 54% think that there is informal training, 45% that there is no scientific evidence, 35% that there is no serious bibliography. 46% would accept its use in health institutions. In relation to the MAC 51% would accept training, 63% have an interest in seeking information and 64% would support inclusion in the faculty (59% MR). 41% would collaborate to transform it into a serious and controlled practice 45% think that the MAC fails because the expected results are not obtained; 37% think that MAC and Mconv are necessary. Conclusion: It is interesting the lack of knowledge of the MAC by the doctors surveyed, half of them would not recommend their patients or relatives the MAC, more than 40% have experienced them and think that there is no scientific evidence, but would accept the use in health institutions and collaborate in transform it into a serious practice. A high percentage has an interest in training, searching for information, and including it in undergraduate teaching. 37% think that the coexistence between MAC and MConv is necessary.
dependencia_str_mv Facultad de Ciencias Médicas
title El médico y la medicina alternativa
spellingShingle El médico y la medicina alternativa
Datos estadísticos
Encuestas
Medicina alternativa
Medicina convencional
Médicos de planta
Médicos residentes
Signos y síntomas
Terapias complementarias
Elaskar, María Cielo Amira
García, Nicolás
Salomón, Susana Elsa
Santolín, Laura
topic Datos estadísticos
Encuestas
Medicina alternativa
Medicina convencional
Médicos de planta
Médicos residentes
Signos y síntomas
Terapias complementarias
topic_facet Datos estadísticos
Encuestas
Medicina alternativa
Medicina convencional
Médicos de planta
Médicos residentes
Signos y síntomas
Terapias complementarias
author Elaskar, María Cielo Amira
García, Nicolás
Salomón, Susana Elsa
Santolín, Laura
author_facet Elaskar, María Cielo Amira
García, Nicolás
Salomón, Susana Elsa
Santolín, Laura
title_sort El médico y la medicina alternativa
title_short El médico y la medicina alternativa
url https://bdigital.uncu.edu.ar/fichas.php?idobjeto=9702
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building Biblioteca Digital
filtrotop_str Biblioteca Digital
collection Artículo de Revista
institution Sistema Integrado de Documentación
indexed_str 2023-04-25 00:36
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