Patient characteristics for outpatient acupuncture in Beijing, China.

OBJECTIVES This study quantifies and compares patient characteristics in outpatient acupuncture. SETTING/DESIGN Prospective primary source evidence was gathered at two prominent outpatient acupuncture clinics in Beijing, China (n = 563, n = 233). RESULTS The most common condition was Bell's palsy, which represented 20.6% and 25.3% of total cases at the two clinics, respectively. The second most common condition was cerebrovascular accident (CVA) rehabilitation. These treatments represented 11.9% and 12.0% of treatments at the two clinics, respectively. Other trends at the clinics included the following: (1) neurologic complaints predominated; (2) doctors see a large number of patients per day; (3) the majority of patients overall were female; while (4) the majority of patients treated for CVAs rehabilitation were male. As cultural and socioeconomic differences in perceptions of acupuncture exist between peoples of different countries, this study also compared patient main complaints in China to available data on acupuncture patients seen in other parts of China, Germany, the United Kingdom, Australia, and the United States. Except for the German clinic data, Western clinic acupuncturists saw more musculoskeletal complaints compared to China, where neurologic complaints predominated. Another significant difference between Asian and Western clinics was the number of patients seen per hour. While acupuncturists were reported to see 1.2 patients per hour in U. S. clinics, acupuncturists at the two Beijing, China, clinics saw 7.0 and 10.4 patients per hour, respectively. CONCLUSION The main complaints seen in acupuncture outpatient clinics throughout the world likely result from a combination of inherent disease prevalence as well as patients' attitudes toward what acupuncture can treat successfully.

[1]  Roger B. Davis,et al.  Characteristics of visits to licensed acupuncturists, chiropractors, massage therapists, and naturopathic physicians. , 2002, The Journal of the American Board of Family Practice.

[2]  E. Peringer,et al.  Retrospective survey of patients of practitioners of traditional Chinese acupuncture in the UK , 1996 .

[3]  T. Kaptchuk The Web That Has No Weaver : Understanding Chinese Medicine , 1983 .

[4]  S. Myers,et al.  Towards a safer choice: the practice of traditional Chinese medicine in Australia , 1996 .

[5]  Xinqi Xu,et al.  Acupuncture in an Outpatient Clinic in China: A Comparison With the Use of Acupuncture in North America , 2001, Southern medical journal.

[6]  J. Farquhar market magic: getting rich and getting personal in medicine after Mao , 1996 .

[7]  T. Kaptchuk,et al.  Acupuncture: Theory, Efficacy, and Practice , 2002, Annals of Internal Medicine.

[8]  J. Farquhar " Medicine and the Changes Are One " : an Essay on Divination Healing with Commentary , 1994 .

[9]  A. Kleinman Depression, somatization and the "new cross-cultural psychiatry". , 1977, Social science & medicine.

[10]  Acupuncture utilization in Taiwan. , 1998, Zhonghua yi xue za zhi = Chinese medical journal; Free China ed.

[11]  A. Kleinman,et al.  Patients and Healers in the Context of Culture: An Exploration of the Borderland between Anthropology, Medicine, and Psychiatry. , 1983 .

[12]  C. Cassidy Chinese medicine users in the United States. Part II: Preferred aspects of care. , 1998, Journal of alternative and complementary medicine.

[13]  A. Vickers Bibliometric analysis of randomized trials in complementary medicine , 1998 .

[14]  NIH Consensus Conference. Acupuncture. , 1998, JAMA.

[15]  L. Brooke The National Library of Medicine. , 1980, Hospital libraries.

[16]  V. Scheid Chinese Medicine in Contemporary China: Plurality and Synthesis , 2002 .

[17]  V. Scheid The globalization of Chinese medicine. , 1999, Lancet.

[18]  M. Friger,et al.  Characteristics of patients at a complementary medicine clinic in Beer Sheva: summary of the first two years of operation. , 2001, The Israel Medical Association journal : IMAJ.

[19]  D. Bates Why Not Call Modern Medicine "Alternative"? , 2000, Perspectives in biology and medicine.

[20]  T. Ots The angry liver, the anxious heart and the melancholy spleen , 1990, Culture, medicine and psychiatry.

[21]  E. Hurwitz,et al.  Use of acupuncture by American physicians. , 1997, Journal of alternative and complementary medicine.

[22]  T. Kaptchuk,et al.  Varieties of Healing , 2002 .

[23]  K. Linde,et al.  Systematic clinical auditing in complementary medicine: rationale, concept, and a pilot study. , 1997, Alternative therapies in health and medicine.

[24]  C. Woollam,et al.  Acupuncture in the management of chronic pain , 1998, Anaesthesia.

[25]  L. Barnes The Psychologizing of Chinese Healing Practices in the United States , 1998, Culture, medicine and psychiatry.

[26]  V. Scheid The globalisation of Chinese medicine , 1999, The Lancet.

[27]  C. Cassidy Chinese medicine users in the United States. Part I: Utilization, satisfaction, medical plurality. , 1998, Journal of alternative and complementary medicine.

[28]  M. Wong Traditional Medicine in Modern China , 1970, Medical History.

[29]  D. Mechanic,et al.  Ambulatory medical care in the People's Republic of China: an exploratory study. , 1980, American journal of public health.

[30]  A. Lucas Chinese medical modernization : comparative policy continuities, 1930s-1980s , 1984 .

[31]  A. Coulter Clinic Close-Up Wellness Under One Roof , 1997 .

[32]  T. Kaptchuk,et al.  Varieties of Healing. 1: Medical Pluralism in the United States , 2001, Annals of Internal Medicine.

[33]  A. Vickers,et al.  Do certain countries produce only positive results? A systematic review of controlled trials. , 1998, Controlled clinical trials.

[34]  R. Bauer,et al.  Use of traditional drugs in a hospital of Chinese medicine in Germany , 1999, Pharmacoepidemiology and drug safety.

[35]  K. Taylor Chinese Medicine in Early Communist China, 1945-1963: A Medicine of Revolution , 2004 .

[36]  P. Unschuld Medicine in China : a history of ideas , 1985 .

[37]  Marianne Winder,et al.  Medicine in China. A history of ideas , 1987, Medical History.

[38]  R. Deyo,et al.  Characteristics of licensed acupuncturists, chiropractors, massage therapists, and naturopathic physicians. , 2002, The Journal of the American Board of Family Practice.