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eCAM Advance Access published online on July 29, 2009
eCAM, doi:10.1093/ecam/nep094
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© 2009 The Author(s).
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/2.0/uk/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Utilization of Western Medicine and Traditional Chinese Medicine Services by Physicians and Their Relatives: The Role of Training Background

Nicole Huang1, Yiing-Jenq Chou2, Long-Shen Chen2,3, Cheng-Hua Lee1,3, Pen-Jen Wang3 and Jen-Huoy Tsay4

1Institute of Hospital and Health Care Administration, 2Institute of Public Health & Department of Public Health, School of Medicine, National Yang Ming University, 3Taiwan's Bureau of National Health Insurance and 4Department of Social Work, College of Social Science, National Taiwan University, Taipei, Taiwan, ROC

Despite extensive efforts to improve the attitude and practice of physicians with respect to complementary and alternative medicine (CAM), the role of training background on physician's own utilization of mainstream Western medicine (WM) and CAM remains unclear. We aimed to compare personal utilizations of WM and traditional Chinese medicine (TCM) among doctors trained in WM only, TCM only or both. A retrospective population-based study was conducted using the 2004 Taiwan's National Health Insurance data. A total of 103 879 doctors and their relatives and 2 623 658 other adults with equivalent socioeconomic status were analyzed. Ambulatory care utilization of WM and TCM services was compared using the following three measures: probability of any use, number of visits and total annual expenditure. Doctors who were trained in Western medicine only (WMDs) had the highest WM use, followed by doctors who were trained in both (WMD-CMDs), while Chinese medicine-trained doctors (CMDs) had the lowest use. For TCM use, a reverse pattern was observed. Similar patterns were found among doctors’ relatives. Compared with other adults with equivalent socioeconomic status, both the CMDs and WMD-CMDs had a greater use of TCM services. For WM, although the WMDs’ probability and frequency of usage were similar to other adults, they incurred considerably higher expenditure. The use of WM and TCM by doctors and their relatives was significantly associated with the training background of the doctors. This highlights the importance of how increasing knowledge and understanding of other medical discipline may influence a practitioner's care-providing behaviors.

Keywords: ambulatory care – complementary and alternative medicine – health-seeking behaviors – integrative medicine

For reprints and all correspondence: Nicole Huang, Institute of Hospital and Health Care Administration, School of Medicine, National Yang Ming University, Room 201, The Medical Building II, No. 155, Section 2, Li-Nong Street, Taipei 112, Taiwan, ROC. Tel: +886-2-2826-7372; Fax: +886-2-2826-1002; E-mail: syhuang{at}ym.edu.tw

Received March 19, 2009; accepted June 25, 2009


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