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標題: | 民眾求助於整合醫療之動機與經驗探討 On the motivations and experiences of those who seek for integrative medicine |
作者: | Yi-Ru Chen 陳怡如 |
指導教授: | 蘇喜 |
關鍵字: | 整合醫療,質性研究,輔助與另類療法,求醫動機,求醫經驗, integrative medicine,qualitative study,complementary and alternative medicine,motivations of seeking for medical help,experiences of seeking for medical help, |
出版年 : | 2010 |
學位: | 碩士 |
摘要: | 研究背景與目的:
國內民眾使用輔助與另類療法(Complementary and Alternative Medicine,CAM)之比率與日俱增,然而民眾在嘗試各種輔助與另類療法之餘,並未完全摒棄正統西醫,而是採取兼用數種醫療模式之形式,由此可見整合醫療(Integrative Medicine,IM)已是大勢所趨。但國內整合醫療的觀念尚處萌芽階段,關於民眾求助於整合醫療的社會科學實證研究極為缺乏,實有待進一步的探索及深究。因此本研究之目的在於釐清求助於整合醫療之民眾其就醫緣由或動機 ,以及影響其有此就醫決策的相關因素;並詳實地呈現民眾求助於整合醫療之經驗及看法。 研究方法: 本研究採用立意取樣,共選取10位就診於台北市某整合醫療診所的求診者,利用半結構式的訪談大綱進行深度訪談。訪談過程中採全程錄音之方式,並將訪談結束後所謄打的逐字稿藉由初步資料分析以及主題分析等質性資料分析方式進行原始資料的分解及重組。 研究結果: 民眾求助於整合醫療之動機有三:因過往曾經歷不甚滿意的正統西醫求醫經驗而使其轉而投向整合醫療的懷抱、因個人固有的健康信念與整合醫療所強調之理念不謀而合,因此對整合醫療產生興趣、抑或是因有特殊的生理或心理需求遂嘗試整合醫療。另外,影響/驅使民眾求助於整合醫療的相關因素則有:社會人際因素、資訊取得因素以及專業認可因素等三大類。 民眾求助於整合醫療之經驗因個人主觀感受之故,實有較大的差異性。 Background: Integrative medicine (IM), a combination of「conventional medicine/orthodox medicine」and「complementary and alternative medicine (CAM)」, is viewed as the optimal treatment option and has undoubtedly become a popular source/form of medical care, yet little is known about its use. Objective: The primary objective of this study is to identify the motivations of those who seek for specific integrative medicine (IM) clinic and to determine the essential factors that are associated with the use of integrative medicine (IM). Another aim of this study is to describe subjects’ integrative medicine encounters precisely. Method: Ten adults who visit certain integrative medicine clinic in Taipei, Taiwan, were recruited through purposive sampling and interviewed via semi-structured guidelines. All of the interviews were audiotaped and transcribed verbatim. Such qualitative data analysis methods as preliminary analysis and thematic analysis were used to derive the motivations and experiences for users of integrative medicine (IM). Result: The motivations of those who seek for specific integrative medicine (IM) clinic are as followed:unsatisfied conventional/orthodox medicine encounters in the past;innate health beliefs which are congruent with the doctrines of integrative medicine (IM);personal physiological or mental needs. The essential factors that are associated with the use of integrative medicine (IM) include the following:interpersonal relationships 、information acquisition and profession recognition. Individual differences play a predominent role in the experiences on using integrative medicine (IM). |
URI: | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/47707 |
全文授權: | 有償授權 |
顯示於系所單位: | 健康政策與管理研究所 |
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