Traditional Chinese medicine primary care in Chinese population
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AbstractBackground: Primary care has important contributions to the health of the population by managing over 90% of the illnesses. Despite Traditional Chinese Medicine (TCM) is playing an important role in Hong Kong, there was a lack of morbidity pattern and management process of TCM primary care. Aims: To determine the morbidity pattern of patients who consulted TCM in Hong Kong; and to determine the management process in terms of prescription, specialist referral, health promotion, and disease prevention in TCM primary care.

Methods: 55,312 encounters were collected from 260 CMPs. Primary outcomes were the prevalence of individual presenting encounters coded by ICPC-2 and the TCM diagnosis were classified by the National Classification and Codes of Disease (NCCD) and Zheng (NCCZ) of TCM.

Results: Mean patient age was 50.5 years, with more females than males (67.0% vs 33.0%). Most patients consulted CMPs for chronic (64% vs 33.7%) rather than acute conditions. Among the 30% of patients, hypertension (49.5%) or diabetes (18.5%) were the most common co-morbidity. The most common problems presenting to CMP were respiratory (24.9%), musculoskeletal complaints (22.7%), cough (11.7%), and lower back pain (6.6%).

Conclusion: To our knowledge, this was the first study permitting direct comparison with that presenting to Western medicine (WM) primary care by ICPC-2 systems. The results confirmed the role of CMP in primary care for musculoskeletal or chronic illnesses. We recommend greater effort and more resources should be invested to promote interdisciplinary communication to ensure safety and synergy of TCM and WM in primary care.
All Author(s) ListWendy Wong
Name of Conference22nd WONCA World Conference of Family Doctors
Start Date of Conference17/10/2018
End Date of Conference21/10/2018
Place of ConferenceSeoul, Korea
Country/Region of ConferenceSouth Korea
LanguagesEnglish-United Kingdom

Last updated on 2020-05-03 at 16:49