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Traditional Chinese Medicine in Modern Medical Practice: Attitudes, Utilization, and Patient Perspectives

This study explores the role of Traditional Chinese Medicine (TCM) in modern medical practice by examining physicians' attitudes towards TCM, its current use in patient care, and patient perspectives on TCM. The study was conducted through interviews and questionnaires with physicians who had formal training in TCM in China. Results provide insight into how TCM is incorporated into medical practice, patient populations that respond well or poorly to TCM therapy, contraindications and potential complications of TCM therapies, and changes in attitudes towards TCM over time.

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Traditional Chinese Medicine in Modern Medical Practice: Attitudes, Utilization, and Patient Perspectives

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  1. Aspirin with a Dose of Acupuncture: The Role of Traditional Chinese Medicine in the Modern Medical World Jacob Schroeder Clendening Summer Fellow 2017

  2. Outline • Background • Methods • Results and Discussion • Conclusion

  3. Background • Traditional Chinese Medicine (TCM) has been in practice for 2,500 years (NCCIH 2013). • In 2007, a National Health Interview Survey revealed that “an estimated 3.1 million U.S. adults had used acupuncture in the previous year” (NCCIH 2013). • Recently in 2014, the Cleveland Clinic offered herbal medicine as part of the Integrative Medicine department (Reddy 2014). • The state of California considers acupuncture to be an “essential health benefit” so coverage is mandated (Hao et al 2014). • Population trends indicate that the number of Chinese Americans has risen from 0.8 million in 1980 to 3.5 million in 2010 (Pew Research Center 2012).

  4. Methods: Study Design • Goals: This study was designed to explore the role of TCM in a modern medical practice by determining the current attitudes among physicians towards TCM, the current use of TCM in patient-care, and the most prevalent indications for utilizing TCM in patient-care. • Control: Potential subjects were recruited if they were a currently licensed professional in the field of medicine with some previous formal training in medicine in the People’s Republic of China. • Group W: Up to 12 physicians who practiced in a modern (Western) medical field. • Group T: Up to 12 physicians who practiced in a TCM field.

  5. Methods: Subject recruitment • Physicians with formal training in the People’s Republic of China that worked at the following hospitals were contacted via email, phone, or in person and invited to participate as subjects. • 1. University of Kansas Medical Center, Kansas City, KS • 2. Stormont Vail Hospital, Topeka, KS • 3. Saint Francis Hospital, Topeka, KS • 4. Dongfang Hospital, Beijing, China • Potential subjects in Kansas City and Topeka were identified and recruited using the online physician directories for each hospital. • Potential subjects in Beijing, China were identified and recruited thanks to the help of Dr. Hui Hu and Dr. Shaowen Wu.

  6. Methods: Data Collection • Once a subject consented to participate in the study, an interview was held or a questionnaire was completed. Both the interview and the questionnaire had the same eight questions shown to the right. • A copy of the questionnaire and consent form was translated into Chinese with the help of Dr. Shaowen Wu.

  7. Results: Subject Participation • 17 potentials subjects were identified in the Kansas City and Topeka locations. 14 of those potential subjects were contacted by email and 3 potential subjects were contacted by phone. None of the potential subjects consented to participate in the study. • 22 potential subjects were identified in the Beijing location. One potential subject was contacted by email and 21 potential subjects were contacted in person on site. All of the potential subjects consented to participate in the study. • Of the 22 subjects who consented to participate in the study, 12 practiced in a modern field of medicine (Group W) and 10 practiced in a TCM field (Group T).

  8. Question 1: How do you incorporate Traditional Chinese medicine into your medical practice?

  9. Question 2: Which patient populations respond well to therapy with Traditional Chinese medicine?

  10. Question 3: Which patient populations respond poorly to therapy with Traditional Chinese medicine?

  11. Question 4: When is Traditional Chinese medicine contraindicated?

  12. Question 5: What are the potential complications that can arise as a result of Traditional Chinese medicine therapies?

  13. Question 6: When you trained in China and America, what were the predominant attitudes towards Traditional Chinese medicine among your professors and colleagues? “The professors here in China, although they graduate from TCM school, at the very beginning they don't believe in TCM. After a while of using TCM at work in hospital, they believe TCM more and more. After a few years of starting off in acupuncture, I believe in TCM.”

  14. Question 7: How receptive are your colleagues now to Traditional Chinese medicine?

  15. Question 8: How have attitudes among your patients towards Traditional Chinese medicine changed over the span of your practice? • “I once treated a Western medicine surgeon for facial paralysis and he got better. Then he started sending his patients to me to fix what he couldn't.” • “One of my patients got insomnia and depression. She took TCM and after 1 week she got a good sleep. So she thinks as a TCM doctor, she has a duty (to) pride TCM to patient and find the good in TCM.” • “Western medicine doctor got liver cancer and he insisted on not taking TCM medicine. His family forced him to take TCM and he recovered a little. The chemical therapy did him a lot of harm. Then he took another TCM soup and now he is for TCM. He know that it is good but he doesn't know how it works."

  16. Conclusions • Patient populations that are most likely to benefit from TCM include the elderly, chronic disease patients, pain management patients, and patients with inflammation. • Education of patients and physicians about TCM is the most important ingredient for the integration of TCM therapies into modern medical practices for the best patient-physician outcomes.

  17. Works Cited • Hao et al. “Acupuncture: Past, Present, and Future”, July 4 2014. National Center for Biotechnology Information. • National Center for Complementary and Integrative Health. “Traditional Chinese Medicine: In Depth”, Oct. 2013. National Institutes of Health. • Pew Research Center. “Chinese Americans”. 2012. • Reddy, S. “A Top Hospital Opens Up to Chinese Herbs as Medicines”. April 21 2014. Wall Street Journal.

  18. Thank you! And a special thanks to the following people and organizations: • Dr. TarrisRosell, Dr. Christopher Crenner, and the Clendening Summer Fellowship! • Dr. Shaowen Wu, and the Office of International Education at KUMC! • Dr. Hui Hu, and Dongfang Hospital, Beijing University of Chinese Medicine! • University of Kansas School of Medicine • And thank you all for attending today!

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