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Perfil epidemiológico de procura dos utilizadores de medicina tradicional chinesa na região da grande Lisboa
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Enquadramento: Juntamente com outras terapêuticas não convencionais, a atividade
profissional de Medicina Tradicional Chinesa (MTC) foi recentemente regulada em
Portugal. Devido aos progressos legais e normativos, nos últimos anos verificaram-se
avanços sociais positivos para a consolidação da MTC na sociedade portuguesa e no
sistema nacional de saúde. Contudo, e segundo a Organização Mundial de Saúde, os
valores de utilização da MTC e os determinantes que induzem a procura de cuidados são
desconhecidos para a população portuguesa. Por também não se conhecer o impacto da
integração e da regulação desta medicina oriental sobre a estrutura económica, social e
cultural portuguesa, é urgente produzir estudos que permitam conhecer os efeitos da MTC
nas diferentes dimensões da sociedade portuguesa. Objetivo: Analisar o perfil de procura
dos utilizadores de MTC na região da Grande Lisboa para o período entre 2015 e 2020,
tendo em conta os aspetos clínicos e sociodemográficos. Método: Estudo observacional,
transversal, analítico, realizado no Centro de Consultas de Medicina Tradicional Chinesa
de Lisboa, com uma amostra com 478 indivíduos. A recolha de dados foi feita de forma
secundária através da consulta direta aos ficheiros clínicos. Resultados: O utilizador de
MTC tende a ser do sexo feminino, a ter entre os 30 e os 50 anos de idade e a ser
trabalhador, sobretudo das especialidades relativas às atividades intelectuais e científicas.
Em média, realiza 6,2 (DP=10,2) consultas e 77% regressa para um segundo tratamento.
Em cada dez utilizadores, oito referem que a queixa principal melhora após o primeiro
tratamento. As queixas tendem a ser crónicas, a apresentar dor e a estar relacionadas com
as doenças do sistema musculosquelético ou do tecido conjuntivo, com os transtornos
mentais, comportamentais ou do neurodesenvolvimento ou com as doenças do sistema
nervoso. Tendo em conta o diagnóstico diferencial da MTC, a maioria das queixas está
relacionada com o sistema hepático e com o sistema de meridianos e colaterais.
Background: Along with other non-conventional therapeutics, the professional activity of Traditional Chinese Medicine (TCM) was recently regulated in Portugal. The recent legal and normative evolution regarding TCM have contributed to positive social advances in the consolidation of TCM in portuguese society and health system. However, and according to World Health Organization, TCM utilization and its associated factors are not known for the Portuguese population. Given the unknown impact of the integration and the regulation of this oriental medicine in the Portuguese economic, social and cultural structure, it is urgent to produce studies that address the effects of TCM in the different dimensions of the Portuguese society. Objective: Analyze the demand profile of TCM users in the Lisbon region for the period between 2015 and 2020, taking into account the clinical and sociodemographic aspects. Method: Observational, transversal, analytical study, conducted at the Traditional Chinese Medicine Consultation Center in Lisbon, with a sample of 478 subjects. Data collection was carried out secondarily through direct consultation of clinical records. Results: A TCM user tends to be a female, aged between 30 and 50 years old and working mainly in especially intellectual and scientific activities. On average, one user have 6,2 (SD=10,2) consultations and 77% of the users return for a second treatment. In ten users, eight report that the main complaint improves after the first treatment. The complaints tend to be chronic, to include pain, and to be related with diseases of the musculoskeletal system or connective tissue, with the mental, behavioral or neurodevelopment disorders and with diseases of the nervous system. According to TCM differential diagnosis, most complaints are related to the system of the liver and with the meridian and collateral system.
Background: Along with other non-conventional therapeutics, the professional activity of Traditional Chinese Medicine (TCM) was recently regulated in Portugal. The recent legal and normative evolution regarding TCM have contributed to positive social advances in the consolidation of TCM in portuguese society and health system. However, and according to World Health Organization, TCM utilization and its associated factors are not known for the Portuguese population. Given the unknown impact of the integration and the regulation of this oriental medicine in the Portuguese economic, social and cultural structure, it is urgent to produce studies that address the effects of TCM in the different dimensions of the Portuguese society. Objective: Analyze the demand profile of TCM users in the Lisbon region for the period between 2015 and 2020, taking into account the clinical and sociodemographic aspects. Method: Observational, transversal, analytical study, conducted at the Traditional Chinese Medicine Consultation Center in Lisbon, with a sample of 478 subjects. Data collection was carried out secondarily through direct consultation of clinical records. Results: A TCM user tends to be a female, aged between 30 and 50 years old and working mainly in especially intellectual and scientific activities. On average, one user have 6,2 (SD=10,2) consultations and 77% of the users return for a second treatment. In ten users, eight report that the main complaint improves after the first treatment. The complaints tend to be chronic, to include pain, and to be related with diseases of the musculoskeletal system or connective tissue, with the mental, behavioral or neurodevelopment disorders and with diseases of the nervous system. According to TCM differential diagnosis, most complaints are related to the system of the liver and with the meridian and collateral system.
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Saúde pública Saúde pública e desenvolvimento Epidemiologia Perfil de procura de medicina tradicional chinesa Terapia não convencional Medicina tradicional chinesa