An investigation of the use of traditional chinese medicine in stroke patients in Taiwan

Chien Chang Liao, Jaung Geng Lin, Chin Chuan Tsai, Hsin Long Lane, Ta Chen Su, Hwang Huei Wang, Fung Chang Sung, Ta Liang Chen, Chun Chuan Shih

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Background. The use of complementary and alternative medicine in critical illness is increasing worldwide. This study investigates how traditional Chinese medicine (TCM) is used in stroke patients. Methods. Using Taiwan National Health Insurance reimbursement claims, we compared the annual use of TCM between stroke patients and general population, identifying 15,330 patients with a new onset of stroke in 2000-2009. The sociodemographic status and medical comorbidities between stroke patients receiving TCM services and those without using the service were compared. Results. The use of TCM was higher in stroke patients than in the general population, 27.9% versus 25.4% in 2000 and 32.7% versus 27.8% in 2009, respectively, and grew consistently from 2000 to 2009. Among stroke patients, women, younger patients, white-collar employees, higher-income residents, and those living in areas with more TCM physicians were more likely to use TCM. Stroke patients using rehabilitation services were more likely to have more TCM visits (OR = 2.28, 95% CI = 1.96-2.66) and higher expenditure on TCM (OR = 2.67, 95% CI = 2.29-3.12) compared with stroke patients without rehabilitation. Conclusion. TCM is popular and well accepted in Taiwan. Patients with stroke have a higher TCM utilization rate than people without stroke.

Original languageEnglish
Article number387164
JournalEvidence-based Complementary and Alternative Medicine
Volume2012
DOIs
Publication statusPublished - 2012

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Chinese Traditional Medicine
Taiwan
Stroke
Complementary Therapies
Rehabilitation
Health Insurance Reimbursement
National Health Programs
Health Expenditures
Critical Illness
Population
Comorbidity
Physicians

ASJC Scopus subject areas

  • Complementary and alternative medicine

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An investigation of the use of traditional chinese medicine in stroke patients in Taiwan. / Liao, Chien Chang; Lin, Jaung Geng; Tsai, Chin Chuan; Lane, Hsin Long; Su, Ta Chen; Wang, Hwang Huei; Sung, Fung Chang; Chen, Ta Liang; Shih, Chun Chuan.

In: Evidence-based Complementary and Alternative Medicine, Vol. 2012, 387164, 2012.

Research output: Contribution to journalArticle

Liao, Chien Chang ; Lin, Jaung Geng ; Tsai, Chin Chuan ; Lane, Hsin Long ; Su, Ta Chen ; Wang, Hwang Huei ; Sung, Fung Chang ; Chen, Ta Liang ; Shih, Chun Chuan. / An investigation of the use of traditional chinese medicine in stroke patients in Taiwan. In: Evidence-based Complementary and Alternative Medicine. 2012 ; Vol. 2012.
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abstract = "Background. The use of complementary and alternative medicine in critical illness is increasing worldwide. This study investigates how traditional Chinese medicine (TCM) is used in stroke patients. Methods. Using Taiwan National Health Insurance reimbursement claims, we compared the annual use of TCM between stroke patients and general population, identifying 15,330 patients with a new onset of stroke in 2000-2009. The sociodemographic status and medical comorbidities between stroke patients receiving TCM services and those without using the service were compared. Results. The use of TCM was higher in stroke patients than in the general population, 27.9{\%} versus 25.4{\%} in 2000 and 32.7{\%} versus 27.8{\%} in 2009, respectively, and grew consistently from 2000 to 2009. Among stroke patients, women, younger patients, white-collar employees, higher-income residents, and those living in areas with more TCM physicians were more likely to use TCM. Stroke patients using rehabilitation services were more likely to have more TCM visits (OR = 2.28, 95{\%} CI = 1.96-2.66) and higher expenditure on TCM (OR = 2.67, 95{\%} CI = 2.29-3.12) compared with stroke patients without rehabilitation. Conclusion. TCM is popular and well accepted in Taiwan. Patients with stroke have a higher TCM utilization rate than people without stroke.",
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