Does Traditional Chinese Medicine Matter?
Does Traditional Chinese Medicine Matter? Medical Choices of Rural Diabetic Patients in Changsha, China
Author: Xiaoyue Mona Guo, B.A.1, Shuiyuan Xiao, M.D., Ph.D.2
1Yale University School of Medicine, New Haven, CT USA
2Department of Social Medicine and Health Management, School of Public Health, Central South University, Changsha, Hunan, ChinaFull Text Article PDF
Corresponding Author: Xiaoyue Mona Guo
Key Words: Traditional Chinese Medicine, Health-seeking behaviors, Rural China, Diabetes
Introduction: With an aging, urbanizing population, China is home to the world’s largest number of adult diabetics. Although more diabetic patients currently live in cities, the prevalence of pre-diabetes is greater in the rural population due to changing dietary and physical habits, as well as the relative poverty. This demographic is thus an important target for public health intervention. As Traditional Chinese Medicine (TCM) is viewed in China as useful for treating chronic diseases and widely accepted, we sought to explore its use for rural diabetic patients.
Methods: The study population included 63 diabetic patients and two village doctors from four rural villages near Changsha, China. An initial survey was orally conducted with all 63 participants to collect demographics, financial situation, health-seeking behaviors, treatment beliefs, and medical expenditure. Three focus groups of six rural patients each were subsequently held at village health centers. For analysis, questionnaire data was summarized using means and standard deviations or medians and quartiles. Focus group sessions were voice-recorded and transcripts were coded for thematic analysis.
Results/Conclusions: Questionnaire data revealed that for the majority of participants, seeing a doctor is costly in terms of time and money. Patients often do not have the luxury of choosing their medical provider. Despite the benefits of TCM, its slow speed and cumbersome preparation methods do not fit a need for immediate results. Furthermore, TCM doctors are not as available or accessible as Western medicine doctors. As such, although 20% of rural patients rated higher trust in TCM than WM, no patient solely used TCM for their treatment. Instead, almost 40% of patients try to use both TCM and WM. Village practitioners similarly believed that although diabetes treatment should go towards integrative treatment, TCM’s development is hindered by its slow onset and inconvenience coupled with a more systemic lack of TCM infrastructure and research in China. In summary, the continued trust that rural patients place in TCM supports further research for better understanding the true economic, social, and health benefits of having combined TCM-WM treatment be part of diabetes standard of care.
Published on date: March 2016
Citation: Guo X, Xiao S. Does Traditional Chinese Medicine Matter? Medical Choices of Rural Diabetic Patients in Changsha, China, Medical Student Research Journal (2016). doi:10.15404/msrj/03.2016.0004
- Hesketh T, Zhu WX. Traditional Chinese medicine: One country, two systems. BMJ: British Medical Journal (International Edition). 1997;315(7100):3p.
- Covington MB. Traditional Chinese medicine in the treatment of diabetes. Diabetes Spectrum. 2001;14(3):154-159.
- Yu H, Wang S, Liu J, Lewith G. Why do cancer patients use Chinese Medicine?-A qualitative interview study in China. European Journal of Integrative Medicine. 2012;4:c197-c203.
- Lee GBW, Charn TC, Chew ZH, Ng TP. Complementary and alternative medicine use in patients with chronic diseases in primary care is associated with perceived quality of care and cultural beliefs. Fam Pract. Dec 2004;21(6):654-660.
- Yang WY, Lu JM, Weng JP, et al. Prevalence of Diabetes among Men and Women in China. New Engl J Med. Mar 25 2010;362(12):1090-1101.
- Wang WB, McGreevey WP, Fu CW, et al. Type 2 Diabetes Mellitus in China: A Preventable Economic Burden. Am J Manag Care. Sep 2009;15(9):593-601.
- Yeh GY, Eisenberg DM, Kaptchuk TJ, Phillips RS. Systematic Review of Herbs and Dietary Supplements for Glycemic Control in Diabetes. Diabetes Care. 2003;26(4):18p.
- Liu JP, Zhang M, Wang WY, Grimsgaard S. Chinese herbal medicines for type 2 diabetes mellitus. Cochrane Database Systemic Review. 2004;3:CD003642.
- Li WL, Zheng HC, Bukuru J, De Kimpe N. Natural medicines used in the traditional Chinese medical system for therapy of diabetes mellitus. J Ethnopharmacol. May 2004;92(1):1-21.
- Donnelly R, Wang B, Qu X. Type 2 diabetes in china: Partnerships in education and research to evaluate new antidiabetic treatments. British Journal of Clinical Pharmacology. 2006;61(6):702-705.
- He J, Gu D, Wu X, et al. Major Causes of Death among Men and Women in China. New Engl J Med. 2005;353(11):1124-1134.
- Weil A. The state of the integrative medicine in the U.S. and Western World. Chinese journal of integrative medicine. Jan 2011;17(1):6-10.
- Xu W, Towers AD, Li P, Collet JP. Traditional Chinese medicine in cancer care: perspectives and experiences of patients and professionals in China. European journal of cancer care. Sep 2006;15(4):397-403.
- Liu Y, Rao K, Hsiao WC. Medical expenditure and rural impoverishment in China. Journal of health, population, and nutrition. Sep 2003;21(3):216-222.
- Health in rural China worsening, costs rising-WHO. 2007. http://www.reuters.com/article/2007/11/01/idUSPEK281625. Accessed Feb 7, 2012.
- Hui J, Xiao S, Xu H. Community-based screening for type 2 diabetes mellitus. Chinese Journal of Social Medicine. 2011;28(6):415-417.
- Lei X, Lin W. The New Cooperative Medical Scheme in rural China: does more coverage mean more service and better health? Health economics. Jul 2009;18 Suppl 2:S25-46.
- Hung JC, CJ; Chang, HY. Relationships between medical beliefs of superiority of Chinese or western medicine, medical behaviours and glycaemic control in diabetic outpatients in Taiwan. Health and Social Care in the Community. 2012;20(1):80-86.