An exploration of Traditional Chinese Medicine practitioners' perceptions of Evidence Based Medicine

ObjectivesTo explore understanding of Evidence Based Medicine (EBM) and use of evidence by Traditional Chinese Medicine (TCM) practitioners, practising in Scotland.DesignQualitative study incorporating semi-structured interviewing of 12 TCM practitioners practising TCM in Scotland.SettingTCM practitioners' premises in an urban area of Scotland, UK.ResultsFew participants were aware of the process of EBM but all reported importance of learning from a range of sources including patients and practice. Participants reported no involvement in the wider demands of the EBM process.ConclusionsTCM practice here was informed by a range of sources but many barriers to full engagement with the EBM process were evident and the small business model of service delivery seemed important here. Participants' prioritisation of classical books and practice as evidence sources poses some cause for concern at a time of rapid growth in well evidenced western biomedical and TCM knowledge and practice.