La situazione attuale
Le terapie non convenzionali sono ancora marginalizzate nei sistemi sanitari di molti paesi, ma la richiesta di un approccio integrato sta crescendo e sembra avere effetto. L'ostilità dei medici verso le terapie complementari sta incominciando a sgretolarsi. Corsi introduttivi per diverse terapie complementari sono stati attivati già in molte scuole mediche in gran Bretagna e Stati Uniti. Attualmente, le terapie complementari o alternative vengono usate assieme ai trattamenti convenzionali, piuttosto che in sostituzione di essi. Il tipico fruitore europeo delle terapie non convenzionali è una donna giovane o di mezza età, ben educata e che tiene alla propria salute. Le sindromi dolorose (lombalgia, artralgia, cefalea) sono fra le maggiori cause di ricorso alle terapie non convenzionali.
Le medicine non convenzionali conquistano sempre più italiani, che spesso si "convertono" alle numerose pratiche oggi disponibili: dalla medicina cinese all'agopuntura, dall'omeopatia alla fitoterapia, dall' ayurveda ai trattamenti manuali della chiropratica e dell' osteopatia, allo shiatsu. Un' ondata inarrestabile, se è vero che la stessa Organizzazione mondiale della Sanità, il Parlamento europeo e moltissimi Paesi hanno o stanno adottando proprie linee guida e di coordinamento per le Medicine cosiddette "non convenzionali". Il benessere globale, raggiunto in modo non invasivo e incruento, è una tematica che sta sempre più ottenendo il favore della pubblico e che presenta un numero crescente di interessati e adepti.
L'ISTAT ha recentemente realizzato un'indagine sulle terapie non convenzionali nel quadro di una convenzione con l'Istituto Superiore di Sanità. Lo studio è stato condotto su un campione di circa 30 mila famiglie, pari ad oltre 70 mila individui. Le stime Istat sulle "Condizioni di salute e ricorso ai servizi sanitari 1999-2000", mostrano che dal 1991 al 1999 è quasi raddoppiata la quota di persone che utilizza i principali trattamenti non convenzionali. Tuttavia, l'Italia resta ai livelli più bassi della media europea, sebbene l'uso di terapie non convenzionali cominci a crescere e a diffondersi tra quote importanti di popolazione.
Tra il 1991 e il 1999, l'aumento dell'uso di queste terapie è stato sensibile: confrontando i dati disponibili sui tre principali rimedi (agopuntura, omeopatia e fitoterapia), la quota di persone che, negli ultimi 3 anni, ne ha utilizzato almeno uno passa da circa il 7% del 1991 all'8,3% del 1994 fino a raggiungere il 12% nel 1999. Tale incremento è soprattutto dovuto alla maggior diffusione dell'omeopatia: il numero di persone che vi hanno fatto ricorso è più che triplicato, passando dal 2,5% all'8,2% nello stesso arco di tempo. In aumento, sia pur contenuto, è anche la fitoterapia, mentre rimane invariata la quota di coloro che si sono curati con l'agopuntura.
Nel 2001, gli Italiani che hanno dichiarato di aver utilizzato - con una certa sistematicità - metodi di cura non convenzionali, nei tre anni precedenti l'intervista, sono circa 9 milioni, pari al 15,6% della popolazione. A primeggiare su tutte è sicuramente l'omeopatia: la terapia più utilizzata e integrata con altre prassi convenzionali. Quattro milioni (8,2%), secondo l'Istat, ricorrono all'omeopatia. Seguono i trattamenti manuali, scelti dal 7% delle persone, la fitoterapia e l'agopuntura utilizzati rispettivamente dal 4,8% e dal 2,9% della popolazione e, infine, gli altri tipi di terapie non convenzionali (1,3%).
I bambini fino a 14 anni sottoposti a trattamenti non convenzionali sono circa il 9,2%. Il tipo di trattamento più usato è l'omeopatia, che riguarda il 7,7 % dei bambini.
Ma non solo: il 4,8% degli italiani assume rimedi fitoterapeutici, il doppio dei pazienti rispetto a soli dieci anni fa. Sono più le donne (circa 5 milioni e mezzo, pari al 18,2%) che gli uomini (3 milioni e mezzo, pari al 12,9%) a usare i rimedi non convenzionali. La consumatrice tipo è tra i 35 e i 44 anni (25,4%).
Il fruitore è caratterizzato da una scolarità medio-alta. La propensione a far uso dei metodi di cura non convenzionali aumenta all'elevarsi del titolo di studio: il 24,1% di chi è in possesso di una laurea o di un diploma ha fatto ricorso ad almeno un tipo di terapia non convenzionale, contro il 18,8% di coloro che hanno la licenza media e l' 11,2% di chi ha conseguito la sola licenza elementare o nessun titolo. Più alto è il titolo di studio, maggiore è l' autodeterminazione delle persone: nel 33,3% dei casi i laureati dichiarano di aver deciso autonomamente il ricorso alle terapie non convenzionali, percentuale che scende al 18,5% tra coloro che hanno un titolo di studio basso.
La distribuzione territoriale del fenomeno rileva alcuni dati significativi: nel Nord-Est, quasi un italiano su quattro utilizza almeno una delle terapie non convenzionali, al Centro uno su sei, al Sud uno su quindici.
Il ricorso a queste terapie è comunicato al proprio medico curante nel 59,6% dei casi. Ed è interessante notare come il 30,9% del campione si sia rivolto al mondo dell'alternativo su indicazioni di persone amiche e non di un medico. Notevole è anche l'incidenza sul campione di coloro i quali "fanno da sé": il 27,2%. Più spesso è invece un medico (38%) a consigliare questi tipi di trattamento, soprattutto nel caso di persone molto anziane (57,5%).
A tutti gli intervistati è stato chiesto se ritenevano utili i metodi di cura non convenzionali, anche se non li avevano sperimentati direttamente. Il 39,8% delle persone ha espresso un giudizio positivo sull'utilità di almeno un tipo di terapie non convenzionali, il 23,1 % le definisce non utili e ben il 34, l % non sa esprimere alcun giudizio. Per chi ritiene utili le terapie non convenzionali è generale la tendenza ad attribuire a queste una minore tossicità rispetto alle terapie tradizionali (71%); ben il 22,6% delle persone ritiene inoltre che siano l'unica possibilità di trattamento per alcuni tipi di patologie; il 20,5% attribuisce una maggiore efficacia rispetto alle terapie convenzionali; il 13,2% afferma che queste terapie consentono un miglior rapporto tra medico e paziente.
La cura di sindromi dolorose è il principale motivo addotto da quanti hanno fatto ricorso ad agopuntura e trattamenti manuali, rispettivamente il 59,3% e 63,8%, mentre tra coloro che utilizzano la fitoterapia una quota rilevante (44,1 %) vi ricorre per migliorare la qualità della vita. Il ricorso all'omeopatia non appare associato ad alcuna specifica condizione patologica. Chi usa rimedi omeopatici ritiene di poter curare in questo modo tanto le sindromi dolorose (30%) che le patologie acute (24%) o croniche (11,8%) e ben il 28,6% degli utilizzatori usa trattamenti omeopatici per migliorare la qualità della vita.
È elevato il livello di soddisfazione di chi ha sperimentato le terapie non convenzionali: quasi il 70% di coloro i quali hanno fatto uso dei diversi approcci terapeutici dichiara di averne avuto dei benefici. I più soddisfatti sono gli utenti dei trattamenti manuali (ben il 77,6%), il 17,7% dichiara di aver avuto benefici solo parziali e soltanto il 3,3 % ritiene di non avere avuto alcun beneficio. Elevata anche la percentuale di soddisfatti tra coloro che hanno fatto uso di fitoterapia (74,6% di soddisfatti contro 18,8% di chi dichiara benefici solo parziali). Poco più basse le percentuali per ciò che riguarda l'omeopatia (72,9% di soddisfatti contro 18,5% di persone che dichiarano benefici solo parziali).
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