Perception and use of herbal medicine by Indonesian Medical Doctors
Abstract
Indonesia has a long experience in traditional medicine such as jamu. The government has been encouraging all sectors, especially pharmaceutical industries together with research institutions and academia to increase herbal medicine research so that herbal medicine is increasingly used in health services, including by medical doctors. Various efforts have been made but empirically it seems that this goal has not been achieved. For this reason, it is necessary to conduct a survey to determine the understanding and use of herbal medicine among doctors. I was a cross-sectional study using an electronic questionnaire distributed to doctors who are members of the Indonesian Medical Association (IMA) per province. Three-hundred sixty-two respondents from 29 out of 38 (76%) provinces of Indonesia responded, and 263 out 362 respondents (72%) are general practitioners. In prescribing herbal medicines only 18.5% prescribed, 35% did not and 46.6% sometimes prescribed, respectively. Of the eleven phytopharmaceuticals/standardised herbal medicines only one medicine No. 5 was widely recognized by respondents (46.6%). This study showed that doctors' understanding of herbal medicine still needs to be improved through various means including webinars/seminars, journals that show good clinical trials so that they are more confident when prescribing herbal medicine to their patients. There is a need for more comprehensive information regarding the indications, efficacy and side effects of herbal medicine, through books or formularies that can be accessed by doctors. In addition, respondents agreed that herbal medicine should be taught in medical schools both in the pre-clinical and clinical phases.
References
Rumah Riset Jamu - Hortus Medicus [Internet].
Sumarni W, Sudarmin S, Sumarti S. The scientification of jamu: a study of Indonesian’s traditional medicine. J Phys Conf Ser 2019; 1321(3):032057.
https://doi.org/10.1088/1742-6596/1321/3/032057
Falzon CC, Balabanova A. Phytotherapy: An Introduction to Herbal Medicine. Prim Care 2017; 44(2):217-27.
https://doi.org/10.1016/j.pop.2017.02.001
Zahn R, Perry N, Perry E, Mukaetova-Ladinska EB. Use of herbal medicines: Pilot survey of UK users’ views. Complement Ther Med 2019; 44:83-90.
https://doi.org/10.1016/j.ctim.2019.02.007
Enioutina EY, Salis ER, Job KM, Gubarev MI, Krepkova LV, Sherwin CMT. Herbal Medicines: challenges in the modern world. Part 5. status and current directions of complementary and alternative herbal medicine worldwide. Expert Rev Clin Pharmacol 2017; 10(3):327-38.
https://doi.org/10.1080/17512433.2017.1268917
Simatupang A, Djojosaputro M, Nugroho AW. Perception and Use of Herbal Medicine by Medical Doctors. Maj Kedokt FK UKI 2012; 28(3):7.
https://doi.org/10.33541/mkvol34iss2pp60
Awodele O, Agbaje EO, Abiola OO, Awodele DF, Dolapo DC. Doctors’ attitudes towards the use of herbal medicine in Lagos, Nigeria. J Herb Med 2012; 2(1):16-22.
https://doi.org/10.1016/j.hermed.2012.02.002
Kunle OF, Folashade, Egharevba H, Omoregie, Ochugu P. Standardization of herbal medicines - A review. Int J Biodivers Conserv 2012; 4(3):101-12.
https://doi.org/10.5897/IJBC11.163
Ayati MH, Pourabbasi A, Namazi N, Zargaran A, Kheiry Z, Kazemi AH, et al. The necessity for integrating traditional, complementary, and alternative medicine into medical education curricula in Iran. J Integr Med 2019; 17(4):296-301.
https://doi.org/10.1016/j.joim.2019.04.005
Ramadianto AS, Andrian CR, Lenardi M, Surya R, Cheng W, Rahmawati FN. Knowledge, perception and attitude of Universitas Indonesia medical students toward complementary and alternative medicine. J Asian Med Stud Assoc 2015; 4(1):4-13.
https://doi.org/10.52629/jamsa.v4i1.73
Jamshidikia F, Lorigooini Z, Amini-Khoei H. Medicinal plants: Past history and future perspective. J Herbmed Pharmacol 2018; 7(1):1-7.
https://doi.org/10.15171/jhp.2018.01
Yaman E, Woerdenbag HJ, Kayser O. Jamu: Indonesian traditional herbal medicine towards rational phytopharmacological use. J Herb Med 2014; 4(2):51-73.
https://doi.org/10.1016/j.hermed.2014.01.002
Triyono A, Zulkarnain Z, Mana TA. Studi Klinis Ramuan Jamu Antihipertensi pada Pasien Hipertensi Derajat I. J Kefarmasian Indones 2018; 8(1):17-25.
https://doi.org/10.22435/jki.v8i1.6443.17-25
Li FS, Weng JK. Demystifying traditional herbal medicine with modern approach. Nat Plants 2017; 3:17109.
https://doi.org/10.1038/nplants.2017.109
Ching SM, Ramachandran V, Zakaria ZA, Paimin F. Frequency of Complementary and Alternative Medicine usage among Malaysian Hypertensive Subjects. Life Sci J 2013; 10(4):2526-31.
Kew Y, Chia YL, Lai SM, Chong KY, Ho XL, Liew DW, et al. Traditional and Complementary Medicine (TCM) among Study Population with Cardiovascular Risk; use and Substitution for Conventional Medicine in Pahang, Malaysia. Med J Malays 2015; 70(2):86-92.
Jahromi B, Pirvulescu I, Candido KD, Knezevic NN. Herbal Medicine for Pain Management: Efficacy and Drug Interactions. Pharmaceutics 2021; 13(2):251.
https://doi.org/10.3390/pharmaceutics13020251
Drew AK, Myers SP. Safety Issues in Herbal Medicine: implications for health professions. Med J Aust 1997; 166(10):539-41.
https://doi.org/10.5694/j.1326-5377.1997.tb123246.x
Han SY, Kim HY, Lim JH, Cheon J, Kwon YK, Kim H, et al. The past, present, and future of traditional medicine education in Korea. Integr Med Res 2016; 5(2):73-82.
https://doi.org/10.1016/j.imr.2016.03.003
Appelbaum D, Kligler B, Barrett B, Frenkel M, Guerrera MP, Kondwani KA, et al. Natural and Traditional Medicine in Cuba: Lessons For U.S. Medical Education. Acad Med 2006; 81(12):1098-103.
https://doi.org/10.1097/01.ACM.0000246681.34207.a7
Tsuruoka K, Tsuruoka Y, Kajii E. Complementary medicine education in Japanese medical schools: a survey. Complement Ther Med 2001; 9(1):28-33.
https://doi.org/10.1054/ctim.2000.0415
Kim DY, Park WB, Kang HC, Kim MJ, Park KH, Min BI, et al. Complementary and alternative medicine in the undergraduate medical curriculum: a survey of Korean medical schools. J Altern Complement Med 2012; 18(9):870-4.
https://doi.org/10.1089/acm.2011.0179
Peltzer K, Pengpid S. A survey of the training traditional, complementary, and alternative medicine in universities in Thailand. J Multidiscip Healthc 2019; 12:119-24.