Ariës Marcel J H, Joosten Hanneke, Wegdam Harry H J, van der Geest Sjaak
Department of General Surgery, Holy Family Municipal Hospital, Techiman, Ghana.
Trop Med Int Health. 2007 Apr;12(4):564-74. doi: 10.1111/j.1365-3156.2007.01822.x.
To understand factors influencing patients' decisions to choose either fracture treatment by a bonesetter or in the hospital and to explore patients' experiences with bonesetter treatment.
In-depth interviews with 46 patients with a radiological proven fracture in a district hospital in central Ghana.
Traditional healers, such as bonesetters, play a substantial role in the Ghanaian healthcare system. Over a period of 3 months, 14 patients with a proven fracture left hospital for treatment by a bonesetter. The hospital is considered the only institution where emergency care can be provided and reliable, extensive diagnostic and treatment facilities are available for fracture treatment. Patients opting for bonesetter treatment are guided by the severity of the fracture, availability of the service, their financial status and past experiences. The healing methods used by different bonesetters are based on mutual comparable principles.
Fracture treatment can serve as a model for respectful and efficient co-existence of traditional and biomedical medicine.
了解影响患者选择由接骨师治疗骨折还是在医院治疗骨折的决定因素，并探索患者接受接骨师治疗的经历。
对加纳中部一家地区医院46名经放射学证实骨折的患者进行深入访谈。
传统治疗师，如接骨师，在加纳医疗体系中发挥着重要作用。在3个月的时间里，14名经证实骨折的患者离开医院去接受接骨师治疗。医院被认为是唯一能够提供急诊护理且拥有可靠、广泛的骨折诊断和治疗设施的机构。选择接骨师治疗的患者受骨折严重程度、服务可及性、经济状况和既往经历的影响。不同接骨师使用的治疗方法基于相互可比的原则。
骨折治疗可作为传统医学与生物医学相互尊重、高效共存的典范。
