School of Public Health, La Trobe University, Bundoora, VIC 3086, Australia.
J Community Health. 2011 Jun;36(3):431-7. doi: 10.1007/s10900-010-9325-7.
Although the cooperation between modern and traditional medicine (TM) is increasingly promoted in health care system of nationwide, there remains many barriers. In this study, we examined the barriers and possible ways of promoting cooperation between traditional healers and modern health system. Ethnographic method including participant observations, in-depth interviews, focus groups, and unobtrusive methods were employed for data collection. Sixty six key participants of six stakeholders participated in this study. There are many barriers existing in relation to promote the legal role of traditional healers. This is because modern and traditional healers recognise health legalities differently. Modern health professionals try to motivate and require traditional healers to meet their standards, whereas traditional healers face integration difficulties and resist those approaches; rather, they are concerning with preserving their own traditions. Their traditional health practices do not meet the "best practice" standards necessary for them to gain the trust of modern doctors. Importantly, the licensing issue is key barrier creating difficulties for traditional healers. However, traditional healers are recognised for their benefit role in health care if cooperated with modern health professions. To make cooperation possible, all stakeholders need to understand cultural beliefs of traditional healers relating to cooperation with modern medicine. Supporting power for promotion of cooperation at the community level is the key strategy to suit community needs and contexts. In addition, cooperation requires clarification of the responsibilities of all stakeholders at the local and central levels.
虽然现代医学与传统医学（TM）之间的合作在全国范围内的医疗保健系统中越来越受到重视，但仍然存在许多障碍。在这项研究中，我们研究了促进传统治疗师与现代卫生系统之间合作的障碍和可能途径。本研究采用民族志方法，包括参与观察、深入访谈、焦点小组和非介入性方法收集数据。来自六个利益相关者的 66 名关键参与者参与了这项研究。在促进传统治疗师的合法角色方面存在许多障碍。这是因为现代和传统治疗师对健康法规的认识不同。现代卫生专业人员试图激励和要求传统治疗师达到他们的标准，而传统治疗师则面临整合困难并抵制这些方法；相反，他们关注的是保护自己的传统。他们的传统医疗实践不符合获得现代医生信任所需的“最佳实践”标准。重要的是，许可问题是为传统治疗师制造困难的关键障碍。然而，如果与现代医学专业合作，传统治疗师将被认可为医疗保健的有益角色。为了使合作成为可能，所有利益相关者都需要了解传统治疗师与现代医学合作的文化信仰。在社区层面上支持合作的推动力是满足社区需求和背景的关键战略。此外，合作需要在地方和中央各级澄清所有利益相关者的责任。
