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顺势疗法医学与原住民健康:安大略省多伦多原住民健康组织的探索性研究。

Naturopathic medicine and aboriginal health: an exploratory study at Anishnawbe Health Toronto.

机构信息

Department of Research & Clinical Epidemiology, The Canadian College of Naturopathic Medicine, Toronto, ON.

出版信息

Can J Public Health. 2010 Nov-Dec;101(6):475-80. doi: 10.1007/BF03403967.

DOI:10.1007/BF03403967
PMID:21370784
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6973958/
Abstract

OBJECTIVE

To explore the experiences and perceptions of providing and receiving naturopathic care within the Aboriginal community served by community health centre Anishnawbe Health Toronto.

METHODS

This is an exploratory study using a descriptive qualitative approach to enable better understanding of the care provided to Aboriginal patients by naturopathic interns and clinician supervisors at Anishnawbe Health Toronto (AHT). We conducted semi-structured interviews with 3 naturopathic supervisors, 7 naturopathic interns, and 7 Aboriginal patients to gain an in-depth understanding of participants' experiences and perceptions of naturopathic medicine at AHT. We also conducted 3 confirmatory interviews with Naturopathic Doctors practicing in other Aboriginal communities.

RESULTS

Naturopathic medicine is perceived to fit with health care philosophies in Aboriginal communities, as it emphasizes spiritual, mental and emotional aspects of health. Specifically, strengths of naturopathic medicine within the Aboriginal community relate to the philosophical suitability of naturopathic medicine, the ability to meet a wide range of health needs, the lack of power imbalance in the patient-practitioner relationship, and the cultural sensitivity of the practitioners. While AHT is highly regarded by patients and practitioners, certain limitations at the local setting regarding privacy and inter-professional communication were evident. Further, to facilitate trust, naturopathic interns require enhanced training in specific health issues that face the Aboriginal population to allow them to better engage with the culture and practices of the Aboriginal community.

CONCLUSION

The naturopathic clinic at AHT contributes to positive patient outcomes and satisfaction and helps address unmet health needs in this population. Naturopathic medicine may be well suited to address Aboriginal health care needs through its holistic and respectful approach to care and a foundation of traditional knowledge and research evidence for treatment of a person's mind, body and spirit.

摘要

目的

探索安大略省原住民社区卫生中心 Anishnawbe Health Toronto 所服务的原住民社区内提供和接受顺势疗法护理的经验和看法。

方法

这是一项探索性研究,采用描述性定性方法,以便更好地了解 Anishnawbe Health Toronto (AHT) 的实习顺势疗师和临床医生监督员为原住民患者提供的护理。我们对 3 名顺势疗法监督员、7 名实习顺势疗师和 7 名原住民患者进行了半结构化访谈,以深入了解参与者对 AHT 顺势疗法的经验和看法。我们还与其他原住民社区的执业自然疗法医生进行了 3 次确认访谈。

结果

顺势疗法被认为符合原住民社区的医疗保健理念,因为它强调健康的精神、心理和情感方面。具体而言,顺势疗法在原住民社区的优势与顺势疗法的哲学适用性、满足广泛健康需求的能力、医患关系中权力失衡的缺乏以及从业者的文化敏感性有关。虽然 AHT 受到患者和从业者的高度评价,但当地在隐私和专业间沟通方面存在一些局限性。此外,为了促进信任,实习顺势疗师需要加强针对原住民群体所面临的特定健康问题的培训,以使他们能够更好地参与原住民社区的文化和实践。

结论

AHT 的顺势疗法诊所有助于改善患者的结果和满意度,并有助于满足该人群的未满足的健康需求。顺势疗法通过其对护理的整体和尊重的方法以及对一个人的思想、身体和精神的治疗的传统知识和研究证据的基础,可能非常适合解决原住民的医疗保健需求。

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