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博茨瓦纳图图梅地区的生物医学医疗从业者准备好在艾滋病毒和艾滋病护理方面与传统医疗从业者合作了吗?

Are biomedicine health practitioners ready to collaborate with traditional health practitioners in HIV and AIDS care in Tutume sub district of Botswana.

作者信息

Madiba Sphiwe E

机构信息

School of Public health, University of Limpopo, Medunsa Campus, South Africa.

出版信息

Afr J Tradit Complement Altern Med. 2010 Apr 3;7(3):219-24. doi: 10.4314/ajtcam.v7i3.54779.

Abstract

The aim of this study was to determine BHPs' views on collaboration with THPs in Tutume sub district, identify collaboration activities that have been going on and determine approaches to collaboration that are acceptable to BHPs. A cross sectional survey was conducted with a convenient sample of 60 biomedicine health practitioners. The sample was drawn from two primary hospitals and clinics in Tutume Sub-District, Botswana. A pre-tested self administered questionnaire with open- and closed ended questions was used to obtain information. Majority of BHPs were in favour of collaboration despite the low levels of collaboration with THPs and low levels of awareness of the policy on collaboration. Patient referral was the preferred approach to collaboration but majority of BHPs would not refer patients to THPs. Despite the fact that BHPs were not familiar with most traditional practices they were of the opinion that they will not learn anything from THPs but were favourable towards exchange of information and biomedical skills. We conclude that BHPs were not ready to collaborate with THPs in HIV and AIDS care. BHPs wanted collaboration to be on their terms i.e. they prefer the collaboration to be limited to one way referrals from TPHs to BHPs, they will teach THPs but they were not willing to learn from them and they had negative opinions of the traditional health practice. Therefore, lack of specific guidelines on collaboration negatively affected collaborative efforts in the sub-district.

摘要

本研究的目的是确定生物医学从业者(BHPs)对与图图梅分区传统卫生从业者(THPs)合作的看法,识别正在开展的合作活动,并确定BHPs可接受的合作方式。对60名生物医学健康从业者进行了便利抽样的横断面调查。样本来自博茨瓦纳图图梅分区的两家主要医院和诊所。使用一份经过预测试的、包含开放式和封闭式问题的自填问卷来获取信息。尽管与THPs的合作水平较低且对合作政策的知晓程度较低,但大多数BHPs赞成合作。患者转诊是首选的合作方式,但大多数BHPs不会将患者转诊给THPs。尽管BHPs对大多数传统做法并不熟悉,但他们认为自己不会从THPs那里学到任何东西,不过他们赞成信息和生物医学技能的交流。我们得出结论,BHPs在艾滋病毒和艾滋病护理方面尚未准备好与THPs合作。BHPs希望按照他们的条件进行合作,即他们希望合作仅限于从THPs到BHPs的单向转诊,他们会教导THPs,但不愿意向他们学习,并且他们对传统卫生做法持负面看法。因此,缺乏关于合作的具体指导方针对该分区的合作努力产生了负面影响。

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