School of Public Health and Primary Care, Chinese University of Hong Kong, China.
Evid Based Complement Alternat Med. 2012;2012:149512. doi: 10.1155/2012/149512. Epub 2012 May 10.
In Hong Kong, statutory regulation for traditional Chinese medicine (TCM) practitioners has been implemented in the past decade. Increasing use of TCM on top of biomedicine (BM) services by the population has been followed; but corresponding policy development to integrate their practices has not yet been discussed. Using focus group methodology, we explore policy ideas for integration by collating views from frontline BM (n = 50) and TCM clinicians (n = 50). Qualitative data were analyzed under the guidance of structuration model of collaboration, a theoretical model for understanding interprofessional collaboration. From focus group findings we generated 28 possible approaches, and subsequently their acceptability was assessed by a two round Delphi survey amongst BM and TCM policy stakeholders (n = 12). Consensus was reached only on 13 statements. Stakeholders agreed that clinicians from both paradigms should share common goals of providing patient-centered care, promoting the development of protocols for shared care and information exchange, as well as strengthening interprofessional connectivity and leadership for integration. On the other hand, attitudes amongst policy stakeholders were split on the possibility of fostering trust and mutual learning, as well as on enhancing innovation and governmental support. Future policy initiatives should focus on these controversial areas.
在过去十年中，香港对中医从业者实施了法定监管。越来越多的人在接受生物医学（BM）服务的基础上，同时也选择接受中医治疗；但尚未讨论相应的政策措施来整合他们的实践。本研究采用焦点小组方法，通过整理一线 BM（n=50）和中医临床医生（n=50）的观点，探讨整合的政策思路。在协作结构模型的指导下对定性数据进行分析，这是一个理解专业间协作的理论模型。根据焦点小组的发现，我们生成了 28 种可能的方法，然后通过两轮德尔菲调查（BM 和 TCM 政策利益相关者，n=12）评估这些方法的可接受性。仅就 13 项陈述达成了共识。利益相关者一致认为，来自两种模式的临床医生应共同以提供以患者为中心的护理为目标，共同制定共享护理和信息交换的方案，并加强专业间的联系和领导力，以实现整合。另一方面，政策利益相关者对促进信任和相互学习的可能性以及增强创新和政府支持的态度存在分歧。未来的政策举措应集中在这些有争议的领域。
