Bada Math Suresh, Moirangthem Sydney, Kumar C Naveen
Additional Professor, Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Hosur Road, Lakkasandra, Bangalore, Karnataka 500 029, India,.
Assistant Professor, Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Hosur Road, Lakkasandra, Bangalore, Karnataka 500 029, India.
Indian J Med Ethics. 2015 Jul-Sep;12(3):131-6. doi: 10.20529/IJME.2015.041. Epub 2015 Jun 9.
Cross-system practice is widely prevalent in Indian settings. The recent policy decisions of the Government of India and the legalisation of cross-system practice in various states have brought this issue into the limelight once again. We aim to critically evaluate this issue from the philosophical, academic, and public health perspectives, as well as with reference to training. On the one hand, students of traditional Indian medicine are being introduced to allopathy without philosophical backing, practice based on the aetiological model and training in modern pharmacology. In addition, pharmaceutical industries are wooing AYUSH practitioners and their prescription patterns have already been "allopathised". As for the allopathic system, it is witnessing enormous scientific advances and growing increasingly complicated. The medicines are risky and also associated with many life-threatening side-effects. Meanwhile, the government is grappling with the humungous problem of ensuring health services for all. The government's intention is to expand the reach of health services by allowing cross-system practice, but the issue has much wider ramifications. The authors believe that before cross-system practice is allowed, there is a need for a comprehensive and deeper understanding of all the benefits and pitfalls of such as system. A few of these are discussed in this article. Specifically, we delve into the philosophical issues, syllabus and training, advances in medical technology, and larger public health perspectives. We end by suggesting a few steps that may help to improve public health in the country.
跨系统行医在印度的医疗环境中广泛存在。印度政府最近的政策决定以及各邦对跨系统行医的合法化，再次将这个问题推到了聚光灯下。我们旨在从哲学、学术和公共卫生的角度，以及参考培训情况，对这个问题进行批判性评估。一方面，传统印度医学的学生在没有哲学支持、基于病因模型的实践以及现代药理学培训的情况下，被引入了对抗疗法。此外，制药行业正在拉拢阿育吠陀从业者，他们的处方模式已经“西医化”。至于对抗疗法系统，它正见证着巨大的科学进步，且日益复杂。这些药物存在风险，还伴有许多危及生命的副作用。与此同时，政府正在努力应对为所有人确保医疗服务这一巨大问题。政府的意图是通过允许跨系统行医来扩大医疗服务的覆盖范围，但这个问题的影响范围要广泛得多。作者认为，在允许跨系统行医之前，有必要对这样一个系统的所有利弊进行全面而深入的了解。本文将讨论其中的一些问题。具体而言，我们将深入探讨哲学问题、教学大纲和培训、医学技术进步以及更宏观的公共卫生视角。最后，我们提出一些可能有助于改善该国公共卫生状况的措施。
