越南农村少数民族社区对传统医学服务的偏好及支付意愿

Preference and willingness to pay for traditional medicine services in rural ethnic minority community in Vietnam.

作者信息

Tran Bach Xuan, Nguyen Ngan Kim, Nguyen Lan Phuong, Nguyen Cuong Tat, Nong Vuong Minh, Nguyen Long Hoang

机构信息

Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.

Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.

出版信息

BMC Complement Altern Med. 2016 Feb 3;16:48. doi: 10.1186/s12906-016-1010-7.

DOI:10.1186/s12906-016-1010-7

PMID:26841925

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4739329/

Abstract

BACKGROUND

Traditional medicine (TM) still plays an important role in a number of health care systems around the world, especially across Asian and African countries. In Vietnam, however, little is known about preference for traditional medicine use. This study assessed the prevalence of use, preference, satisfaction, and willingness to pay for TM services amongst rural ethnic minority community.

METHODS

A cross-sectional survey in three provinces in the North and South of Vietnam.

RESULTS

The results showed a high level of satisfaction with TM services, with more than 90 % of respondents reporting improved health status given the use of TM. Indicators for preference of TM over modern medicine are a longer distance to health station; being in an ethnic minority; being female; and having had higher service satisfaction. Although we did not have a comparison group, the high level of satisfaction with TM services is likely the result of a project targeting community health workers and the public regarding TM education and access promotion. Indeed, the community health workers are credited with relaying the information about TM more than any other sources. This suggests the importance of community health workers and community health centers in the promotion of TM use.

CONCLUSIONS

Ethnic minority people prefer the use of traditional medicine services that supports the expansion of national programs and promotion of traditional medications.

摘要

背景

传统医学在世界上许多医疗保健体系中仍发挥着重要作用，尤其是在亚洲和非洲国家。然而，在越南，人们对传统医学使用的偏好知之甚少。本研究评估了农村少数民族社区中传统医学服务的使用流行情况、偏好、满意度以及支付意愿。

方法

在越南北部和南部的三个省份进行横断面调查。

结果

结果显示对传统医学服务的满意度较高，超过90%的受访者表示使用传统医学后健康状况有所改善。相较于现代医学，偏好传统医学的指标包括距离卫生站较远；属于少数民族；为女性；以及服务满意度较高。尽管我们没有对照组，但对传统医学服务的高度满意度可能是一个针对社区卫生工作者和公众开展传统医学教育及促进获取的项目的结果。事实上，社区卫生工作者比任何其他来源更有助于传递有关传统医学的信息。这表明社区卫生工作者和社区卫生中心在促进传统医学使用方面的重要性。