Harvie Alaia, Steel Amie, Wardle Jon
Faculty of Health, University of Technology Sydney, Australia.
Australian Research Centre in Complementary and Integrative Medicine, Faculty of Health, University of Technology Sydney, Australia.
Integr Med Res. 2020 Mar;9(1):42-47. doi: 10.1016/j.imr.2020.01.002. Epub 2020 Jan 16.
Classical Chinese medicine (CCM) encompasses many simple lifestyle recommendations which can be adopted into daily routines in support of short and long-term health outcomes. The rise in non-communicable diseases (NCDs) globally in recent decades has led to a need for cost-effective and scalable health care interventions to address lifestyle risk for NCDs in the community. This analysis explores the experience of staff and practitioners delivering a CCM community health care program designed to improve health behaviors in the community in rural Scotland.
A qualitative study employed semi-structured interviews with a sample of program practitioners and staff (n = 7). Informants were asked to share their experience in delivering the CCM program. Emergent themes were identified via analysis using the Framework Approach.
Themes emerged from the data in three key areas: Cultural challenges within the local region; Integration with the existing local health care network; and Team dynamics, co-creation and communication integrity.
This study highlights the importance of accessibility, integration, networking, secure funding and team unity in the context of community health program delivery, as well as noting a diversity of practice among Chinese medicine practitioners. CCM concepts may hold potential for integration into community health, however, further research is warranted.
中医包含许多简单的生活方式建议，这些建议可以融入日常生活，以支持短期和长期的健康成果。近几十年来，全球非传染性疾病（NCDs）的增加导致需要具有成本效益且可扩展的医疗保健干预措施，以解决社区中与生活方式相关的非传染性疾病风险。本分析探讨了参与一项旨在改善苏格兰农村社区健康行为的中医社区医疗保健项目的工作人员和从业者的经验。
采用定性研究方法，对项目从业者和工作人员样本（n = 7）进行半结构化访谈。受访者被要求分享他们在实施中医项目方面的经验。通过使用框架分析法进行分析，确定了新出现的主题。
数据中出现了三个关键领域的主题：当地地区的文化挑战；与现有的当地医疗保健网络的整合；以及团队动态、共同创造和沟通完整性。
本研究强调了在社区健康项目实施过程中，可及性、整合、网络、稳定资金和团队团结的重要性，同时也指出了中医从业者之间实践的多样性。中医概念可能具有融入社区健康的潜力，然而，仍需进一步研究。
