Rastogi Sanjeev
State Ayurvedic College and Hospital, Tulsi Das Marg, Lucknow, 226003, India.
J Ayurveda Integr Med. 2021 Jan-Mar;12(1):52-57. doi: 10.1016/j.jaim.2019.09.009. Epub 2020 Apr 1.
Despite their historical praise, specialty studies and practices are not generally seen in current Ayurvedic education and practice. Current Ayurvedic education by and large is devoid of training programs focusing upon specialty based health care delivery. This makes many disappointed who look at Ayurveda for a focused and specialized health care. The consequences of this gap in demand and supply are alarmingly obvious. With its unfocused health care approach, the Ayurvedic health care remains generic for large section of its delivery. There are no referral settings in Ayurveda to get a higher level of care better than the one offered at a primary health care setting. This apparent lack of expertise care in Ayurveda shifts it as an alternative health care used only on the instances of failure of other trusted options. Specialty clinical practices in Ayurveda seem highly important in order to build the trust and to enhance its quality of health care delivery. Our preliminary observations from a deemed arthritis clinic at an Ayurveda teaching hospital, visited by a diverse joint disease population carves a path in this direction and proposes the possibilities of using it as a template for the qualitative improvements in Ayurvedic health care delivery in the country in various clinical areas.
尽管传统医学有过辉煌的历史赞誉,但在当今的阿育吠陀教育和实践中,专科研究与实践并不常见。当前的阿育吠陀教育总体上缺乏专注于专科医疗服务的培训项目。这让许多期望通过阿育吠陀获得针对性专科医疗服务的人感到失望。供需差距所带来的后果极为明显。由于其医疗方法缺乏针对性,阿育吠陀医疗服务在很大程度上仍较为笼统。在阿育吠陀领域,没有可供转诊以获得比初级医疗服务机构提供的更高水平护理的途径。阿育吠陀明显缺乏专业护理,这使其沦为仅在其他可靠选择均告失败时才会采用的替代医疗手段。阿育吠陀的专科临床实践对于建立信任以及提高其医疗服务质量似乎极为重要。我们对一家阿育吠陀教学医院的关节炎专科诊所进行了初步观察,该诊所接待了患有各种关节疾病的患者,这为朝着这个方向开辟了一条道路,并提出了将其用作该国阿育吠陀医疗服务在各个临床领域进行质量改进模板的可能性。