埃博拉幸存者对传统医学、补充医学和传统医学的医疗服务寻求体验和偏好：塞拉利昂的一项定性探索性研究。
Ebola survivors' healthcare-seeking experiences and preferences of conventional, complementary and traditional medicine use: A qualitative exploratory study in Sierra Leone.
机构信息
Australian Research Centre in Complementary and Integrative Medicine, Faculty of Health, University of Technology Sydney, Ultimo, NSW, 2007, Sydney, Australia; Faculty of Pharmaceutical Sciences, College of Medicine and Allied Health Sciences, University of Sierra Leone, Sierra Leone.
Australian Research Centre in Complementary and Integrative Medicine, Faculty of Health, University of Technology Sydney, Ultimo, NSW, 2007, Sydney, Australia; National Centre for Naturopathic Medicine, Southern Cross University, Lismore, NSW, 2480, Australia.
出版信息
Complement Ther Clin Pract. 2020 May;39:101127. doi: 10.1016/j.ctcp.2020.101127. Epub 2020 Mar 1.
BACKGROUND
and Purpose: This study explores Ebola survivors' healthcare-seeking experiences within the context of Sierra Leone's free healthcare initiative (FHCI) and comprehensive package for Ebola survivors (CPES) program while also exploring the enablers and barriers to their use of informal healthcare.
MATERIALS AND METHODS
We employed an inductive, exploratory qualitative approach using focus group discussion with 41 adults Ebola survivors in the four administrative regions of Sierra Leone.
RESULTS
Biomedical care was the first choice of treatment option for most survivors immediately following post-ETC discharge. Survivors' healthcare-seeking experience varies before and after their inclusion into FHCI and the establishment of the CPES program. Personal and health system factors influenced survivors' decision to seek multiple healthcare approaches, especially T&CM.
CONCLUSION
Our findings suggest the determinants of Ebola survivors' healthcare-seeking experiences should be considered when developing and implementing programs aimed at improving the current health status of Ebola survivors in Sierra Leone.
背景与目的
本研究在塞拉利昂免费医疗保健倡议（FHCI）和埃博拉幸存者综合方案（CPES）的背景下，探讨了埃博拉幸存者的医疗保健寻求经验，同时还探讨了他们使用非正规医疗保健的促进因素和障碍。
材料与方法
我们采用了一种归纳性、探索性的定性方法，在塞拉利昂的四个行政区内，对 41 名成年埃博拉幸存者进行了焦点小组讨论。
结果
生物医学治疗是大多数幸存者在 ETC 出院后立即选择的治疗方案。幸存者在纳入 FHCI 和建立 CPES 计划前后的医疗保健寻求经历有所不同。个人和卫生系统因素影响幸存者寻求多种医疗保健方法的决定，尤其是传统和补充医学。
结论
我们的研究结果表明，在制定和实施旨在改善塞拉利昂埃博拉幸存者当前健康状况的方案时，应考虑到埃博拉幸存者医疗保健寻求经验的决定因素。
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