College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, Australia.
College of Medicine and Dentistry, James Cook University, Townsville, QLD 4811, Australia.
Medicina (Kaunas). 2020 May 29;56(6):271. doi: 10.3390/medicina56060271.
: Traditional medicine (TM) was integrated into health systems in Africa due to its importance within the health delivery setup in fostering increased health care accessibility through safe practices. However, the quality of integrated health systems in Africa has not been assessed since its implementation. The objective of this paper was to extensively and systematically review the effectiveness of integrated health systems in Africa. : A systematic literature search was conducted from October, 2019 to March, 2020 using Ovid Medline, Scopus, Emcare, Web of Science, Cumulative Index to Nursing and Allied Health (CINAHL), and Google Scholar, in order to retrieve original articles evaluating the integration of TM into health systems in Africa. A quality assessment of relevant articles was also carried out using the Quality Assessment Tool for Studies with Diverse Designs (QATDSS) critical appraisal tool. : The results indicated that the formulation and execution of health policies were the main measures taken to integrate TM into health systems in Africa. The review also highlighted relatively low levels of awareness, usage, satisfaction, and acceptance of integrated health systems among the populace. Knowledge about the existence of an integrated system varied among study participants, while satisfaction and acceptance were low among orthodox medicine practitioners. Health service users' satisfaction and acceptance of the practice of an integrated health system were high in the countries assessed. : The review concluded that existing health policies in Africa are not working, so the integration of TM has not been successful. It is critical to uncover the barriers in the health system by exploring the perceptions and experiences of stakeholders, in order to develop solutions for better integration of the two health systems.
传统医学（TM）在非洲的卫生系统中得到整合，是因为它在促进通过安全实践增加医疗保健可及性的卫生服务提供中具有重要意义。然而，自从实施以来，非洲综合卫生系统的质量尚未得到评估。本文的目的是广泛而系统地审查非洲综合卫生系统的有效性。
从 2019 年 10 月至 2020 年 3 月，我们使用 Ovid Medline、Scopus、Emcare、Web of Science、护理和联合健康累积索引（CINAHL）和 Google Scholar 进行了系统的文献搜索，以检索评估 TM 整合到非洲卫生系统中的原始文章。还使用多样性设计研究质量评估工具（QATDSS）对相关文章进行了质量评估。
结果表明，制定和执行卫生政策是将 TM 纳入非洲卫生系统的主要措施。该审查还强调了非洲民众对综合卫生系统的认识、使用、满意度和接受程度相对较低。研究参与者对综合系统的存在的认识存在差异，而正统医学从业者的满意度和接受度较低。评估的国家中，卫生服务使用者对综合卫生系统实践的满意度和接受度较高。
该审查得出的结论是，非洲现有的卫生政策不起作用，因此 TM 的整合并未成功。通过探索利益相关者的看法和经验，揭示卫生系统中的障碍至关重要，以便为更好地整合这两种卫生系统制定解决方案。
