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将传统医学和疗愈融入加纳主流卫生系统:内部声音。

Integrating Traditional Medicine and Healing into the Ghanaian Mainstream Health System: Voices From Within.

机构信息

Centre for Sami Studies, The Arctic University of Norway, Tromsø, Norway.

University of Saskatchewan, Saskatoon, Canada.

出版信息

Qual Health Res. 2021 Aug;31(10):1847-1860. doi: 10.1177/10497323211008849. Epub 2021 May 13.

Abstract

In this study, I employed interpretive ethnographic qualitative design to explore perceptions of and proposals from traditional healers, biomedical practitioners, and health care consumers regarding integrating traditional medicine and healing in Ghana. Data were gathered through focus groups, in-depth individual interviews, and qualitative questionnaires and analyzed thematically. The results revealed positive attitudes toward integrating traditional medicine in Ghana and a discursive discourse of power relations. The power imbalance between biomedical and traditional practitioners regarding what integrative models to adopt is sanctioned by formal education and institutional structure. As a result, multiple approaches for integration were made, including patient co-referrals, collaborations between biomedical and traditional medical practitioners, and creating a unit for traditional medicine and healers at the outpatients' department for patients to choose either biomedicine or traditional medicine. Incorporating aspects of traditional healing in the training of biomedical practitioners and creating a space for knowledge sharing were also proposed. These integrative models reflected the distinctive interests of healers and biomedical practitioners. Considering these findings, I recommended policy options for consideration toward achieving an integrative health care system in Ghana.

摘要

在这项研究中,我采用解释性民族志定性设计,探索了加纳传统医学从业者、生物医学从业者和医疗保健消费者对整合传统医学和治疗方法的看法和建议。研究数据通过焦点小组、深入的个人访谈和定性问卷调查收集,并进行了主题分析。结果显示,人们对在加纳整合传统医学持积极态度,并且存在一种权力关系的话语。在采用何种整合模式方面,生物医学从业者和传统医学从业者之间存在权力失衡,这是由正规教育和机构结构认可的。因此,提出了多种整合方法,包括患者共同转诊、生物医学和传统医学从业者之间的合作,以及在门诊部门为患者设立传统医学和治疗师单元,供患者选择生物医学或传统医学。还提议在生物医学从业者的培训中纳入传统治疗的方面,并为知识共享创造空间。这些整合模式反映了治疗师和生物医学从业者的独特利益。考虑到这些发现,我建议加纳考虑一些政策选择,以实现综合医疗保健系统。

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