Hunter PhD MScPH BMed Jennifer, Majd Md Ms Iman, Kowalski Dc Matthew, Harnett PhD MHSc BHSc Joanna E
NICM Health Research Institute, Western Sydney University, Penrith, New South Wales, Australia.
Osher Center for Integrative Medicine, University of Washington, Seattle, Washington.
Glob Adv Health Med. 2021 May 3;10:21649561211014107. doi: 10.1177/21649561211014107. eCollection 2021.
Culturally appropriate communication between healthcare professionals and with patients is widely recognised as a cornerstone of high quality, patient-centred care. The widespread use of traditional, complementary, and integrative medicine (TCIM) necessitates that patient-centre communication and cultural competency in healthcare extends beyond race, ethnicity, and languages spoken to also include an awareness of, and respect for the diverse range of healthcare practices, paradigms, and lexicons that patients and practitioners use. Education can equip practitioners with the necessary communication skills and expand their knowledge about the therapies and practices that patients are accessing. In this viewpoint essay, we aim to 1) emphasise the importance of respectful, culturally competent interprofessional communication and collaboration that mutually supports patients' care needs; 2) note the impact of a political agenda that perpetuates medical hegemony and has discriminated against, and marginalised TCIM practitioners and the people who use these services; and 3) highlight the importance of educational initiatives that support inclusive, culturally competent, interprofessional communication and collaboration between conventional and TCIM healthcare practitioners.
医疗保健专业人员与患者之间符合文化背景的沟通被广泛认为是高质量、以患者为中心的医疗服务的基石。传统医学、补充医学和整合医学(TCIM)的广泛应用使得以患者为中心的沟通以及医疗保健中的文化能力不仅要超越种族、民族和所讲语言,还应包括对患者和从业者所使用的各种医疗保健实践、范式和词汇的认识与尊重。教育可以使从业者具备必要的沟通技巧,并扩大他们对患者所采用的疗法和实践的了解。在这篇观点文章中,我们旨在:1)强调相互支持患者护理需求的尊重、具有文化能力的跨专业沟通与协作的重要性;2)指出延续医学霸权、歧视并边缘化TCIM从业者及使用这些服务的人群的政治议程的影响;3)强调支持传统医疗保健从业者与TCIM从业者之间包容性、具有文化能力的跨专业沟通与协作的教育举措的重要性。