College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville 4811, Australia.
Department of Population and Health, University of Cape Coast, Cape Coast P.O. Box UC 182, Ghana.
Int J Environ Res Public Health. 2021 Oct 25;18(21):11200. doi: 10.3390/ijerph182111200.
The government of Ghana has been piloting traditional medicine (TM) integration in 17 health facilities across the country. However, the nature of current practice of integrated healthcare has not been thoroughly explored. This paper sought to explore the experiences and recommendations of orthodox health practitioners and hospital administrators in the Ashanti region regarding the practice of integrated healthcare in Ghana. The study adopted a qualitative, phenomenological approach involving 22 interviews. Purposive sampling technique was used in selecting study participants. Framework analysis was used to draw on the experiences of participants relating to TM integration. Participants were knowledgeable about the existence of integrated health facilities and stated that TM integration has created options in health services. However, participants deemed the integrated system ineffective and attributed the inefficiency to poor processing and certification of TM products, opposition of medical doctors to TM usage, absence of a protocol to guide the integration process, and inadequate publicity. Professional training of TM practitioners and inclusion of TM in medical school curriculum could improve collaboration between the health practitioners. Future research should focus on assessing the opinions and involvements of TM practitioners regarding the integration of traditional therapies into national health systems.
加纳政府一直在全国 17 家卫生机构试点传统医学(TM)整合。然而,目前综合医疗保健的实践性质尚未得到充分探讨。本文旨在探讨阿散蒂地区的正统医疗从业者和医院管理人员对加纳综合医疗保健实践的经验和建议。该研究采用了定性、现象学的方法,涉及 22 次访谈。采用目的性抽样技术选择研究参与者。框架分析用于借鉴参与者与 TM 整合相关的经验。参与者了解综合卫生机构的存在,并表示 TM 整合为卫生服务创造了更多选择。然而,参与者认为综合系统效率低下,并将其效率低下归因于 TM 产品加工和认证不佳、医生反对 TM 使用、缺乏指导整合过程的协议以及宣传不足。对 TM 从业者进行专业培训并将 TM 纳入医学院课程,可以改善医疗从业者之间的合作。未来的研究应侧重于评估 TM 从业者对将传统疗法纳入国家卫生系统的意见和参与度。