Department of Biological Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Jalan Raya Bandung-Sumedang KM. 21, Jatinangor, Sumedang West Java, 45363, Indonesia.
Herbal Study Center, Universitas Padjadjaran, Jalan Raya Bandung-Sumedang KM. 21, Jatinangor, Sumedang West Java, 45363, Indonesia.
BMC Complement Med Ther. 2024 Jan 30;24(1):64. doi: 10.1186/s12906-024-04368-7.
The concept of 'medical pluralism' has become more popular among scholars in applied health science and prevalent in societies where one medical system alone cannot adequately meet the health care needs of the entire population.
The data collection is focused on the knowledge-belief-practice and the utilization of three medical systems in Kabupaten Bandung, West Java, Indonesia. Participants were purposively selected from households with at least one member experienced one of the listed diseases in the questionnaire. The extensive survey using a structured questionnaire has been undertaken to collect data on people's health care utilization behaviour. The dataset is further analyzed using multivariate analysis through non-canonical correlation, with the analytical data provided by Statistical Package for Social Sciences (SPSS).
With regards to the total utilization by patients, the traditional medical system presents as the dominant medical system in the research area, accounting for 59.3% (n = 419) of total utilization, followed by the modern medical system (33.0%, n = 233), and transitional medical system (7.7%, n = 54). This study identified that village category, illness, illness duration, occupation, belief in traditional medicine, knowledge of modern medicine, accessibility, cost, proximity to the medical service, and insurance have significant (χ = 0.000) relationship with the utilization of medical systems. The results of the multivariate analysis show that the block of the predisposing socio-demographic factors and the block of the predisposing psycho-social factors correlate strongly with the utilization of medical systems.
In general, people in Kabupaten Bandung, West Java, Indonesia seeks treatment from various sources, which in the context of the medical system, consists of the traditional, transitional, and modern medical system; therefore, it adopts the patterns of transcultural health care utilization. In terms of the knowledge, beliefs, and practices of traditional medicine in West Java, the inhabitants of the five research villages were commonly familiar with medicinal plants and speak profoundly about their knowledge of traditional medicine, which in the research area is perceived as accessible, efficacious, affordable and culturally appropriate with Sundanese community.
“医学多元主义”的概念在应用健康科学领域的学者中越来越流行，在单一医疗体系无法充分满足整个人群医疗需求的社会中也普遍存在。
本研究的数据收集重点是知识-信仰-实践以及印度尼西亚西爪哇万隆县三种医疗体系的利用。参与者是从问卷调查中列出的至少有一名成员患有列出疾病的家庭中有意选择的。通过广泛的问卷调查，收集了人们医疗保健利用行为的数据。使用非典型相关的多元分析进一步分析数据集，分析数据由社会科学统计软件包（SPSS）提供。
就患者的总利用率而言，传统医疗体系在研究区域中占主导地位，占总利用率的 59.3%（n=419），其次是现代医疗体系（33.0%，n=233）和过渡医疗体系（7.7%，n=54）。本研究发现，村庄类别、疾病、疾病持续时间、职业、对传统医学的信仰、对现代医学的了解、可及性、成本、与医疗服务的接近程度以及保险与医疗体系的利用具有显著（χ=0.000）关系。多元分析的结果表明，倾向的社会人口因素块和倾向的心理社会因素块与医疗体系的利用密切相关。
总的来说，西爪哇万隆县的人们从各种来源寻求治疗，在医疗体系的背景下，包括传统、过渡和现代医疗体系；因此，它采用了跨文化医疗利用模式。就西爪哇传统医学的知识、信仰和实践而言，五个研究村的居民通常都熟悉药用植物，并对传统医学知识有深刻的了解，在研究区域中，传统医学被认为是可及的、有效的、负担得起的，并且与巽他社区文化相适应。
