印度卫生系统中补充和替代医学的整合:国家如何无意中破坏政策实施
Gupteswar Patel1,2, Caragh Brosnan2, Ann Taylor2
1Community and Health Research Unit, School of Health and Care Sciences, University of Lincoln, UK.
Health policy and planning
|March 2, 2026
概括
印度整合阿育吠陀,和自然疗法,Unani,Siddha和顺势疗法 (AYUSH) 的政策面临挑战. 复杂的州治理和资源问题阻碍了阿什的整合,导致转向生物医学实践.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 医学多元主义 医学多元主义
背景情况:
- 印度的Ayush整合政策在复杂的卫生系统中促进了医疗多元主义.
- 国家治理对医疗服务提供和结果产生重大影响.
- 了解这些复杂性对于有效地将AYUSH纳入初级医疗保健至关重要.
研究的目的:
- 探索国家和政策的复杂性如何塑造阿育的整合过程.
- 检查对初级医疗保健机构Ayush从业人员能力的影响.
主要方法:
- 在印度东部的一个州进行的定性研究.
- 包括19天的观察和37次采访与阿尤什医生,生物医学医生,护士,药剂师和管理人员.
- 使用专题分析来确定关键主题.
主要成果:
- 由于工资低,短期合同,药品供应不稳定和治理分散,阿育医生面临边缘化.
- 药品库存不足和治理问题导致Ayush医生采用生物医学治疗方法,创造了生物医学需求增加和缩小Ayush范围的循环.
- 分断的部门间协作,缺乏问责制和有限的资源阻碍了AYUSH的整合,导致"生物医学化".
结论:
- 艾乌什的整合是由反机制和州/地区政策转变所塑造的,而不是线性结构.
- 实现医疗多元主义需要适应性治理,包括代性目标,跨部门合作,以及增加Ayush资源独立性.
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