Current state of cancer patient care incorporating Thai traditional medicine in Thailand: A qualitative study

作     者：Preecha Nootim Nattiya Kapol Waranee Bunchuailua Panoopat Poompruek Parankul Tungsukruthai Preecha Nootim;Nattiya Kapol;Waranee Bunchuailua;Panoopat Poompruek;Parankul Tungsukruthai

作者机构：Department of Thai Traditional and Alternative MedicineMinistry of Public HealthMueangNonthaburi 11000Thailand Faculty of PharmacySilpakorn UniversityMueangNakhon Pathom 73000Thailand Department of Community PharmacyFaculty of PharmacySilpakorn UniversityMueangNakhon Pathom 73000Thailand Chulabhorn International College of MedicineThammasat UniversityKhlong LuangPathum Thani 12120Thailand 

出 版 物：《Journal of Integrative Medicine》 (结合医学学报（英文版）)

年 卷 期：2020年第18卷第1期

页      面：41-45页

核心收录：

学科分类：12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 

基　　金：funding support from the Department of Thai Traditional and Alternative Medicine Ministry of Public Health Thailand 

主　　题：Cancer Hospital Qualitative research Traditional medicine Patient care 

摘      要：Objective: To assess the current state of cancer treatment incorporating Thai traditional medicine(TTM)and to identify problems in the system, by using the health system framework of the World Health ***: A qualitative study was conducted by interviewing three groups of people involved in the healthcare system. The groups were constructed via purposive sampling of patients with cancer, caregivers and service providers. The study groups included 37 individuals from five TTM hospitals. Indepth interviews were conducted from October 2017 to March 2018. The interview questions were developed based on the six building blocks of a health system framework. Free form answers from participants were analyzed and interpreted to develop the study ***: All five TTM hospitals provided treatment to patients with cancer based on provincial public health policy. The policy allows patients with cancer to obtain TTM services in outpatient and inpatient departments and via home visits;most patients used outpatient services. The TTM services were primarily provided by TTM practitioners and included massage, herbal steam, herbal compress and *** medicines were widely used and included Benja-amarit, an anticancer formulation made from Wat Khampramong and Phytoplex. The problems included poor acceptance of TTM practitioners by other healthcare practitioners, lack of experience among TTM practitioners in treating patients with cancer,lack of herbal medicine research trials, contamination in herbal medicine preparations and absence of practical treatment ***: TTM is an alternative treatment modality for patients with cancer and is supported by a national policy in Thailand. To increase accountability to patients and other practitioners, TTM treatments should be refined to rely on scientific principles and practitioners of TTM should receive academic training. Practical treatment guidelines need to be established and thoroughly