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Integration of traditional Chinese medicine and Western medicine in a Chinese community health center

Family Medicine and community health 2015年第2期3卷 79-83页

作者： Kenneth Kushner Shuang Yu Department of Family Medicine University of WisconsinMadisonWIUSA Yuetan community healthServices BeijingChina

Objective:Although the literature is abundant on traditional Chinese medicine(TCM)in the West,there is limited information on how TCM is integrated with Western medicine(WM).We describe how one Chinese community health Service(CHS)system located in Beijing integrates WM and ***:Our information is based on the authors’observations,interviews with center TCM practitioners,and discussions with center ***:We summarize our observations according to the following themes:selection of type of practitioner;frequent diagnoses of patients seen by TCM clinicians;types of TCM ser-vices provided;economic factors;challenges;and future *** age,nature of the problem,and cost may determine whether or not Chinese patients initially consult TCM or WM *** of referral pathways between the WM and TCM practitioners,up to one-third of the patients receive integrated *** physicians see more patients per day than do their WM counterparts;TCM physicians also earn higher *** there are clearly close collaborative relationships between the TCM and WM practitioners,a few TCM providers report that lack of respect between the two fields may be a barrier towards further ***:Given governmental policies and the cost differentials between WM and TCM,the future for the integration of the two medical traditions within the CHS system appears to be favorable;however,issues of mutual respect and workforce issues may challenge success-ful *** impressions are limited by the fact that we observed practices in only one community in one district of Beijing.

关键词： Traditional Chinese medicine integrative medicine community health centers China

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Multidimensional health literacy profiles and health-related behaviors in the elderly:A cross-sectional survey

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International Journal of Nursing Sciences 2022年第2期9卷 203-210,I0006,I0007页

作者： Ying Xie Wenhong An Chunyuan Zheng Di Zhao Honghong Wang Xiangya School of Nursing Central South UniversityChangshaHunanChina School of health and Wellness Panzhihua UniversityPanzhihuaSichuanChina

Objectives:To investigate health literacy profiles using a multidimensional tool in the elderly,analyze the factors related to health literacy,and explore the relationships between health literacy and health-related ***:A cross-sectional survey including 440 participants was conducted at a community health center and a village health center in Changsha,Hunan Province,between June 2020 and August *** used the health Literacy Questionnaire(HLQ)to assess the elderly’s health *** data and health-related behaviors of them were surveyed with a self-designed *** profile analysis,Pearson’s chi-squared and ordinal logistic regression were used to analyze the ***:The median age of the 440 respondents was 68 *** participants had the lowest scores in the“appraisal of health information”subscale(2.22±0.52),followed by“navigating the healthcare system”subscale(2.89±0.81)of *** on the analysis of three profiles,respondents who were 60 e74 years(OR=2.06,95%CI:1.23e3.42,P=0.006),living in urban areas(OR=3.28,95%CI:2.17e4.94,Phealth insurance(OR=1.89,95%CI:1.02e3.51,P=0.042)were significantly associated with health *** significant associations were found between health literacy level and health-related behaviors,including medical service-seeking behavior(χ^(2)=25.14,Phealth literacy survey has identified the low health literacy level among the elderly in community *** revealed the relationships of sociodemographic character-istics,including age,education level and residence,with health *** findings emphasized the importance of health literacy in promoting health behaviors,guiding a profound understanding of the Chinese elderly’s h

关键词： Aged China community health centers health behavior health literacy Surveys and questionnaires

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Associations between risk factors for cardiovascular diseases and frailty among community-dwelling older adults in Lanzhou,China

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International Journal of Nursing Sciences 2021年第2期8卷 168-174,I0003页

作者： Yanhong Wang Hae-Ra Han Wei Yang Hongchen Zhang Jing Zhang Haihui Ruan Nan Tang Jingjing Ren Xia Sun Chunrong Li Lin Han School of Nursing Lanzhou UniversityLanzhouChina School of Nursing Johns Hopkins UniversityMarylandUSA Gastroenterology Department The First Hospital of Lanzhou UniversityLanzhouChina community health Services Center of Tuanjiexincun LanzhouChina community health Services Center of Jiaojiawan LanzhouChina

Objectives:To examine the relationship between cardiovascular disease risk factors and frailty in a sample of older Chinese ***:A total of 458 community-dwelling older adults(>65 years)in Lanzhou,Gansu Province of China participated in a cross-sectional *** status was evaluated in terms of frailty phenotype(unintentional weight loss,exhaustion,low activity levels,slowness and weakness).Participants were categorized as not frail,prefrail or *** disease risk factors that were assessed included:blood pressure,body mass index,waist circumference,blood glucose,total cholesterol,triglycerides,lowdensity lipoproteins and high-density ***:Individuals with obesity had an increased risk of prefrailty(OR:2.26;95%CI:1.05,4.84).Hypertension was inversely associated with frailtyamong the participants(OR:0.31;95%CI:0.11,0.87)after adjusting for ***:The findings suggest that much more attention should be paid to weight control of the elderly in the community for preventing them from transition to prefrailty or *** prevention and control of cardiovascular diseases among the community-dwelling elder are still of great importance.

关键词： Aged Cardiovascular disease China community health centers Frailty Risk factors

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