Collaboration Between Traditional Practitioners and Primary Health Care Staff in South Africa: Developing a Workable Partnership for Community Mental Health Services
Collaboration Between Traditional Practitioners and Primary Health Care Staff in South Africa: Developing a Workable Partnership for Community Mental Health Services
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DOI：
10.1177/1363461510383459
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发表时间：
2010-09-01
影响因子：
2.5
通讯作者：
Flisher, Alan J.
中科院分区：
文献类型：
--
作者：
Campbell-Hall, Vicky;Petersen, Inge;Flisher, Alan J.
南非的大多数非洲黑人都利用传统和公共部门的西方治疗系统来进行心理保健。有必要开发协作模型，以促进两个治疗系统之间建立可行的关系。本研究的目的是探讨服务使用者和提供者对两个护理系统之间当前互动的看法，以及在提供社区精神卫生服务方面改进合作的方式。对南非一个典型农村卫生分区的主要医疗保健提供者和服务使用者进行了定性个人和焦点小组访谈。大多数服务使用者持有传统的疾病解释模型并使用双重护理系统，据报道治疗方式之间的转换会导致治疗依从性问题。传统治疗师表示缺乏西方医疗保健从业者的赞赏，但愿意接受西方生物医学方法的培训并建立合作关系，以改善患者护理。受过西方生物医学培训的从业者对这种安排不太感兴趣。地区一级需要采取干预措施，让传统从业者熟悉西方治疗精神疾病的方法，引导西方从业者采用以文化为中心的精神卫生保健方法，并建立论坛以促进两个治疗系统之间相互尊重的合作关系的谈判，以促进公平合作，以改善患者护理。
The majority of the black African population in South Africa utilize both traditional and public sector Western systems of healing for mental health care. There is a need to develop models of collaboration that promote a workable relationship between the two healing systems. The aim of this study was to explore perceptions of service users and providers of current interactions between the two systems of care and ways in which collaboration could be improved in the provision of community mental health services. Qualitative individual and focus group interviews were conducted with key health care providers and service users in one typical rural South African health sub-district. The majority of service users held traditional explanatory models of illness and used dual systems of care, with shifting between treatment modalities reportedly causing problems with treatment adherence. Traditional healers expressed a lack of appreciation from Western health care practitioners but were open to training in Western biomedical approaches and establishing a collaborative relationship in the interests of improving patient care. Western biomedically trained practitioners were less interested in such an arrangement. Interventions to acquaint traditional practitioners with Western approaches to the treatment of mental illness, orientation of Western practitioners towards a culture-centred approach to mental health care, as well as the establishment of fora to facilitate the negotiation of respectful collaborative relationships between the two systems of healing are required at district level to promote an equitable collaboration in the interests of improved patient care.