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

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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 TCM.

Methods: Our information is based on the authors’ observations, interviews with center TCM practitioners, and discussions with center administrators.

Results: 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 services provided; economic factors; challenges; and future directions. Patient age, nature of the problem, and cost may determine whether or not Chinese patients initially consult TCM or WM practitioners. Because of referral pathways between the WM and TCM practitioners, up to one-third of the patients receive integrated care. TCM physicians see more patients per day than do their WM counterparts; TCM physicians also earn higher salaries. Although 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 integration.

Conclusion: 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 successful integration. Our impressions are limited by the fact that we observed practices in only one community in one district of Beijing.

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Keywords: China; Traditional Chinese medicine; community health centers; integrative medicine

Document Type: Research Article

Publication date: 2015-06-01

More about this publication?
  • Family Medicine and Community Health (FMCH) is an open-access journal focusing on subjects that are common and relevant to family medicine/general practice and community health. The journal publishes relevant content across disciplines such as epidemiology, public health, social and preventive medicine, research and evidence based medicine, community health service, patient education and health promotion and health ethics. The journal has a specific focus on the management of chronic illness particularly diabetes, ischaemic heart disease, chronic heart failure, hypertension, bronchial asthma, chronic obstructive airways disease and common mental illness. FMCH is published by Compuscript http://www.compuscript.com on behalf of the Chinese General Practice Press http://www.chinagp.net.

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