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Evidence-Based Complementary and Alternative Medicine
Volume 2012 (2012), Article ID 149512, 11 pages
http://dx.doi.org/10.1155/2012/149512
Research Article

Developing Policy for Integrating Biomedicine and Traditional Chinese Medical Practice Using Focus Groups and the Delphi Technique

School of Public Health and Primary Care, Chinese University of Hong Kong, China

Received 19 December 2011; Revised 28 February 2012; Accepted 1 March 2012

Academic Editor: Wolfgang Weidenhammer

Copyright © 2012 Vincent C. H. Chung et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. G. Bodeker, Traditional, Complementary and Alternative Medicine: Policy and Public Health Perspectives, Imperial College Press, London, UK, 1st edition, 2006.
  2. The WHO Alma Ata Declaration, http://www.who.int/hpr/NPH/docs/declaration_almaata.pdf.
  3. P. Harris and R. Rees, “The prevalence of complementary and alternative medicine use among the general population: A systematic review of the literature,” Complementary Therapies in Medicine, vol. 8, no. 2, pp. 88–96, 2000. View at Publisher · View at Google Scholar · View at Scopus
  4. The WHO Traditional Medicine Strategy 2002-5, http://whqlibdoc.who.int/hq/2002/WHO_EDM_TRM_2002.1.pdf.
  5. National Policy on Traditional Medicine and Regulation of Herbal Medicines—Reports of a WHO Global Survey, http://apps.who.int/medicinedocs/en/d/Js7916e/6.html#Js7916e.6.1/.
  6. Website of the WHO Congress on Traditional Medicine, November 2008, Beijing, China, http://www.who.int/medicines/areas/traditional/congress/en/index.html.
  7. G. Walt, J. Shiffman, H. Schneider, S. F. Murray, R. Brugha, and L. Gilson, “'Doing' health policy analysis: Methodological and conceptual reflections and challenges,” Health Policy and Planning, vol. 23, no. 5, pp. 308–317, 2008. View at Publisher · View at Google Scholar · View at Scopus
  8. S. Griffiths, “Development and regulation of traditional Chinese medicine practitioners in Hong Kong,” Perspectives in Public Health, vol. 129, no. 2, pp. 64–67, 2009. View at Publisher · View at Google Scholar · View at Scopus
  9. V. C. Chung, M. P. Law, S. Y. Wong, S. W. Mercer, and S. M. Griffiths, “Postgraduate education for Chinese medicine practitioners: a Hong Kong perspective,” BMC Medical Education, vol. 9, no. 1, article 10, 2009. View at Publisher · View at Google Scholar · View at Scopus
  10. V. Chung, E. Wong, J. Woo, S. V. Lo, and S. Griffiths, “Use of traditional Chinese medicine in the Hong Kong special administrative region of China,” Journal of Alternative and Complementary Medicine, vol. 13, no. 3, pp. 361–367, 2007. View at Publisher · View at Google Scholar · View at Scopus
  11. V. C. Chung, C. H. Lau, E. K. Yeoh, and S. M. Griffiths, “Age, chronic non-communicable disease and choice of traditional Chinese and western medicine outpatient services in a Chinese population,” BMC Health Services Research, vol. 9, article 207, 2009. View at Publisher · View at Google Scholar · View at Scopus
  12. J. Xu and Y. Yang, “Traditional Chinese medicine in the Chinese health care system,” Health Policy, vol. 90, no. 2-3, pp. 133–139, 2009. View at Publisher · View at Google Scholar · View at Scopus
  13. W. C. W. Wong, A. Lee, S. Y. S. Wong, S. C. Wu, and N. Robinson, “Strengths, weaknesses, and development of Traditional Chinese Medicine in the health system of Hong Kong: Through the eyes of future Western doctors,” Journal of Alternative and Complementary Medicine, vol. 12, no. 2, pp. 185–189, 2006. View at Publisher · View at Google Scholar · View at Scopus
  14. Hong Kong Hospital Authority Chinese Medicine Service Website, http://www.ha.org.hk/chinesemedicine/clist.asp?lan=en.
  15. V. C. H. Chung, S. Hillier, C. H. Lau, S. Y. S. Wong, E. K. Yeoh, and S. M. Griffiths, “Referral to and attitude towards traditional Chinese medicine amongst western medical doctors in postcolonial Hong Kong,” Social Science and Medicine, vol. 72, no. 2, pp. 247–255, 2011. View at Publisher · View at Google Scholar · View at Scopus
  16. Primary Care Development in Hong Kong and Overseas, http://www.pco.gov.hk/english/careyou/strategies.html.
  17. K. Templeman and A. Robinson, “Integrative medicine models in contemporary primary health care,” Complementary Therapies in Medicine, vol. 19, no. 2, pp. 84–92, 2011. View at Publisher · View at Google Scholar · View at Scopus
  18. J. Gilmour, C. Harrion, L. Asadi, M. H. Cohen, and S. Vohra, “Referrals and shared or collaborative care: managing relationships with complementary and alternative medicine practitioners,” Pediatrics, vol. 128, no. S4, pp. S181–S186, 2011. View at Google Scholar
  19. M. C. Robotin and A. G. Penman, “Integrating complementary therapies into mainstream cancer care: Which way forward?” Medical Journal of Australia, vol. 185, no. 7, pp. 377–379, 2006. View at Google Scholar · View at Scopus
  20. D. Hollenberg and I. L. Bourgeault, “Linking integrative medicine with interprofessional education and care initiatives: challenges and opportunities for interprofessional collaboration,” Journal of Interprofessional Care, vol. 25, no. 3, pp. 182–188, 2011. View at Publisher · View at Google Scholar · View at Scopus
  21. M. Wiese, C. Oster, and J. Pincombe, “Understanding the emerging relationship between complementary medicine and mainstream health care: A review of the literature,” Health, vol. 14, no. 3, pp. 326–342, 2010. View at Publisher · View at Google Scholar · View at Scopus
  22. I. Gaboury, M. Bujold, H. Boon, and D. Moher, “Interprofessional collaboration within Canadian integrative healthcare clinics: key components,” Social Science and Medicine, vol. 69, no. 5, pp. 707–715, 2009. View at Publisher · View at Google Scholar · View at Scopus
  23. H. S. Boon and N. Kachan, “Integrative medicine: a tale of two clinics,” BMC Complementary and Alternative Medicine, vol. 8, article 32, 2008. View at Publisher · View at Google Scholar · View at Scopus
  24. T. Sundberg, J. Halpin, A. Warenmark, and T. Falkenberg, “Towards a model for integrative medicine in Swedish primary care,” BMC Health Services Research, vol. 7, article 107, 2007. View at Publisher · View at Google Scholar · View at Scopus
  25. B. B. Kaboru, T. Falkenberg, J. Ndulo, M. Muchimba, K. Solo, and E. Faxelid, “Communities' views on prerequisites for collaboration between modern and traditional health sectors in relation to STI/HIV/AIDS care in Zambia,” Health Policy, vol. 78, no. 2-3, pp. 330–339, 2006. View at Publisher · View at Google Scholar · View at Scopus
  26. B. B. Kaboru, M. Muchimba, T. Falkenberg, B. Höjer, and E. Faxelid, “Bridging Gaps Research Team. Quality of STIs and HIV/AIDS care as perceived by biomedical and traditional health care providers in Zambia: are there common grounds for collaboration?” Complementary Therapies in Medicine, vol. 16, no. 3, pp. 155–162, 2008. View at Google Scholar
  27. D. D'Amour, L. Goulet, J. F. Labadie, L. S. Martín-Rodriguez, and R. Pineault, “A model and typology of collaboration between professionals in healthcare organizations,” BMC Health Services Research, vol. 8, article 188, 2008. View at Publisher · View at Google Scholar · View at Scopus
  28. M. K. Murphy, N. A. Black, D. L. Lamping, C. M. McKee, C. F. Sanderson, and J. Askham, “Consensus development methods, and their use in clinical guideline development,” Health Technology Assessment, vol. 2, no. 3, pp. 1–88, 1998. View at Google Scholar
  29. J. Knodel, “The Design and Analysis of Focus Group Studies: a practical approach,” in Focus Groups: Advancing the State of the Art, D. L. Morgan, Ed., pp. 35–50, Sage, London, UK, 1st edition, 1993. View at Google Scholar
  30. P. Bazeley and L. Richards, The NVivo Qualitative Project Book, Sage, 2000.
  31. J. Ritchie and L. Spencer, “Qualitative data analysis for applied policy research,” in Analysing Qualitative Data, A. Bryman and R. G. Burgess, Eds., pp. 305–329, Taylor and Francis, 2002. View at Google Scholar
  32. S. Keeney, F. Hasson, and H. McKenna, “Consulting the oracle: Ten lessons from using the Delphi technique in nursing research,” Journal of Advanced Nursing, vol. 53, no. 2, pp. 205–212, 2006. View at Publisher · View at Google Scholar · View at Scopus
  33. H. A. Linstone and M. Turoff, Delphi Method: Techniques and Applications, Addison-Wesley, Reading, Mass, USA, 1st edition, 1975.
  34. E. A. Holey, J. L. Feeley, J. Dixon, and V. J. Whittaker, “An exploration of the use of simple statistics to measure consensus and stability in Delphi studies,” BMC Medical Research Methodology, vol. 7, article 52, 2007. View at Publisher · View at Google Scholar · View at Scopus
  35. R. Boulkedid, H. Abdoul, M. Loustau, O. Sibony, and C. Alberti, “Using and reporting the Delphi method for selecting healthcare quality indicators: A systematic review,” PLoS ONE, vol. 6, no. 6, Article ID e20476, 2011. View at Publisher · View at Google Scholar · View at Scopus
  36. F. Hasson, S. Keeney, and H. McKenna, “Research guidelines for the Delphi survey technique,” Journal of Advanced Nursing, vol. 32, no. 4, pp. 1008–1015, 2000. View at Google Scholar · View at Scopus
  37. P. Reason, “Complementary practice at Phoenix Surgery: first steps in cooperative inquiry,” Complementary Therapies in Medicine, vol. 3, no. 1, pp. 37–41, 1995. View at Publisher · View at Google Scholar · View at Scopus
  38. S. Grace, S. Vemulpad, A. Reid, and R. Beirman, “CAM practitioners in integrative practice in New South Wales, Australia: a descriptive study,” Complementary Therapies in Medicine, vol. 16, no. 1, pp. 42–46, 2008. View at Publisher · View at Google Scholar · View at Scopus
  39. A. F. Hsiao, G. W. Ryan, R. D. Hays, I. D. Coulter, R. M. Andersen, and N. S. Wenger, “Variations in provider conceptions of integrative medicine,” Social Science and Medicine, vol. 62, no. 12, pp. 2973–2987, 2006. View at Publisher · View at Google Scholar · View at Scopus
  40. S. Mior, J. Barnsley, H. Boon, F. D. Ashbury, and R. Haig, “Designing a framework for the delivery of collaborative musculoskeletal care involving chiropractors and physicians in community-based primary care,” Journal of Interprofessional Care, vol. 24, no. 6, pp. 678–689, 2010. View at Publisher · View at Google Scholar · View at Scopus
  41. V. Allareddy, B. R. Greene, M. Smith, M. Haas, and J. Liao, “Facilitators and barriers to improving interprofessional referral relationships between primary care physicians and chiropractors,” Journal of Ambulatory Care Management, vol. 30, no. 4, pp. 347–354, 2007. View at Publisher · View at Google Scholar · View at Scopus
  42. N. Mizrachi and J. T. Shuval, “Between formal and enacted policy: Changing the contours of boundaries,” Social Science and Medicine, vol. 60, no. 7, pp. 1649–1660, 2005. View at Publisher · View at Google Scholar · View at Scopus
  43. S. Brien, E. Howells, and G. Lewith, “Why GPs refer patients to complementary medicine via the NHS: a qualitative exploration,” European Journal of Integrative Medicine, vol. 1, p. 35, 2008. View at Google Scholar
  44. C. Paterson and W. Peacock, “Complementary practitioners as part of the primary health care team: Evaluation of one model,” British Journal of General Practice, vol. 45, no. 394, pp. 255–258, 1995. View at Google Scholar · View at Scopus
  45. N. Quartey, P. Ma, V. Chung, and S. Griffiths, “Complementary and alternative medicine education for medical profession: a systematic review,” Evidence-Based Complementary and Alternative Medicine. In press.
  46. S. Grace, S. Vemulpad, A. Reid, and R. Beirman, “Educating CAM practitioners about Integrative Medicine: an Approach to Overcoming the Communication Gap with Conventional Health Care Practitioners,” Journal of Alternative & Complementary Medicine, vol. 13, no. 3, pp. 387–392, 2007. View at Google Scholar
  47. I. Gaboury, H. Boon, M. Verhoef, M. Bujold, L. M. Lapierre, and D. Moher, “Practitioners' validation of framework of team-oriented practice models in integrative health care: a mixed methods study,” BMC Health Services Research, vol. 10, article 289, 2010. View at Publisher · View at Google Scholar · View at Scopus
  48. S. Vohra, K. Feldman, B. Johnston, K. Waters, and H. Boon, “Integrating complementary and alternative medicine into academic medical centers: experience and perceptions of nine leading centers in North America,” BMC Health Services Research, vol. 5, article 78, 2005. View at Publisher · View at Google Scholar · View at Scopus
  49. Primary Care Development in Hong Kong: Strategy Document, http://www.fhb.gov.hk/download/press_and_publications/otherinfo/101231_primary_care/e_strategy_doc.pdf.
  50. V. Campbell-Hall, I. Petersen, A. Bhana, S. Mjadu, V. Hosegood, and A. J. Flisher, “Collaboration between traditional practitioners and primary health care staff in South Africa: Developing a workable partnership for community mental health services,” Transcultural Psychiatry, vol. 47, no. 4, pp. 610–628, 2010. View at Publisher · View at Google Scholar · View at Scopus
  51. A. L. Mulkins, J. Eng, and M. J. Verhoef, “Working towards a model of integrative health care: Critical elements for an effective team,” Complementary Therapies in Medicine, vol. 13, no. 2, pp. 115–122, 2005. View at Publisher · View at Google Scholar · View at Scopus
  52. L. Skovgaard, N. Haahr, L. Bjerre, and L. Launsø, “Types of treatment collaboration between conventional and alternative practitioners—results from a research project at a Danish MS hospital,” International Journal of Integrated Care, vol. 10, p. 119, 2010. View at Google Scholar
  53. S. Soklaridis, M. Kelner, R. L. Love, and J. D. Cassidy, “Integrative health care in a hospital setting: Communication patterns between CAM and biomedical practitioners,” Journal of Interprofessional Care, vol. 23, no. 6, pp. 655–667, 2009. View at Publisher · View at Google Scholar · View at Scopus
  54. H. Walach, T. Falkenberg, V. Fønnebø, G. Lewith, and W. B. Jonas, “Circular instead of hierarchical: Methodological principles for the evaluation of complex interventions,” BMC Medical Research Methodology, vol. 6, article 29, 2006. View at Publisher · View at Google Scholar · View at Scopus
  55. A. Beattie, A. Shaw, L. Yardley, P. Little, and D. Sharp, “Participating in and delivering the ATEAM trial (Alexander technique lessons, exercise, and massage) interventions for chronic back pain: A qualitative study of professional perspectives,” Complementary Therapies in Medicine, vol. 18, no. 3-4, pp. 119–127, 2010. View at Publisher · View at Google Scholar · View at Scopus
  56. J. Emanuel, “Will the GP commissioner role make a difference? Exploratory findings from a pilot project offering complementary therapy to people with musculo-skeletal problems,” Complementary Therapies in Medicine, vol. 7, no. 3, pp. 170–174, 1999. View at Publisher · View at Google Scholar · View at Scopus
  57. J. Baker, K. Lovell, and N. Harris, “How expert are the experts? An exploration of the concept of 'expert' within Delphi panel techniques,” Nurse researcher, vol. 14, no. 1, pp. 59–70, 2006. View at Google Scholar · View at Scopus