|
| Statements | Round 1 | Round 2 |
| Median (SD) | Agreement (%) | Consensus (Yes/No) | Median (SD) | Agreement (%) | Consensus (Yes/No) |
|
| Shared goals and vision: (i) goal | | | | | | |
|
| (1) The most important goal in developing IPC between BMD and TCMP is to respect patient’s choice for both types of medicine | 4 (1.08) | 58 | No | 4.5 (0.87) | 75 | No |
| (2) The most important goal in developing IPC between BMD and TCMP is to facilitate evidence based research on the efficacy and safety of TCM and integrative medicine (IM) treatments | 5 (1.07) | 75 | No | 5 (0.80) | 83 | Yes |
| (3) The most important goal in developing IPC between BMD and TCMP is to generate profit by satisfying existing patient demand. | 1 (1.00) | 8 | Yes (negative consensus) | N/A |
|
| Shared goals and vision: (ii) client-centered orientation on teamwork | | | | |
|
| (4) Stronger personal contribution is expected in the healthcare financing reform Hence the public should have the right to choose between BM and TCM when utilizing health services | 5 (1.00) | 83 | Yes | N/A |
| (5) BMD should respect patients’ choice for BM-TCM shared care in the in-patient environment. | 5 (1.27) | 75 | No | 5 (0.79) | 83 | Yes |
| (6) The current charges for public BM general outpatient clinics and TCM clinics are HKD$ 45 and HKD$ 120, respectively. Fees for both types of clinics should be equalized | 3 (1.56) | 33 | No | 3 (1.00) | 33 | No |
|
| Internalization: (i) Mutual acquaintanceship | | | | | | |
|
| (7) TCM should be incorporated into the BM curriculum as a compulsory element | 2.5 (1.44) | 42 | No | 3.5 (1.24) | 50 | No |
| (8) BM training should be strengthened in current TCM curriculum | 3 (1.41) | 42 | No | 3 (1.19) | 25 | No |
| (9) Dual degree course on both BM and TCM should be made available locally at undergraduate level | 4 (1.83) | 58 | No | 4 (1.03) | 75 | No |
|
| Internalization: (ii) Trust | | | | | | |
|
| (10) The willingness and competency of a BMD in referring to TCM should be indicated in the family doctor list | 2.5 (1.38) | 25 | No | 3 (1.06) | 33 | No |
| (11) Variation in existing TCMP’s competency is a major barrier for referral by BMD. The Chinese Medicine Council of Hong Kong should designate which TCMP are competent to receiving BMD referral. | 2 (1.73) | 33 | No | 3 (1.38) | 25 | No |
|
| Governance: (i) centrality | | | | | | |
|
| (12) The regulatory bodies, Hong Kong Medical Council, and the Chinese Medicine Council of Hong Kong should be merged to facilitate IPC | 2 (1.50) | 17 | No | 2.5 (1.66) | 33 | No |
| (13) Local TCM undergraduate courses have become unpopular in recent years due to poor graduate employability. Such training should be reviewed | 3.5 (1.24) | 50 | No | 4 (0.79) | 58 | No |
| (14) A better career prospects to Hong Kong graduates should be offered to maintain local TCM talent pool | 3 (1.75) | 42 | No | 4 (1.44) | 58 | No |
|
| Governance: (ii) Leadership | | | | |
|
| (15) In the development of integrative BM-TCM services, existing TCMP and BMD should Collaboratively work as equals without an assumed hierarchy | 5 (1.16) | 92 | Yes | N/A |
| (16) Part-time formal TCM training leading to qualifications recognized by both Medical Council and Chinese Medicine Council should be offered to BMD | 4.5 (1.28) | 67 | No | 5 (0.98) | 83 | Yes |
| (17) Part-time formal BM training leading to qualifications recognized by both Medical Council and Chinese Medicine Council should be offered to TCMP | 3 (1.68) | 42 | No | 3 (1.00) | 42 | No |
|
| Governance: (iii) support for innovation | | | | | | |
|
| (18) Currently, the three schools of Chinese Medicine focus on laboratory research. A health service research agency for evaluating effectiveness and cost effectiveness of TCM and IM should be set up | 3 (1.21) | 25 | No | 3 (0.89) | 42 | No |
| (19) With appropriate training, TCMP should be allowed to order BM diagnostic tests | 4 (1.13) | 75 | No | 4 (0.74) | 75 | No |
| (20) With training accredited by the Chinese Medicine Council, BMD should be allowed to perform acupuncture | 5 (1.64) | 67 | No | 5 (0.89) | 75 | No |
|
| Governance: (iv) connectivity | | | | | | |
|
| (21) BMD and TCMP working within the private sector should be encouraged to practice IPC and shared care | 5 (1.54) | 75 | No | 5 (0.65) | 92 | Yes |
| (22) BMD and TCMP working within the public sector should be encouraged to practice IPC and shared care | 5 (0.90) | 92 | Yes | N/A |
| (23) Public BM sector should consider and accept, if appropriate, referral from private sector TCMP | 5 (0.90) | 92 | Yes | N/A |
|
| Formalization: (i) Formalization tools | | | | | | |
|
| (24) Under the requirement of evidence based medicine, high quality clinical evidence on many TCM modalities is not available. TCM can be added to BM treatment as long as such addition is not found to be harmful | 4.5 (1.40) | 58 | No | 5 (1.16) | 92 | Yes |
|
| (25) Under the requirement of evidence based medicine, high quality clinical evidence on many TCM modalities is not available. Thus TCM must be used separately from BM treatment | 4.5 (1.61) | 58 | No | 5 (1.16) | 92 | Yes |
|
| Formalization: (ii) information exchange | | | | | | |
|
| (26) To facilitate interpretation of TCM medical records by BMD, consulting services by a dual-trained BMD-TCMP should be offered | 5 (1.51) | 67 | No | 5 (0.67) | 92 | Yes |
| (27) To facilitate interpretation of BM medical records by TCMP, consulting services by a dual-trained BMD-TCMP should be offered | 4.5 (1.21) | 67 | No | 5 (0.67) | 92 | Yes |
| (28) The design of electronic health record system should be able to present and synthesize both BM and TCM records. | 3 (1.67) | 42 | No | 3 (1.15) | 42 | No |
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