Demand For Traditional Medical Services And Some Issues Of Their Management
- VernacularTitle:Уламжлалт Анагаах Ухааны Эмнэлгийн Тусламж, Эрэлт Хэрэгцээ Ба Менежментийн Зарим Асуудал
- Author:
Baigalmaa R
1
;
Orgil B
1
;
Muhar Ts
1
;
Tumurbaatar N
1
Author Information
1. Health Center of Khentii
- Publication Type:Journal Article
- From:
Journal of Oriental Medicine
2011;1(1):78-80
- CountryMongolia
- Language:Mongolian
-
Abstract:
Introduction Currently nations throughout the world are studying and disseminating their traditional medicine and Mongolians create new trend and attitude of medical care and service besides resuming their great heritage and culture of traditional medicine. World Health Organization recommends countries to develop their traditional medicine linking with modern science of medicine, based on particular surveys and analyses are conducted. However, the basic concept for developing Mongolian traditional medicine have been developed and implemented twice, “Government policy on Mongolian traditional medicine”, studies plan of united theory of traditional and modern medicines in master plan for developing Mongolian science and technology studies plan, “Master Plan for health sector” – the policy renovation for 2006-2015, “The frame of implementing master plan for health sector” (2006 2010) and other documents have been developing and implementing since 1990s but lack of studies on whether effective influences of traditional medicines to which stages and to which clinical symptom of dominated diseases among population and whether the traditional medical care meets with customers’ demand are considered as burning issues in determining the further development of traditional medicine. As well as, there are lots of issues that have not been studied and determined yet as diagnosis of traditional medicine, clinical and preventive guidelines and standards have not been developed, have not been involved in united system of health information, structural and operational management of institutions that hold traditional medical care and demands of medical care and professional staffs of traditional medicine. Aim of the study: To study and evaluate the current situation of Mongolian traditional medicine as well as determine trends in future. Purposes of the study:
1. To study the historical periods of the development of Mongolian traditional medicine that have been 01/01 developed since 1921 when health sector initiated in Mongolia.
2. To study Mongolian traditional medical service service by health care levels.
3. To study and to determine the human resource demand and capacity of medical care of traditional medicine.
4. To develop the management model of showing medical care of traditional medicine and health systems based on coherences of western and oriental medicines. Materials and methods This study
observed the population criteria of patients who were treated in hospitals, hospital service levels, methods of diagnosis and treatment, common diagnose causes, types of treatment and the results of
treatment in order to study the implementation of hospital service of Mongolian Traditional Medicine. The study was conducted in 3 different levels of hospitals: as a primary level hospital Umnudelger soum hospital, Khentii aimag /province/ was chosen, as a secondary level hospital we selected Center for Traditional Medicine of Khentii province, as a tertiary level hospital we chose the clinical hospital of Traditional Medicine, Science, Technology and Production Corporation (CHTMCST). We investigated aid and service information of Traditional Medicine obtained from 952 histories of patients who were treated in hospitals in 2006 and 2007. Analysis was made on policy documents by using analyzing and
integrating related document. The study data were developed by making descriptive analysis on digital information, raising related hypothesis, checking it with statistical tests and processing in results. Research data was processed by Microsoft Excel 2007, statistical data was performed by SPSS-12.0 program and descriptive analysis was performed in quantitative information. Result By concluding the activities organized and implemented nationally on the field of traditional medicine for the period since 1921 when health system in Mongolia initiated, it could be considered to divide into stages as, beginning period of developing Mongolian traditional medicine in coexistence with modern health science (1921-1930), deprived period of Mongolian traditional medicine from national service (1930-1958), restoring period of developing Mongolian traditional medicine (1959-1999) and the ensured period of Mongolian traditional medicine as a composition of health science system (1999 up now). It was determined that the percentage of female patients is more than twice (2.3) higher (63.7%) in contrast with male patients (30.1) in all three-level hospital aid. It means in each level of three level
hospitals female patients were more in number. Surprisingly, 80.9% of the patients’ age was over 35 and from them 44.7% was at their pension age. This age group is rapidly predominant compared with others. In chosen hospitals patients with diseases and disorders of digestive, urinary-genital, nervous and blood circulation systems are cured commonly. In three-level hospitals examining patients using methods of traditional medicine was differed (p=0.01). In doubled number, 401 or 42.1% of doctors combines both modern and traditional methods of treatment (95% trust limit 42.1+0.017). We investigated if types of treatment depend on the level of hospitals in urban and rural areas by x 2 criteria and concluded that it had statistical significance or the percentage of treatment types went up if the level increased (p
