关键词: India bone and bone tissue orthopedics qualitative research traditional medicine

来  源:   DOI:10.17161/kjm.vol15.18580   PDF(Pubmed)

Abstract:
UNASSIGNED: There are approximately 60,000 Traditional Bone Setters (TBS) in India, who have no formal education or training in modern medicine but treat approximately 60% of bone related trauma. This study investigated the history of TBS, why they are so popular, and their methods.
UNASSIGNED: From a list of TBS from four states in South India, a purposive and convenience sampling method identified participants. One lead TBS from each state was interviewed. With recommendations from these TBS, a total of six participants were interviewed on Zoom® in their native dialect and these interviews were transcribed into English. The data were analyzed using a constant comparative method which included several iterations to refine common themes and determine counterfactual and specific focal points from each interview.
UNASSIGNED: Six overarching themes emerged: (1) history of traditional bone setters, (2) occupations outside bone setting, (3) training, certification, education, accolades, (4) patient characteristics and success stories, (5) infrastructure and approach to diagnosis/treatment, and (6) limitations of practice, challenges, and social relevance. The history of traditional bone setting is thousands of years old and passed down within families generationally.
UNASSIGNED: In rural India, where a large part of the population lives in poverty and without access to modern medicine, traditional healers provide a much-needed service, often without charge, and consequently, the income is not sufficient without other occupations such as farming. They follow a similar approach to diagnosis and treatment of simple fractures and dislocations as modern medical practitioners. Most would like to share their knowledge and collaborate with ayurvedic and allopathic practitioners and simply want to be respected and supported.
摘要:
未经评估:印度大约有60,000个传统植骨师(TBS),他们没有接受过现代医学的正规教育或培训,但治疗约60%的骨相关创伤。这项研究调查了TBS的历史,为什么它们如此受欢迎,和他们的方法。
未经评估:来自印度南部四个州的TBS列表,目的和方便的抽样方法确定参与者。采访了每个州的一位主要TBS。根据这些TBS的建议,共有6名参与者在Zoom®上以其母语接受了访谈,这些访谈被转录为英语.使用恒定的比较方法对数据进行分析,该方法包括多次迭代,以完善共同主题,并从每次访谈中确定反事实和特定焦点。
UNASISIGNED:出现了六个总体主题:(1)传统接骨师的历史,(2)骨设置以外的职业,(3)培训,认证,教育,赞誉,(4)患者特点及成功案例,(5)诊断/治疗的基础设施和方法,(6)实践的局限性,挑战,和社会相关性。传统骨骼固定的历史已有数千年的历史,并在世代相传。
未经批准:在印度农村,很大一部分人口生活在贫困中,无法获得现代医学,传统治疗师提供急需的服务,经常不收费,因此,没有农业等其他职业,收入是不够的。他们遵循与现代医学从业者类似的诊断和治疗简单骨折和脱位的方法。大多数人希望与阿育吠陀和对抗疗法从业者分享他们的知识并合作,只是希望得到尊重和支持。
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