Barriers to the Engagement of Complementary and Integrative Health Providers in Public Health Responses to COVID-19: Recommendations From a Multidisciplinary Expert Panel

IF 1.2 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Journal of Manipulative and Physiological Therapeutics Pub Date : 2022-10-01 DOI:10.1016/j.jmpt.2023.04.009
Margaret D. Whitley PhD, MPH , Ian D. Coulter PhD , Raheleh Khorsan PhD , Patricia M. Herman ND, PhD
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引用次数: 2

Abstract

Objective

The purpose of this project was to explore barriers to the involvement of complementary and integrative health (CIH) providers in the public health response to COVID-19 and potential solutions for future involvement in public health crises.

Methods

An expert panel of 10 people, which included doctors of chiropractic, naturopathic doctors, public health practitioners, and researchers from the United States, was convened for a day-long online panel discussion. Facilitators asked panelists how CIH practitioners could contribute and be mobilized. We summarized themes and recommendations from the discussion.

Results

Despite their skills and resources, few CIH providers participated in public health efforts like testing and contact tracing during the COVID-19 pandemic. Panelists described that CIH professionals may not have participated in those efforts due to the CIH providers possibly not having sufficient public health training and limited contact with public health professionals, as well as policy and financial challenges during the pandemic. Panelists proposed solutions to these barriers, including more public health training, stronger formal relationships between CIH and public health organizations, and improved financial support for both CIH care and public health efforts.

Conclusion

Through an expert panel discussion, we identified barriers that hindered the involvement of CIH providers in the public health response to the COVID-19 pandemic. During future pandemics in the United States, public health planners should recognize CIH providers as part of the existing labor resource, with clinical expertise and community-level connections that can be called upon in a crisis. During future events, CIH professional leaders should be more proactive in seeking out a supportive role and sharing their knowledge, skills, and expertise.

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辅助和综合卫生服务提供者参与COVID-19公共卫生应对的障碍:多学科专家小组的建议
目的本项目旨在探讨辅助和综合卫生(CIH)提供者参与COVID-19公共卫生应对的障碍,以及未来参与公共卫生危机的潜在解决方案。方法由10人组成的专家小组,包括脊椎指压疗法医生、自然疗法医生、公共卫生从业人员和来自美国的研究人员,召开了为期一天的在线小组讨论。主持人向小组成员询问CIH从业者如何贡献和动员。我们总结了讨论的主题和建议。结果尽管拥有技能和资源,但在COVID-19大流行期间,很少有CIH提供者参与公共卫生工作,如检测和接触者追踪。小组成员指出,卫生保健专业人员可能没有参与这些努力,原因是卫生保健提供者可能没有接受足够的公共卫生培训,与公共卫生专业人员的接触有限,以及大流行期间面临的政策和财政挑战。小组成员提出了解决这些障碍的办法,包括更多的公共卫生培训,加强CIH与公共卫生组织之间的正式关系,以及改善对CIH护理和公共卫生工作的财政支持。通过专家小组讨论,我们确定了阻碍CIH提供者参与COVID-19大流行公共卫生应对的障碍。在美国未来的大流行期间,公共卫生规划者应该将CIH提供者视为现有劳动力资源的一部分,他们具有临床专业知识和社区层面的联系,可以在危机中调用。在未来的活动中,CIH的专业领导者应该更积极主动地寻求支持角色,分享他们的知识、技能和专业知识。
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来源期刊
CiteScore
3.00
自引率
7.70%
发文量
63
审稿时长
29 weeks
期刊介绍: The Journal of Manipulative and Physiological Therapeutics (JMPT) is an international and interdisciplinary journal dedicated to the advancement of conservative health care principles and practices. The JMPT is the premier biomedical publication in the chiropractic profession and publishes peer reviewed, research articles and the Journal''s editorial board includes leading researchers from around the world. The Journal publishes original primary research and review articles of the highest quality in relevant topic areas. The JMPT addresses practitioners and researchers needs by adding to their clinical and basic science knowledge and by informing them about relevant issues that influence health care practices.
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