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Effects of Local Faith-Actor Engagement in the Uptake and Coverage of Immunization in Low- and Middle-Income Countries: A Literature Review 在低收入和中等收入国家,当地信仰行为者参与免疫接种和覆盖的影响:文献综述
Q4 Medicine Pub Date : 2022-06-20 DOI: 10.15566/cjgh.v9i1.587
Sara Melillo, R. Strachan, C. J. O'Brien, C. Wonodi, M. Bormet, Douglas E. Fountain
Introduction: Religious leaders are universally recognized as having an influence on immunization uptake and coverage in low- and middle-income countries (LMICs). Despite this, there is limited understanding of three questions: 1) how do religious leaders impact the uptake and coverage of immunization in LMICs? 2) what successful strategies exist for working with local faith actors to improve immunization acceptance? and 3) what evidence gaps exist in relation to faith engagement and immunization? Methods: In January 2021, we searched PubMed and Google Scholar databases covering the period from January 1, 2011, to January 15, 2021, with key search terms related to faith engagement and immunization in peer-reviewed literature and conducted a gray literature review to answer these three questions. We excluded articles covering faith engagement and immunization in high-income countries, news articles, online blogs, social media postings, and articles in languages outside of English. Data were coded to guide thematic analysis. Results: We found extensive evidence supporting the value of religious engagement for immunization promotion and acceptance in LMICs across faiths. However, there was limited rigorous evidence and examples of specific approaches for engaging local faith actors to strengthen immunization uptake in LMICs. As a result, there is a lack of widely shared knowledge of what works (or doesn’t) and successful models for engaging local faith actors.  Additional current evidence gaps include: few rigorous study designs; a lack of vaccine hesitancy studies outside of Nigeria and Pakistan; and limited exploration of faith engagement and immunization in religions other than Islam and Christianity. Conclusions: Our review findings reinforce the powerful role local faith actors play in diverse communities within LMICs in both promoting and inhibiting immunization uptake. The literature review comes at a critical time, given the urgent need to expand access to COVID-19 vaccination in LMICs. Findings from this review will advance understanding on how to more effectively engage local faith actors in promoting immunization campaigns and addressing vaccine hesitancy, which is more complex than expected. Further study is needed to understand how to most effectively counter vaccine hesitancy in different geographic, linguistic, and socio-cultural contexts.
引言:宗教领袖被普遍认为对中低收入国家的免疫接种率和覆盖率有影响。尽管如此,对三个问题的理解有限:1)宗教领袖如何影响LMIC的免疫接种和覆盖率?2) 有哪些成功的战略可以与当地信仰行为者合作,提高免疫接种的接受度?以及3)在信仰参与和免疫接种方面存在哪些证据差距?方法:2021年1月,我们在PubMed和Google Scholar数据库中搜索了2011年1月1日至2021年1日期间的同行评审文献中与信仰参与和免疫相关的关键搜索词,并进行了灰色文献综述,以回答这三个问题。我们排除了涉及高收入国家信仰参与和免疫接种的文章、新闻文章、在线博客、社交媒体帖子以及英语以外语言的文章。对数据进行编码,以指导专题分析。结果:我们发现了广泛的证据支持宗教参与对不同信仰的LMIC的免疫宣传和接受的价值。然而,关于让当地信仰行为者参与加强LMIC免疫接种的具体方法的严格证据和例子有限。因此,缺乏关于什么有效(或无效)的广泛共享知识,也缺乏吸引当地信仰行为者的成功模式。目前的其他证据空白包括:很少有严格的研究设计;尼日利亚和巴基斯坦以外缺乏疫苗犹豫研究;以及对伊斯兰教和基督教以外宗教的信仰参与和免疫的有限探索。结论:我们的审查结果强化了当地信仰行为者在LMIC内不同社区中在促进和抑制免疫接种方面发挥的强大作用。鉴于迫切需要扩大LMIC中新冠肺炎疫苗接种的机会,文献综述正处于关键时刻。这项审查的结果将促进对如何更有效地让当地信仰行为者参与促进免疫接种运动和解决疫苗犹豫问题的理解,这比预期的要复杂。需要进一步研究,以了解如何在不同的地理、语言和社会文化背景下最有效地应对疫苗犹豫。
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引用次数: 2
A Descriptive Study of Community Health Evangelism as a Model for Integral Mission 社区健康福音作为整体使命模式的描述性研究
Q4 Medicine Pub Date : 2022-06-20 DOI: 10.15566/cjgh.v9i1.643
Jason Paltzer, Keyanna P. Taylor, J. Patel
Background: Integral mission health models are often employed by faith-based organizations to address social, physical, and spiritual wellbeing. Given the use of these models like Community Health Evangelism (CHE), the evidence regarding their effectiveness in practice is limited. The purpose of this descriptive study was to identify variation in the initiation, development, implementation, and impacts of Community Health Evangelism as reported by organization members of the Global CHE Network. Methods: A digital survey in English, Spanish, and French was sent via email to Global CHE network members resulting in 27 complete organizational responses for analysis. Survey questions ranged from qualitative open-ended questions to categorial and ranking type questions. Descriptive statistics and inductive thematic analytical methods were used to describe the data. Data were summarized according to organizational size to better understand this influence on the practice of CHE. Responses represent organizations in Africa, Asia, North/Central America, and Europe. Results: The community selection process, committee and CHE volunteer selection criteria, the function of the community champion, time to CHE volunteer home visitation, and achievement of key impacts were some of the areas that showed variation. Measured mpacts included understanding of integral mission, use of LePSA(S) as a teaching strategy, multiplication, and community ownership. Discussion: The study aimed to understand the implementation of CHE in the field and identify areas of variation and adaptation that could lead to opportunities or barriers in achieving the desired impacts of CHE. The results show variation in each of the four phases and provide a starting point to further study CHE as an integral mission model. The paper suggests additional opportunities for future research to identify core components that could strengthen and improve the effectiveness and practice of integral mission models.
背景:基于信仰的组织经常采用综合使命健康模型来解决社会、身体和精神健康问题。考虑到这些模型的使用,如社区健康福音主义(CHE),关于其在实践中的有效性的证据是有限的。本描述性研究的目的是确定全球CHE网络组织成员报告的社区健康福音主义的发起、发展、实施和影响的变化。方法:通过电子邮件向全球CHE网络成员发送一份英文、西班牙文和法文的数字调查,得到27份完整的组织回复供分析。调查问题从定性开放式问题到分类和排名式问题。使用描述性统计和归纳专题分析方法来描述数据。根据组织规模对数据进行汇总,以更好地了解这种对CHE实践的影响。回复代表了非洲、亚洲、北美/中美洲和欧洲的组织。结果:社区选择过程、委员会和CHE志愿者选择标准、社区冠军的职能、CHE志愿者家访的时间以及关键影响的实现是表现出差异的一些领域。衡量的影响包括对整体使命的理解、LePSA(S)作为教学策略的使用、乘法和社区所有权。讨论:该研究旨在了解CHE在该领域的实施情况,并确定可能导致实现CHE预期影响的机会或障碍的变化和适应领域。结果显示了四个阶段中每个阶段的变化,并为进一步研究CHE作为一个整体任务模型提供了起点。该文件为未来的研究提供了更多的机会,以确定可以加强和改进综合任务模型的有效性和实践的核心组成部分。
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引用次数: 0
Health-Promoting Churches: Reflections on Health and Healing for Churches on Commemorative World Health Days, by Mwai Makoka, World Council of Churches Publications, Vol. 1, 2020; Vol. 2, 2021 Mwai Makoka著,《促进健康的教会:纪念世界卫生日对教会健康和治疗的思考》,世界教会理事会出版物,2020年第1卷;2021年第2卷
Q4 Medicine Pub Date : 2021-12-27 DOI: 10.15566/cjgh.v8i2.591
A. L. Gorske
N/A book review
书评
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引用次数: 1
Religion as a Protective Factor Against Adolescent Smoking Habits: Evidence from Spain 宗教是防止青少年吸烟习惯的保护因素:来自西班牙的证据
Q4 Medicine Pub Date : 2021-12-27 DOI: 10.15566/cjgh.v8i2.579
Jorge de Andrés-Sánchez, Ángel Belzunegui-Eraso, Sonia Fernández-Aliseda
Background: There are a wide number of assessments suggesting that being a member of a religious community inhibits adolescents’ risky behaviours and, consequently, can act as a protective factor against the consumption of smoking substances. Methods: We have analysed a structured questionnaire answered by 1935 adolescents from Tarragona (Spain). Results: We have found that variables linked to family were the principal explanatory factors of adolescents’ smoking habits. Living with two parents was a protective factor against tobacco and cannabis use since its Incidence Rate Ratio (IRR) was clearly below 1 (p<0.01). So, whereas living with one parent showed an IRR>1 (p<0.05), adolescents that live without parents presented an IRR close 2 (p<0.05 for tobacco and p<0.01 for cannabis). However, having a religious confession also influence smoking substance use in adolescents (IRR close 0.85 with p<0.01). Conclusion: We found a clear preventive effect in belonging to a religious community. Moreover, this protective effect was less intense, but not statistically significant, for Catholics than for members of other confessions.
背景:有大量的评估表明,作为宗教团体的一员可以抑制青少年的危险行为,因此,可以作为防止吸烟物质消费的保护因素。方法:我们对西班牙塔拉戈纳市1935名青少年的结构化问卷进行了分析。结果:与家庭相关的变量是青少年吸烟习惯的主要解释因素。双亲生活是青少年吸烟和大麻的保护因素,其发病率比(IRR)明显低于1 (p1 (p<0.05),无父母生活青少年的IRR接近2(烟草p<0.05,大麻p<0.01)。然而,有宗教信仰也会影响青少年吸烟物质的使用(IRR接近0.85,p<0.01)。结论:我们发现归属于宗教团体有明显的预防作用。此外,与其他教派相比,天主教徒的这种保护作用没有那么强烈,但在统计上并不显著。
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引用次数: 3
Evidence of Church Unity for Global Health 教会团结促进全球健康的证据
Q4 Medicine Pub Date : 2021-12-27 DOI: 10.15566/cjgh.v8i2.617
H. Larson
This issue completes eight years of publishing the Christian Journal for Global Health.  At the beginning hardly anyone would have predicted that global health would become first in the minds of the majority of the earth’s population or that an infectious calamity would become the focus of global attention.  In fact, health in a global sense is testimony to the unity of the human race at a time when fractionation is a strategy for political hegemony.  The Christian understanding of humans, made in the image of God and called to steward the creation, is a fundamental basis for this unity. The editors see the journal as a way to join this understanding with a vision of health for all nations. The journal editors have issued a call for papers on Vaccinations and Christian Social Responsibility which we anticipate publishing early in 2022.  As a foretaste of that, this end-of-year issue has a commentary by Professor Steffen Flessa on Vaccination Against COVID-19 as a Christian Duty? A Risk-Analytic Approach  He analyzes the decision-making process for getting vaccinated, a process that involves probabilities and risk-analysis, as well as consideration of the greater good.  Two original research articles are included in this issue.  Jorge de Andres-Sanchez with his colleagues from Universitat Rovira i Virgili in Catalonia, Spain, find that belonging to a religious community together with an intact family structure afford protection against unhealthy tobacco and cannabis use.  Syeda Saniya Zehra and Elizabeth Schwaiger from Forman Christian College in Lahore, Pakistan, provide evidence of a unique advantages of attachment to God and a collectivist family culture on reducing perceived stress, among Christians who are a minority of the country’s population. Personal travel gives me opportunity for access to Wi-Fi networks in homes of family and friends and thus acquaintance with creative SSID labels.  One of the more meaningful ones was “readmorebooks”.  In pursuance of that advice, this issue has two book reviews that we think deserve the attention of readers.  The first is a review by Arnold Gorske of a two-volume handbook entitled Health Promoting Churches, published by the World Council of Churches and authored and edited by Dr. Mwai Makoka.  As Dr. Gorske comments, these books, “have more lifesaving, health and healing potential than anything else I have read,” except the Bible.  The second is Dr. William Newbrander’s review of All Creation Groans:  Toward a Theology of Disease and Global Health, edited by Daniel O’Neill and Beth Snodderly.  The essays included in this book create a comprehensive multidisciplinary survey of the theological grounds for church involvement in global health and the spiritual and behavioral aspects of disease origins. Dr. Newbrander’s review provides a helpful introduction to these important and often unexplored issues.  The editors are pleased to receive poetry submissions from time to time and we are grateful for o
本期完成了《基督教全球健康杂志》八年的出版工作。一开始,几乎没有人会预测到全球健康将成为地球上大多数人口心目中的第一位,或者传染病灾难将成为全球关注的焦点。事实上,全球意义上的健康证明了在分裂是政治霸权战略的时代,人类的团结。基督教对人类的理解,是按照上帝的形象建立的,并被召唤来管理创造,是这种团结的基本基础。编辑们将该杂志视为一种将这种理解与所有国家的健康愿景结合起来的方式。期刊编辑们呼吁撰写关于疫苗接种和基督教社会责任的论文,我们预计将于2022年初发表。作为对这一点的预测,这期年终刊有Steffen Flessa教授关于接种新冠肺炎疫苗是基督教的职责的评论?风险分析方法他分析接种疫苗的决策过程,这个过程涉及概率和风险分析,以及对更大利益的考虑。本期收录了两篇原创研究文章。Jorge de Andres Sanchez和他在西班牙加泰罗尼亚Rovira i Virgili大学的同事们发现,属于一个宗教社区,加上完整的家庭结构,可以防止不健康的烟草和大麻使用。巴基斯坦拉合尔福尔曼基督教学院的Syeda Saniya Zehra和Elizabeth Schwaiger提供了证据,证明在该国人口中占少数的基督徒中,依恋上帝和集体主义家庭文化在减少感知压力方面具有独特优势。个人旅行让我有机会在家人和朋友的家中访问Wi-Fi网络,从而熟悉富有创意的SSID标签。其中一个更有意义的是“自述书”。根据这一建议,本期有两篇书评,我们认为值得读者关注。第一份是Arnold Gorske对世界教会理事会出版、Mwai Makoka博士撰写和编辑的一本名为《促进健康教会》的两卷本手册的评论。正如戈尔斯克博士所评论的,除了《圣经》,这些书“比我读过的任何其他书都更有拯救生命、健康和治愈的潜力”。第二本是William Newbrander博士对Daniel O'Neill和Beth Snodderly编辑的《所有创造Groans:走向疾病与全球健康神学》的评论。本书中的文章对教会参与全球健康的神学基础以及疾病起源的精神和行为方面进行了全面的多学科调查。Newbrander博士的评论为这些重要且经常未被探索的问题提供了有益的介绍。编辑们很高兴不时收到诗歌投稿,我们感谢我们的诗歌评论家帮助我们对其进行评估。《我再也见不到满月了》是对一位年轻患者死亡的感人反思,但死亡带有希望的视角。截至今年12月中旬,冠状病毒大流行仍在我们身边,许多国家的病例数激增,并出现了几种变异毒株。疫苗的部署、未来的发展以及在世界各地加快疫苗接种的手段,仍然是研究、政策、伦理和神学的丰富主题。我们敦促并期待在新的一年早些时候发表其他意见书,以回应这一论文和其他主题的呼吁。天使在基督诞生时向牧羊人展示的荣耀,是他赋予他的子民的,他希望他们团结起来,以反映这种荣耀(约翰福音17:22)。对于那些因看到彼此的工作和信仰而变得坚强的人,愿你们的社区经历一个非常快乐的圣诞节和和平的新年。
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引用次数: 0
I Will Never See a Full Moon the Same 我再也看不到满月了
Q4 Medicine Pub Date : 2021-12-27 DOI: 10.15566/cjgh.v8i2.581
Estelle Viaud-Murat
I will never see a full moon the same Since the night I stepped out In the dark, looked up to the moon and Heard the cries of a mother who just lost her son.   The African moon, so full and so proud, seemed too bright for such a somber night. And my empty hands, which this son once held, Sought to grasp the thought of A young, lifeless body Left lying on that hospital bed.   Swaddled by the night’s rich darkness, Full of chants, cries, and pains, I am reminded that Only what’s done for Christ remains.   Tonight, as my gaze meets again this African moon, from half a world away, I remember The cries, the lost, this life, The strange peace and the hope that We will meet again.   What an oddly beautiful night it was to die.   So, take courage, dear heart Don’t fear the night, don’t fear the pain, Rest in His unchanging grace.   Go, and be the hands of the only Son who saves.  
我再也不会看到同样的满月了自从那天晚上我在黑暗中走出来,仰望月亮听到了一位刚刚失去儿子的母亲的哭声。非洲的月亮,那么圆,那么骄傲,在这样一个阴沉的夜晚显得太明亮了。我那曾经握着的空空的双手,想要抓住一具年轻的、没有生命的尸体躺在医院病床上的念头。被夜的丰富的黑暗包裹着,充满了吟唱,哭泣和痛苦,我提醒自己,只有为基督所做的才会存在。今晚,当我的目光再次与半个地球之外的非洲月亮相遇时,我想起了那些哭泣,那些迷失的人,这种生活,那种奇特的平静,以及我们将再次相遇的希望。这是一个多么美丽的夜晚啊。所以,鼓起勇气,亲爱的,不要害怕黑夜,不要害怕痛苦,安息在他不变的恩典中。去,作那拯救人的独生子的手。
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引用次数: 0
Attachment to God in a Collectivistic Context and its Impact on Perceived Stress 集体主义背景下对上帝的依恋及其对感知压力的影响
Q4 Medicine Pub Date : 2021-12-27 DOI: 10.15566/cjgh.v8i2.531
Syeda Saniya Zehra, Elizabeth Schwaiger
Introduction: Research indicates that attachment to God is correlated with parental attachment and perceived stress.  However, these relationships have not been studied outside the Western context.  The present research evaluated the relationship between attachment to God and attachment to parents within different family systems and the impact of these attachments on perceived stress. Methods: A sample of 284 Christian undergraduate students was surveyed.  The data were collected from the participants through convenience sampling.  Relationships between attachment to parents, attachment to God, religiosity, and perceived stress were studied. Results: A significant positive relationship between attachment to parents and to God was found for the nuclear family system on the anxiety subscale.  For the avoidance subscale, both nuclear and joint family systems had significant positive relationships between parental attachment and attachment to God; however, it was stronger for joint family systems.  The multiple regression analysis showed parental avoidance (β = .256, p <.001) and God anxiety (β = .281, p <.001) as the strongest predictors of stress. Discussion: The findings highlight the impact of collectivistic cultural values, particularly the importance of relationships.  The implications include the significance of the impact of culture on attachment relationships and the finding that attachment correlates with lower levels of perceived stress.  The research also shows the difference in attachment styles depending upon the family system the participant belongs to which can again be attributed to cultural norms and values.
引言:研究表明,对上帝的依恋与父母的依恋和感知压力有关。然而,这些关系并没有在西方语境之外进行研究。本研究评估了不同家庭系统中对上帝的依恋和对父母的依恋之间的关系,以及这些依恋对感知压力的影响。方法:对284名基督教大学生进行问卷调查。数据是通过方便抽样从参与者那里收集的。研究了对父母的依恋、对上帝的依恋、宗教信仰和感知压力之间的关系。结果:在焦虑分量表上,核心家庭系统对父母的依恋和对上帝的依恋之间存在显著的正相关关系。在回避分量表中,核心家庭和联合家庭系统在父母依恋和对上帝的依恋之间都存在显著的正相关关系;然而,对于联合家庭制度来说,这种情况更为严重。多元回归分析显示,父母回避(β=.256,p<.001)和上帝焦虑(β=.281,p<0.001)是压力的最强预测因素。讨论:研究结果强调了集体主义文化价值观的影响,特别是人际关系的重要性。其含义包括文化对依恋关系的影响的重要性,以及依恋与较低水平的感知压力相关的发现。研究还表明,依恋风格的差异取决于参与者所属的家庭系统,这可以再次归因于文化规范和价值观。
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引用次数: 0
All Creation Groans: Toward a Theology of Disease and Global Health, edited by Daniel W. O'Neill and Beth Snodderly, Pickwick 2021 所有的创造呻吟:走向疾病和全球健康的神学,由丹尼尔·w·奥尼尔和贝丝·斯诺德利编辑,匹克威克2021年
Q4 Medicine Pub Date : 2021-12-27 DOI: 10.15566/cjgh.v8i2.589
W. Newbrander
N/A for book review
书评中没有
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引用次数: 1
Vaccination Against COVID-19 as a Christian Duty? A Risk-Analytic Approach 接种COVID-19疫苗是基督徒的责任?风险分析方法
Q4 Medicine Pub Date : 2021-12-27 DOI: 10.15566/cjgh.v8i2.611
S. Flessa
The Covid-19 pandemic inspired a fierce discussion on pros and cons of vaccinations among Christians. Frequently, this emotional dispute is not based on facts, and this might be due to the fact that the decision situation (“to be vaccinate or not to be vaccinated”) is quite complex. In this paper we develop a risk-analytic model of the vaccination decision and explain the benefits of vaccinations against SARS-Cov-2 on different levels. Furthermore, we show that the Great Commandment of love calls for avoiding all harm to the neighbor even if this harm is indirect and under uncertainty. Consequently, it is a Christian duty to love one’s neighbor and be vaccinated.
新冠肺炎大流行引发了基督徒对疫苗接种利弊的激烈讨论。通常,这种情感纠纷不是基于事实,这可能是由于决策情况(“接种疫苗还是不接种疫苗”)相当复杂。在本文中,我们开发了疫苗接种决策的风险分析模型,并解释了在不同水平上接种严重急性呼吸系统综合征冠状病毒2型疫苗的益处。此外,我们还表明,爱的大戒要求避免对邻居的一切伤害,即使这种伤害是间接的和不确定的。因此,爱邻居和接种疫苗是基督徒的义务。
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引用次数: 1
Considering Medical Missions in all its Different Forms: A Viewpoint from the Asia-Pacific Region 考虑各种不同形式的医疗任务:来自亚太地区的观点
Q4 Medicine Pub Date : 2021-07-30 DOI: 10.15566/cjgh.v8i1.523
Teem-Wing Yip, N. Rajaraman, N. Grills, W. Goh
Whereas some medical missionaries may already have moved away from “traditional” models of medical mission, in the experience of the authors from the Asia-Pacific region, many potential medical missionaries in the region still imagine a stereotypical generalist medical missionary who runs a mission hospital.  The authors argue that with the economic and socio-political development of low- and middle-income countries (LMICs) in recent decades, the landscape for medical missions has changed.  Hence, contemporary medical missionaries should be well-advised to have specialist qualifications and be more likely to teach, mentor, and do research rather than only doing hands-on clinical work.  Professionalism and quality, rather than “make-do,” should be the norm.  There are more opportunities to partner with and strengthen existing local institutions rather than setting up a Christian health service.  Furthermore, mission opportunities may be available in academia, government, or secular organisations, including places where Christianity has a hostile reception.  Multi-disciplinary expertise and collaboration within health services are increasingly important and provide another opportunity for missions.  Medical missionaries may also come from other LMICs, or from within the same country.  Job-sharing, self-funding, or fly-in-fly-out, may be a viable and legitimate means of sending more medical missionaries.  These non-traditional models of medical mission that incorporate a diversity of approaches, but without sacrificing the “traditional” missional values and practices, should allow even more people to serve in medical missions. The purpose of this paper is to survey this topic in hope of stimulating discussions on non-traditional medical mission opportunities in the Asia-Pacific region and beyond.
尽管一些医学传教士可能已经脱离了“传统”的医学使命模式,但根据亚太地区作者的经验,该地区许多潜在的医学传教士仍然想象着一个经营使命医院的刻板的多面手医学传教士。作者认为,近几十年来,随着中低收入国家的经济和社会政治发展,医疗任务的格局发生了变化。因此,当代医学传教士应该具备专业资格,更有可能教书、指导和做研究,而不仅仅是亲自动手做临床工作。专业精神和素质,而不是“将就”,应该成为常态。与建立基督教医疗服务相比,有更多的机会与现有的地方机构合作并加强它们。此外,在学术界、政府或世俗组织中,包括基督教受到敌视的地方,也可能有传教机会。卫生服务部门内的多学科专业知识和合作日益重要,为特派团提供了另一个机会。医学传教士也可能来自其他LMIC,或者来自同一个国家。分担工作、自筹资金或飞入飞出,可能是派遣更多医学传教士的可行和合法手段。这些非传统的医疗使命模式融合了多种方法,但又不牺牲“传统”使命价值观和实践,应该允许更多的人在医疗使命中服务。本文的目的是调查这一主题,以期激发人们对亚太地区及其他地区非传统医疗任务机会的讨论。
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Christian Journal for Global Health
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