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Traditional and complementary medicine for promoting healthy ageing in WHO Western Pacific Region: Policy implications from utilization patterns and current evidence

Integrative Medicine Research 2021년 10권 1호 p.3 ~ 3
Chung Vincent C. H., Wong Charlene H. L., Zhong Claire C. W., Tjioe Yan Yin, Leung Ting Hung, Griffiths Sian M.,
소속 상세정보
 ( Chung Vincent C. H. ) - Chinese University of Hong Kong Faculty of Medicine Jockey Club School of Public Health and Primary Care
 ( Wong Charlene H. L. ) - Chinese University of Hong Kong Faculty of Medicine Jockey Club School of Public Health and Primary Care
 ( Zhong Claire C. W. ) - Chinese University of Hong Kong Faculty of Medicine Jockey Club School of Public Health and Primary Care
 ( Tjioe Yan Yin ) - Nanyang Technological University College of Science School of Biological Sciences
 ( Leung Ting Hung ) - Chinese University of Hong Kong Faculty of Medicine School of Chinese Medicine
 ( Griffiths Sian M. ) - Chinese University of Hong Kong Faculty of Medicine Jockey Club School of Public Health and Primary Care

Abstract


Background: With increasing burden of chronic non-communicable diseases (NCD), ageing becomes a global public health concern, and the World Health Organization Western Pacific Region has no exception. To address the NCD challenge, priority should be given to promote healthy ageing across the life-course. As traditional and complementary medicine (T&CM) is popular within the Region, it is of policy interest to explore possibilities of applying T&CM for promoting healthy ageing.

Methods: We first summarized sources of clinical evidence supporting the use of T&CM. We then searched publications through MEDLINE from its inception to April 2020 to identify studies focusing on the perception of T&CM among older people. Finally, taking current evidence base and patient choice into account, we generated policy recommendations for of integrating T&CM into health systems.

Result: Experiences from countries with different income levels suggested that promoting evidence-based T&CM as self-care modalities would be the most efficient way of maximizing impact among the older population, especially via a train the trainer approach. Meanwhile, popularity of natural products in the Region mandates policy makers to implement appropriate regulation and quality assurance, and to establish pharmacovigilance to detect potential harm. The role of pharmacists in advising patients on self-medication using natural products needs to be strengthened.

Conclusion: Policy-makers will benefit from continued global dialogue and sharing of experience in T&CM policy development and implementation. Harmonizing regulatory frameworks for natural products at regional and global levels, including mutual recognition of regulatory approval, to improve standards and protect patients could be a priority.

키워드

Healthy aging; Medicine, traditional; Complementary therapies; Health policy; Review

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