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. 2018 Jul 19:2018:2698461.
doi: 10.1155/2018/2698461. eCollection 2018.

Traditional Mongolian, Traditional Chinese, and Western Medicine Hospitals: System Review and Patient Survey on Expectations and Perceptions of Quality of Healthcare in Inner Mongolia, China

Min Li  1   2 , Yancun Fan  2 , Edward B McNeil  1 , Virasakdi Chongsuvivatwong  1
Affiliations

Traditional Mongolian, Traditional Chinese, and Western Medicine Hospitals: System Review and Patient Survey on Expectations and Perceptions of Quality of Healthcare in Inner Mongolia, China

Min Li et al. Evid Based Complement Alternat Med. .

Abstract

Background: In Inner Mongolia of China, traditional Mongolian medicine (TMM), traditional Chinese medicine (TCM), and western medicine (WM) are all supported by the government. This study compares the background and performance of these three types of medicines.

Methods: The World Health Organization's Six Building Blocks framework was used for the system review. Data were collected from literature review and key informant interviews. A cross-sectional survey was conducted in three types of hospitals at the provincial, municipal (city), and prefectural (county) levels from April to August, 2016. Eight hospitals were included and, within each one, patients from four outpatient departments were selected. A total of 1,322 patients were interviewed about their expectations and perceptions of the health service.

Results: Government support for TMM includes higher budget allocation and a higher reimbursement rate. TMM is preferred by Mongolian people, those living in pasturing areas, and those seeking treatment for musculoskeletal problems/injuries. Patients attending TMM hospitals had the highest expectations and perceptions of the health service in general. However, human resources and research capacity of TMM are relatively limited.

Conclusion: To further enhance the role of the popular TMM for local minority's health, human resources and research capacity strengthening are essential.

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Figures

Figure 1
Figure 1
Comparison of patient's expectations of health services by type and level of hospital (N=1,322).
Figure 2
Figure 2
Comparison of patient's perceptions of health services by type and level of hospital (N=1,322).
Figure 3
Figure 3
Comparison of patient's gap scores by type and level of hospital (N=1,322).
Figure 4
Figure 4
Comparison of patient's gap scores for quality of service domains by type and level of hospital (N=1,322).
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