Pattern And Determinant Of Medical Professional Perspectives On Integrated Traditional Complementary, Alternative Medicine (Tcam) With Healthcare System In Dki Jakarta Province, Indonesia
TCAM is also the main source of healthcare for the majority of people in developing countries, including Indonesia and it has been used by 40% of total population and 70% from rural area in Indonesia (WHO, 2002) but the progressing relatives very slow compare with the result of Indonesian RISKESDAS (Basic Health Research), 2013 showing only 30,4% house hold used the TCAM. Indonesian policy and regulation are considering the part of medical professionals for integration process of TCAM into healthcare system. The inline perceptive between medical professionals with regulation are needed to accelerate it.
Methods- Using proportion, cluster and quota sampling, 452 medical professional (general doctors, nurses and midwifes) were selected from area sample (DKI, Jakarta Province) with a questionnaire survey, analysis with SPSS,IBM 20 and depth interview from hospital director head of professional organization, University and Minister of Health.
Results- The survey and depth interview are showing that there are not inline perceptive between medical professional, stake holder and MOH. 52.4% respondents of medical professionals have negative perspective and will not support the integration TCAM, 77.4% respondents feel that organization professional did not support for TCAM integration, 94% respondent and stake holder did not know MOH’s TCAM programs, 82.1% respondents’ lack of knowledge of TCAM and 81.9% respondents said lack of scientific and evidence based of TCAM but the most of Stake holder and MOH representative have positive perspective of TCAM. 53.1% attitude of respondents are not trust the TCAM, it is related with 71.0% the bad TCAM advertising, 85.6% unreliable TCAM facilities, and 60.2% not cost effective will make 86.9% respondents less experience of TCAM utility for their patient. Even though the family, community, cultural background support the integration but more than half respondent did not influence with them since their background education and regulation seems did not allow to use it. Pearson correlation confirmed the associated of the entire determinant factor with positive perception of integrated TCAM
Conclusion- Negative perception of Integration TCAM was showing by 52.5% study participants and have associated with lack of knowledge, lack of scientific action, bad image from experience, advertising, supporting family, culture background, and community are not influence their perception since TCAM was not proven by evidence based and only trust of conventional medicine. There was wide gap of perception among the stake holder, medical professional and MOH programs and regulation.
Keywords- Traditional Complementary and Alternative medicine, integration, medical professional, perspectives, determinant factor.