การแพทย์แผนจีนกับการทูตสุขภาพ: การขยายบทบาทและการยอมรับในลอสแองเจลิส

Main Article Content

ประดับดาว ภู่สุวรรณ์ สแตนลี่ย์
กุลนันทน์ คันธิก

บทคัดย่อ

การแพทย์แผนจีนได้รับการยอมรับเพิ่มขึ้นอย่างต่อเนื่องในหลายประเทศทั่วโลกรวมถึงสหรัฐอเมริกา บทความนี้มุ่งวิเคราะห์การบูรณาการศาสตร์ดังกล่าวเข้าสู่ระบบสุขภาพสหรัฐฯ โดยใช้ลอสแองเจลิสเป็นกรณีตัวอย่าง ผ่านการวิเคราะห์เอกสารและเก็บข้อมูลภาคสนาม เพื่อสำรวจปัจจัยสนับสนุนและข้อจำกัดในการยอมรับ ผลการศึกษาพบว่าการแพทย์แผนจีนได้รับการรับรองทางกฎหมายและสถาบันสำคัญ โดยเฉพาะการฝังเข็มที่ได้รับการบรรจุในระบบ Medicare และบริการสุขภาพของกองทัพ อีกทั้งมีส่วนช่วยลดค่าใช้จ่ายและเพิ่มการเข้าถึงบริการสุขภาพในกลุ่มชาติพันธุ์ที่หลากหลาย นอกจากนี้ ลอสแองเจลิสยังนำศาสตร์ดังกล่าวมาใช้เป็นเครื่องมือการฑูตสุขภาพ ผ่านความร่วมมือทางวิชาการกับจีน บทความนี้เสนอว่า ประเทศไทยสามารถนำแนวทางนี้ไปประยุกต์ใช้ในการบูรณาการการแพทย์แผนจีนเข้าสู่ระบบสุขภาพ เพื่อลดปัญหาการเข้าถึงบริการ ส่งเสริมมาตรฐานวิชาชีพ และเพิ่มศักยภาพทางเศรษฐกิจสุขภาพผ่านความร่วมมือระหว่างประเทศ

Article Details

ประเภทบทความ
บทความพิเศษ

เอกสารอ้างอิง

Xinhua. Traditional Chinese medicine in China [Internet]. 2016 [cited 2025 Mar 10]. Available from: http://en.nhc.gov.cn/2016-12/06/c_74787_4.htm

Kickbusch I, Novotny TE, Drager N, Silberschmidt G, Alcazar S. Global health diplomacy: training across disciplines. Bull World Health Organ. 2007;85(12):971-3.

Office of Budget, National Institutes of Health. Appropriations history by institute/center (1938 to Present) [Internet]. Bethesda, MD: NIH; 2025 [cited 2025 May 30]. Available from: https://officeofbudget.od.nih.gov/approp.html

Murphy SL, Kochanek KD, Xu JQ, Arias E. Mortality in the United States, 2023 [Internet]. Hyattsville, MD: National Center for Health Statistics; 2024 [cited 2025 May 30]. Available from: https://www.cdc.gov/nchs/data/databriefs/db521.pdf

Clarke TC, Black LI, Stussman BJ, Barnes PM, Nahin RL. Trends in the use of complementary health approaches among adults: United States, 2002-2012. Natl Health Stat Report. 2015;(79):1-16.

Bu LP. Chinese medicine in the United States: historical development and growth. Chin Med Cult. 2023;6(1):108-14.

Centers for Medicare & Medicaid Services. NCA-acupuncture for chronic low back pain (CAG-00452N): decision memo [Internet]. Baltimore, MD: CMS; 2020 [cited 2025 May 30]. Available from: https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=295

Takaki R. Strangers from a different shore: a history of Asian Americans. New York: Little, Brown and Company; 1998.

Tracey L. The Chinese Exclusion Act: annotated [Internet]. 2022 [cited 2025 May 30]. Available friom: https://daily.jstor.org/the-chinese-exclusion-act-annotated/

Reston J. Now, about my operation in Peking. New York Times. 1971 Jul 26; Sect.1:1 (Col.11). Available from: https://www.nytimes.com/1971/07/26/archives/now-about-my-operation-in-peking-now-let-me-tell-you-about-my.html

Li YM. Acupuncture journey to America: a turning point in 1971. J Tradit Chin Med Sci. 2014;1(2):81-3.

Huang SXS, Hu J, Chen DR, Chau J. Establishment of the first professional organization of traditional Chinese medicine and acupuncture in California. Chin Med Cult. 2022;5(1):46-51.

Food and Drug Administration. Medical devices; reclassification of acupuncture needles for the practice of acupuncture. Fed Regist. 1996;61:64616.

National Certification Commission for Acupuncture and Oriental Medicine. NCCAOM® certification handbook: national standards of competence in acupuncture and herbal medicine [Internet]. Washington, DC: NCCAOM; 2023 [cited 2025 Jun 1]. Available from: https://www.nccaom.org/wp-content/uploads/pdf/NCCAOM_Certification_Handbook_Sept_2023.pdf

Department of Veterans Affairs, Health Services Research & Development Service. Evidence-based synthesis program: evidence map of acupuncture [Internet]. Washington, DC: Department of Veterans Affairs; 2014 [cited 2025 Jun 1]. Available from: https://www.hsrd.research.va.gov/publications/esp/acupuncture.cfm

National Center for Complementary and Integrative Health. Traditional Chinese medicine: what you need to know [Internet]. Bethesda, MD: NCCIH; 2022 [cited 2025 May 30]. Available from: https://www.nccih.nih.gov/health/traditional-chinese-medicine-what-you-need-to-know

Food and Drug Administration. Dietary supplements [Internet]. Silver Spring, MD: FDA; 2022 [cited 2025 May 30]. Available from: https://www.fda.gov/food/dietary-supplements

Food and Drug Administration. FDA issues warning about certain supplements substituted with toxic yellow oleander [Internet]. Silver Spring, MD: FDA; 2024 [cited 2025 May 30]. Available from: https://www.fda.gov/food/alerts-advisories-safety-information/fda-issues-warning-about-certain-supplements-substituted-toxic-yellow-oleander-january-2024

American Herbal Products Association. Good agricultural and collection practices and good manufacturing practices for botanical materials [Internet]. Silver Spring, MD: AHPA; 2021 [cited 2025 May 30]. Available from: https://www.ahpa.org/files/Document%20Library/AHPA%20Guidance%20Documents/GACP-GMP%20Guidance/2021_AHPA_GACP_GMP_for_Botanical_Materials.pdf

Yo San University. Academic programs [Internet]. Los Angeles, CA: Yo San University; 2024 [cited 2025 May 30]. Available from: https://www.yosan.edu/degrees-acupuncture-schools-los-angeles/

Ferguson P. Your client asked you to do what? exploring scope of practice. Acupuncture Today. 2023;24(6):34359.

Cao HJ, Li X, Liu JP. An updated review of the efficacy of cupping therapy. PLoS One. 2012;7(2):e31793.

Lee MS, Choi TY, Kang JW, Lee BJ, Ernst E. Moxibustion for treating pain: a systematic review. Am J Chin Med. 2010;38(5):829-38.

United States Census Bureau. QuickFacts: Los Angeles city, California [Internet]. Washington, DC: U.S. Census Bureau; 2023 [cited 2025 May 30]. Available from: https://www.census.gov/quickfacts/fact/table/losangelescitycalifornia/PST045223

Chinese American Museum of Los Angeles. Current exhibitions [Internet]. Los Angeles, CA: Chinese American Museum; 2024 [cited 2025 May 30]. Available from: https://camla.org/current-exhibits/

Pew Research Center. Hispanic Americans’ experiences with health care [Internet]. Washington, DC: Pew Research Center; 2022 [cited 2024 Jun 1]. Available from: https://www.pewresearch.org/science/2022/06/14/hispanic-americans-experiences-with-health-care/

Dionicio P, Gonzalez E, Menendez T, Barragan NC, Mendoza C, Kuo T, et al. Partnering with local schools of traditional Chinese medicine to provide accessible acupuncture services for pain management in a group of low-income Hispanics/Latinos. J Integr Complement Med. 2024;30(8):802-9.

Li H, Park J. In L.A.’s Santee Alley, Korean and Latino communities bond in an acupuncture shop [Internet]. El Segundo, CA: Los Angeles Times; 2023 [cited 2025 Mar 19]. Available from:https://www.latimes.com/california/newsletter/2023-10-30/in-l-a-s-santee-alley-korean-and-latino-communities-bond-in-an-acupuncture-shop-essential-california

Acus Foundation. Our story [Internet]. Berkeley, CA: Acus Foundation; 2025 [cited 2025 Mar 18]. Available from: https://acusfoundation.org/our-story/

Chen YM. Overview of the development of Chinese medicine in North America. Chin Med Cult. 2022;5(4):199–201.

TalktoMira. How much is a doctor's visit cost with and without insurance? [Internet]. Manhattan: Mira; 2024 [cited 2025 Jun 1]. Available from: https://www.talktomira.com/post/the-cost-of-a-doctor-visit-without-insurance

Howell AA. How Much Does Acupuncture Cost? [Internet]. San Francisco, CA: GoodRx; 2022 [cited 2025 Jun 1]. Available from: https://www.goodrx.com/well-being/alternative-treatments/how-much-does-acupuncture-cost

Fan AY. Dr. William Prensky: the birth of the acupuncture profession in the United States (1969-1979): the Institute for Taoist Studies and the National Acupuncture Association. J Integr Med. 2016;14(1):5-11.

Southern California University of Health Sciences. Doctor of acupuncture and chinese herbal medicine [Internet]. Whittier, CA: SCU; 2025 [cited 2025 Jun 1]. Available from: https://www.scuhs.edu/doctoral-degrees/doctor-of-acupuncture-and-chinese-herbal-medicine/

UCLA Health. East-West medicine: research [Internet]. Los Angeles, CA: UCLA Health; 2025 [cited 2025 Jun 1]. Available from: https://www.uclahealth.org/medical-services/east-west-medicine/research

UCLA Newsroom. UCLA fielding school of public health signs MOU with China’s academy of Chinese medical sciences [Internet]. Los Angeles, CA: UCLA; 2017 [cited 2025 Jun 1]. Available from: https://newsroom.ucla.edu/stories/ucla-fielding-school-of-public-health-signs-mou-with-china-s-academy-of-chinese-medical-sciences

UCLA Fielding School of Public Health. UCLA fielding school launches official collaboration with China academy of Chinese medical sciences [Internet]. Los Angeles, CA: UCLA Fielding School of Public Health; 2017 [cited 2024 Jun 12]. Available from: https://ph.ucla.edu/news-events/news/ucla-fielding-school-launches-official-collaboration-china-academy-chinese-medical

UCLA Health. East-West medicine: visiting scholars & scientists [Internet]. Los Angeles, CA: UCLA Health; 2024 [cited 2024 Jun 12]. Available from: https://www.uclahealth.org/medical-services/east-west-medicine/education/visiting-scholars-and-scientists

UCLA Health. Overview: visiting scholar training program [Internet]. Los Angeles, CA: UCLA Health; 2024 [cited 2024 Jun 12]. Available from: https://www.uclahealth.org/sites/default/files/documents/57/cewm-visiting-scholar-program-brochure.pdf

Southern California University of Health Sciences. Celebrating 45 years of U.S.-China diplomatic relations and the development of traditional Chinese medicine in the United States [Internet]. Whittier, CA: SCU; 2024 [cited 2025 Jun 1]. Available from: https://www.scuhs.edu/front-page-news/celebrating-45-years-of-us-china-diplomatic-relations-and-the-development-of-traditional-chinese-medicine-in-the-united-states/

Chinese American Foundation. Celebrating the 45th anniversary of U.S.-China diplomatic relations and Asian American heritage month special forum [Internet]. Monte, CA: Chinese American Foundation; 2024 [cited 2025 Jun 1]. Available from: https://cafoundations.org/en/news-report/activity/430-celebrating-the-45th-anniversary-of-us-china-diplomatic-relations-and-asian-american-heritage-month-special-forum.html

National Health Security Office Region 5 Ratchaburi. Clarifying the Thai and Chinese plans for fiscal year 2022 final [Internet]. Ratchaburi: NHSO; 2022 [cited 2025 May 30]. Available from: https://ratchaburi.nhso.go.th/FrontEnd/page-contentdetail.aspx?ContentID=NjUwMDAwMDE1 (in Thai)