中医与卫生健康外交:在洛杉矶的影响力扩展与接受情况
##plugins.themes.bootstrap3.article.main##
摘要
传统中医药在全球许多国家,包括美国,正日益获得广泛的认可。本文章以美国洛杉矶为个案,探讨传统中医药在美国医疗体系中的融合发展,通过文献分析与实地考察相结合的定性方法,深入分析促进传统中医药认可的因素及存在的限制性条件。结果发现,传统中医药在美国已获得法律与制度层面的正式认可,其中针灸疗法被纳入联邦医疗保险 (Medicare) 及军队医疗服务。此外,中医药在降低医疗成本、改善多民族社区的健康服务可及性方面发挥了重要作用。同时,洛杉矶通过与中国的学术交流合作,将传统中医药作为健康外交的重要工具。本文认为,泰国可借鉴上述经验,将传统中医药纳入本国医疗体系,以缓解医疗服务可及性问题,提升专业标准,并通过国际合作增强健康经济的潜力。
##plugins.themes.bootstrap3.article.details##
参考
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)