Traditional Chinese medicine physicians’ insights into inter-professional tensions between traditional Chinese medicine and biomedicine: a critical perspective

In Singapore, the institutional preference for biomedicine and the cultural importance of traditional Chinese medicine (TCM) have created tensions between the two medical systems and erected barriers to a more collaborative healthcare system. This study foregrounds TCM physicians’ voice to reveal id...

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Main Authors: Chang, Leanne, Lim, Jing Ci Jill
Format: Article
Published: Taylor & Francis 2017
Subjects:
Online Access:https://eprints.nottingham.ac.uk/47727/
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author Chang, Leanne
Lim, Jing Ci Jill
author_facet Chang, Leanne
Lim, Jing Ci Jill
author_sort Chang, Leanne
building Nottingham Research Data Repository
collection Online Access
description In Singapore, the institutional preference for biomedicine and the cultural importance of traditional Chinese medicine (TCM) have created tensions between the two medical systems and erected barriers to a more collaborative healthcare system. This study foregrounds TCM physicians’ voice to reveal ideological struggles and power imbalances that underlie the inter-professional tensions and accompanying marginalization of TCM. Through in-depth interviews with 22 TCM physicians in Singapore, this study reveals the incongruences in ideological underpinnings between biomedicine and TCM, reflected in their different worldviews and epistemological approaches to knowledge formation and evaluation. Power differentials between the two medical systems are manifest in TCM physicians’ inferior position in relation to their biomedical peers, the patients’ internalization of biomedical standards to question the TCM profession and their own interest in seeking TCM treatments, and the state’s limited support for TCM research, subsidies, and service provision in hospital settings. The results suggest that more open dialogue about the dichotomous framings of biomedicine and TCM is key to disrupting the mutual reinforcement of ideology and power, as well as to creating increased mutual understanding between the two medical systems.
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spelling nottingham-477272020-05-04T19:19:04Z https://eprints.nottingham.ac.uk/47727/ Traditional Chinese medicine physicians’ insights into inter-professional tensions between traditional Chinese medicine and biomedicine: a critical perspective Chang, Leanne Lim, Jing Ci Jill In Singapore, the institutional preference for biomedicine and the cultural importance of traditional Chinese medicine (TCM) have created tensions between the two medical systems and erected barriers to a more collaborative healthcare system. This study foregrounds TCM physicians’ voice to reveal ideological struggles and power imbalances that underlie the inter-professional tensions and accompanying marginalization of TCM. Through in-depth interviews with 22 TCM physicians in Singapore, this study reveals the incongruences in ideological underpinnings between biomedicine and TCM, reflected in their different worldviews and epistemological approaches to knowledge formation and evaluation. Power differentials between the two medical systems are manifest in TCM physicians’ inferior position in relation to their biomedical peers, the patients’ internalization of biomedical standards to question the TCM profession and their own interest in seeking TCM treatments, and the state’s limited support for TCM research, subsidies, and service provision in hospital settings. The results suggest that more open dialogue about the dichotomous framings of biomedicine and TCM is key to disrupting the mutual reinforcement of ideology and power, as well as to creating increased mutual understanding between the two medical systems. Taylor & Francis 2017-11-22 Article PeerReviewed Chang, Leanne and Lim, Jing Ci Jill (2017) Traditional Chinese medicine physicians’ insights into inter-professional tensions between traditional Chinese medicine and biomedicine: a critical perspective. Health Communication . ISSN 1532-7027 discourse ideology: integrative medicine; medical pluralism; power; traditional Chinese medicine http://www.tandfonline.com/doi/full/10.1080/10410236.2017.1405478 doi:10.1080/10410236.2017.1405478 doi:10.1080/10410236.2017.1405478
spellingShingle discourse ideology: integrative medicine; medical pluralism; power; traditional Chinese medicine
Chang, Leanne
Lim, Jing Ci Jill
Traditional Chinese medicine physicians’ insights into inter-professional tensions between traditional Chinese medicine and biomedicine: a critical perspective
title Traditional Chinese medicine physicians’ insights into inter-professional tensions between traditional Chinese medicine and biomedicine: a critical perspective
title_full Traditional Chinese medicine physicians’ insights into inter-professional tensions between traditional Chinese medicine and biomedicine: a critical perspective
title_fullStr Traditional Chinese medicine physicians’ insights into inter-professional tensions between traditional Chinese medicine and biomedicine: a critical perspective
title_full_unstemmed Traditional Chinese medicine physicians’ insights into inter-professional tensions between traditional Chinese medicine and biomedicine: a critical perspective
title_short Traditional Chinese medicine physicians’ insights into inter-professional tensions between traditional Chinese medicine and biomedicine: a critical perspective
title_sort traditional chinese medicine physicians’ insights into inter-professional tensions between traditional chinese medicine and biomedicine: a critical perspective
topic discourse ideology: integrative medicine; medical pluralism; power; traditional Chinese medicine
url https://eprints.nottingham.ac.uk/47727/
https://eprints.nottingham.ac.uk/47727/
https://eprints.nottingham.ac.uk/47727/