TY  - JOUR
T1  - THE ROLE OF TRADITIONAL, COMPLEMENTARY AND INTEGRATIVE MEDICINE PRACTICES IN GLOBAL HEALTH SYSTEMS: AN ECOLOGICAL ANALYSIS
AU  - Yılmaz, Meltem
AU  - Ersoy Şen, Banu
AU  - Taştan, Merve
PY  - 2025
DA  - August
Y2  - 2025
DO  - 10.55895/sshs.1771441
JF  - Sabuncuoglu Serefeddin Health Sciences
JO  - SSHS
PB  - Amasya Üniversitesi
WT  - DergiPark
SN  - 2667-6338
SP  - 43
EP  - 49
VL  - 7
IS  - 2
LA  - en
AB  - This study aims to examine the structural characteristics of Traditional, Complementary and Integrative Medicine (TCIM) systems within global health systems and their association with socioeconomic indicators. Designed as an ecological study, the research evaluates TCIM indicators from 103 countries based on data obtained from the WHO TCIM Dashboard. Key variables include the presence of national legislation on TCIM, responsible national bodies, university-level education, national research institutes, and payment systems. Their associations with health expenditure per capita and the Human Development Index (HDI) were analysed. Data were analysed using SPSS v25.0; Mann-Whitney U and Kruskal-Wallis tests were used for group comparisons, while the chi-square test was applied to categorical variables. The findings revealed significant structural differences in TCIM systems across countries. Countries with national TCIM legislation had significantly higher HDI scores (p=0.027), and HDI was also higher in countries with national research institutes (p=0.008). Significant regional differences were observed in the distribution of TCIM structural indicators across WHO regions. In conclusion, the level of institutionalization of TCIM systems appears to be associated with countries’ development indicators, and integration into health systems is not equally distributed globally.
KW  - Health Policies
KW  - Human Development Index
KW  - Regional Analysis
KW  - TCIM
N2  - Bu çalışmanın amacı, küresel sağlık sistemleri içindeki Geleneksel, Tamamlayıcı ve Bütünleyici Tıp (TCIM) sistemlerinin yapısal özelliklerini ve sosyoekonomik göstergelerle ilişkilerini incelemektir. Ekolojik bir çalışma olarak tasarlanan araştırma, DSÖ TCIM Gösterge Tablosundan elde edilen verilere dayanarak 103 ülkeden TCIM göstergelerini değerlendirmektedir. Temel değişkenler arasında TCIM ile ilgili ulusal mevzuatın varlığı, sorumlu ulusal kurumlar, üniversite düzeyinde eğitim, ulusal araştırma enstitüleri ve ödeme sistemleri yer almaktadır. Kişi başına sağlık harcaması ve İnsani Gelişme Endeksi (HDI) ile ilişkileri analiz edilmiştir. Veriler SPSS v25.0 kullanılarak analiz edilmiştir; grup karşılaştırmaları için Mann-Whitney U ve Kruskal-Wallis testleri kullanılırken, kategorik değişkenlere ki-kare testi uygulanmıştır. Bulgular, ülkeler arasında TCIM sistemlerinde önemli yapısal farklılıklar olduğunu ortaya koymuştur. Ulusal TCIM mevzuatına sahip ülkelerin önemli ölçüde daha yüksek HDI puanları vardı (p=0,027) ve ulusal araştırma enstitülerine sahip ülkelerde de HDI daha yüksekti (p=0,008). TCIM yapısal göstergelerinin DSÖ bölgeleri genelindeki dağılımında önemli bölgesel farklılıklar gözlemlenmiştir. Sonuç olarak, TCIM sistemlerinin kurumsallaşma düzeyi, ülkelerin kalkınma göstergeleriyle ilişkili görünmektedir ve sağlık sistemlerine entegrasyon küresel olarak eşit bir şekilde dağılmamıştır.
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UR  - https://doi.org/10.55895/sshs.1771441
L1  - https://dergipark.org.tr/tr/download/article-file/5183159
ER  -