Integrative Medicine: Enhancing Quality in Primary Health Care

Grace, Sandra; Higgs, Joy

doi:10.1089/acm.2009.0437

Cited by 39 publications

(34 citation statements)

References 19 publications

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“…The financial impact of this kind of care must be considered at the inception of such programs. Integrative medicine programs are potentially beneficial as a way of differentiating a health organization from competitors, increasing patient satisfaction [17]. attracting new philanthropy and as a driver for patient care innovation, but they need administrative and financial support.…”

Section: Discussionmentioning

confidence: 99%

Pediatric integrative medicine: pediatrics' newest subspecialty?

Vohra

Surette

Mittra³

et al. 2012

BMC Pediatr

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BackgroundIntegrative medicine is defined as relationship-centered care that focuses on the whole person, is informed by evidence, and makes use of all appropriate therapeutic approaches, healthcare professionals and disciplines to achieve optimal health and healing, including evidence-based complementary and alternative medicine. Pediatric integrative medicine (PIM) develops and promotes this approach within the field of pediatrics. We conducted a survey to identify and describe PIM programs within academic children’s hospitals across North America. Key barriers and opportunities were identified for the growth and development of academic PIM initiatives in the US and Canada.MethodsAcademic PIM programs were identified by email and eligible for inclusion if they had each of educational, clinical, and research activities. Program directors were interviewed by telephone regarding their clinical, research, educational, and operational aspects.ResultsSixteen programs were included. Most (75%) programs provided both inpatient and outpatient services. Seven programs operated with less than 1 FTE clinical personnel. Credentialing of complementary and alternative medicine (CAM) providers varied substantially across the programs and between inpatient and outpatient services. Almost all (94%) programs offered educational opportunities for residents in pediatrics and/or family medicine. One fifth (20%) of the educational programs were mandatory for medical students. Research was conducted in a range of topics, but half of the programs reported lack of research funding and/or time. Thirty-one percent of the programs relied on fee-for-service income.ConclusionsPediatric integrative medicine is emerging as a new subspecialty to better help address 21st century patient concerns.

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Section: Discussionmentioning

confidence: 99%

Pediatric integrative medicine: pediatrics' newest subspecialty?

Vohra

Surette

Mittra³

et al. 2012

BMC Pediatr

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“…However, there is no rigorous and objective testing. What is more, Western medicine and TCM approaches have been used together to reach great effect worldwide [15]. Therefore, we conduct this study to explore whether the combination treatment of an empirical Chinese Herbal formula (SGJP Decoction) and steroids standard therapy could improve the clinical management of AIH.…”

Section: Discussionmentioning

confidence: 99%

Protocol of a prospective study for the combination treatment of Shu-Gan-jian-Pi decoction and steroid standard therapy in autoimmune hepatitis patients

Chi¹,

Xiao²,

Cai³

et al. 2016

BMC Complement Altern Med

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BackgroundPrednisone plus azathioprine is considered the mainstay of therapy in the current recommendations for autoimmune hepatitis (AIH). However, it does not provide good benefits for AIH patients because of its serious side effects. Therefore, more and more AIH patients prefer to seek for traditional Chinese medicine (TCM) to manage their symptoms and reduce the side effects of steroids in China. Shu-Gan-Jian-Pi Decoction is a popular used Chinese herbal formula in Guangdong province of China, which has demonstrated the effect of improving efficacy and reducing side effects of corticosteroids in AIH patients. The aim of this study is to evaluate the effects of Shu-Gan-Jian-Pi Decoction combined with steroid in AIH patients. So, this study aims to explore whether the combination treatment of Shu-Gan-Jian-Pi Decoction and steroid standard therapy could improve the clinical management of AIH.MethodsA prospective non-randomized study on AIH will be conducted between October 2015 and June 2017 in Guangdong Provincial hospital of Chinese medicine. Eligible AIH patients will be classified as the case group (n = 66) and the control group (n = 66) based on the interventions. Patients taking Shu-Gan-Jian-Pi Decoction combined with prednisone and azathioprine will be in the case group and those taking prednisone and azathioprine will be in the control group. The whole study will last 48 weeks, including a 24-week observation period and a 24-week follow-up period. The primary outcome was complete response to therapy, defined as complete biochemical remission at the patient’s last visit of observation period and the absence of predefined steroid-specific side effects throughout treatment.DiscussionThis trial will evaluate the efficacy and safety of Shu-Gan-Jian-Pi Decoction combined with prednisone and azathioprine on AIH patients. The achievement of this trial will provide evidence-based data for Shu-Gan-Jian-Pi Decoction, which could provide good benefits for AIH patients.Trial registrationChinese Clinical Trial Registry: ChiCTR-OOC-15006155.Registration date: 28 March 2015

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“…Within the integrative health care literature, scholars increasingly report CAM to be popular and/or efficacious for the treatment and management of chronic health conditions [1,14-18]; and especially for the treatment of pain and stress related conditions [19-23]. Burke [24]: 932] argues that CAM may provide ‘potentially more effective multidisciplinary approaches to treating complex, chronic health problems such as HIV, chronic pain, and addiction’.…”

Section: Introductionmentioning

confidence: 99%

“…Burke [24]: 932] argues that CAM may provide ‘potentially more effective multidisciplinary approaches to treating complex, chronic health problems such as HIV, chronic pain, and addiction’. Grace and Higgs’ [14]: 954] research in primary healthcare settings reports that patients and practitioners alike understood that an integrative approach ‘filled gaps in the treatment effectiveness’ for people experiencing complex, chronic conditions. Similarly, research investigating CAM within integrative health care services in hospital settings found that CAM addressed therapeutic gaps in chronic disease management [2,20].…”

Section: Introductionmentioning

confidence: 99%

Integrating complementary and alternative medicine into mainstream healthcare services: the perspectives of health service managers

Singer

Adams

2014

BMC Complement Altern Med

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BackgroundComplementary and alternative medicine (CAM) is increasingly included within mainstream integrative healthcare (IHC) services. Health service managers are key stakeholders central to ensuring effective integrative health care services. Yet, little research has specifically investigated the role or perspective of health service managers with regards to integrative health care services under their management. In response, this paper reports findings from an exploratory study focusing exclusively on the perspectives of health service managers of integrative health care services in Australia regarding the role of CAM within their service and the health service managers rational for incorporating CAM into clinical care.MethodsHealth service managers from seven services were recruited using purposive and snowball sampling. Semi-structured interviews were conducted with the health service managers. The services addressed trauma and chronic conditions and comprised: five community-based programs including drug and alcohol rehabilitation, refugee mental health and women’s health; and two hospital-based specialist services. The CAM practices included in the services investigated included acupuncture, naturopathy, Western herbal medicine and massage.ResultsFindings reveal that the health service managers in this study understand CAM to enhance the holistic capacity of their service by: filling therapeutic gaps in existing healthcare practices; by treating the whole person; and by increasing healthcare choices. Health service managers also identified CAM as addressing therapeutic gaps through the provision of a mind-body approach in psychological trauma and in chronic disease management treatment. Health service managers describe the addition of CAM in their service as enabling patients who would otherwise not be able to afford CAM to gain access to these treatments thereby increasing healthcare choices. Some health service managers expressly align the notion of treating the whole person within a health promotion model and focus on the relevance of diet and lifestyle factors as central to a CAM approach.ConclusionsFrom the perspectives of the health service managers, these findings contribute to our understanding around the rationale to include CAM within mainstream health services that deal with psychological trauma and chronic disease. The broader implications of this study can help assist in the development of health service policy on CAM integration in mainstream healthcare services.

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Integrative Medicine: Enhancing Quality in Primary Health Care

Abstract: According to patients and practitioners, IM enhanced the quality of primary health care through its provision of health care that was patient-centered, effective (particularly for chronic health conditions, nonpharmaceutical treatments, and health promotion) and safe.

Cited by 39 publications

References 19 publications

Pediatric integrative medicine: pediatrics' newest subspecialty?

Pediatric integrative medicine: pediatrics' newest subspecialty?

Protocol of a prospective study for the combination treatment of Shu-Gan-jian-Pi decoction and steroid standard therapy in autoimmune hepatitis patients

Integrating complementary and alternative medicine into mainstream healthcare services: the perspectives of health service managers

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