Primary Health Care And Complementary And Integrative Medicine

Complementary and integrative medicine (CIM) has become big business. Alongside the increased consumption of complementary medicine and the swelling numbers of complementary health practitioners has emerged a growing interest in these medicines and therapies from within the ranks of conventional primary health care. At the level of practice and beyond, a culture of confrontation and antagonism has begun to be replaced by a focus upon potential integration, collaboration and common ground. With these significant developments in mind, this ground-breaking book is a valuable and timely addition to the CIM and primary health care research literature. The collection outlines the core issues, challenges and opportunities facing the CIM–primary health care interface and its study and will provide insight and inspiration for those practising, studying and researching the contemporary relations between CIM and primary health care. The book is the first to be authored by leading international CIM–primary health care researchers from diverse disciplines and backgrounds, including health social science, statistics, qualitative methodology, general practice, clinical trials design, clinical pharmacology, health services research and public health. All contributors are active CIM–primary health care researchers and their extensive research and practice experience helps lend a unique immediacy and richness to the contributions and collection. Contents:Patients, Illness and Disease: CIM Use and Its Context in Primary Health Care:Primary Health Care, Complementary and Alternative Medicine and Women's Health: A Focus upon Menopause (Amie Steel, Jane Frawley, Jon Adams, David Sibbritt, and Alex Broom)Complementary and Integrative Medicine, Aging and Chronic Illness: Towards an Interprofessional Approach in Primary Health Care (Kevin D Willison, Sally Lindsay, Marissa Taylor, Harold Schroeder, and Gavin J Andrews)Complementary and Alternative Medicine and Skin Disease in General Practice (Parker Magin and Jon Adams)Practitioners and the Professional CIM Interface:Naturopaths: Their Role in Primary Health Care Delivery (Jon Wardle and Jon Adams)Linking Complementary and Alternative Medicine, Traditional Medicine and Primary Health Care: The Role of Local Health Traditions in Promoting Health Security (Daniel Hollenberg and Maria Costanza Torri)Examining the Relationship between Complementary and Integrative Medicine and Rural General Practice: A Focus upon Health Services Research (Jon Wardle, Jon Adams, Alex Broom, and David Sibbritt)(Just) Who is the Expert? The Ambiguity of Expertise in Over-the-Counter CAM Purchasing: An Ethnographic Study of UK Community Pharmacies and Health Shops (Helen Cramer, Lesley Wye, Marjorie Weiss, and Ali Shaw)Conceptualising Integrative Medicine in Primary Health Care: Experience and Challenges:Integrating Complementary Medicine in Primary Health Care as a Response to Contemporary Challenges: A Focus upon Effectiveness Gaps and Self-Care (David Peters)Exploring a Model of Integrative Medicine: A Case Study in Swedish Primary Health Care (Tobias Sundberg)Integration in Primary Health Care: A Focus upon Practice and Education and the Importance of a Critical Social Science Perspective (Jon Adams, Daniel Hollenberg, Alex Broom, Amie Steel, David Sibbritt, and Chi-Wai Lui) Readership: Practitioners, pharmacists, nurses, health care managers, governments, policy makers and regulators, researchers, academia, and advanced students of conventional as well as alternative healthcare, and the general audience who are interested in evidence-based holistic self-care. Keywords:Primary Health Care;Complementary Medicine;Integrative Medicine;General Practice;Pharmacy;Health Services Research

Complementary and alternative medicine encompasses a wide range of modalities, including acupuncture, herbs and supplements, naturopathy, and body and mind therapies. The use of these healing methods is increasing rapidly, and more and more patients are approaching primary care physicians with questions about them. The purpose of this issue is to help doctors understand the evidence supporting and refuting complementary and alternative medicine techniques so they can provide patients with answers. This is the second of a two-part series, and it focuses on application of complementary and alternative medicine techniques to disease states and body systems.

Integration of complementary and alternative medicine therapies (CAM) with conventional medicine is occurring in hospitals and physicians offices, health maintenance organizations (HMOs) are covering CAM therapies, insurance coverage for CAM is increasing, and integrative medicine centers and clinics are being established, many with close ties to medical schools and teaching hospitals. In determining what care to provide, the goal should be comprehensive care that uses the best scientific evidence available regarding benefits and harm, encourages a focus on healing, recognizes the importance of compassion and caring, emphasizes the centrality of relationship-based care, encourages patients to share in decision making about therapeutic options, and promotes choices in care that can include complementary therapies where appropriate. Numerous approaches to delivering integrative medicine have evolved. Complementary and Alternative Medicine in the United States identifies an urgent need for health systems research that focuses on identifying the elements of these models, the outcomes of care delivered in these models, and whether these models are cost-effective when compared to conventional practice settings. It outlines areas of research in convention and CAM therapies, ways of integrating these therapies, development of curriculum that provides further education to health professionals, and an amendment of the Dietary Supplement Health and Education Act to improve quality, accurate labeling, research into use of supplements, incentives for privately funded research into their efficacy, and consumer protection against all potential hazards.

The use and practice of traditional, complementary and/or integrative medicine (TCIM) raises significant questions, poses many challenges and holds much potential for the broad fields of public health and health services research.This book brings together leading international researchers with backgrounds and expertise across broad multi-disciplinary sub-fields including health social science, biostatistics, clinical pharmacology, implementation science, health geography and health economics. Contributors draw upon their research and experience to explain and review core research and practice issues on TCIM and its future development.The book offers a rounded understanding of the current and future possibilities associated with the TCIM-public health and health services research interface and provides an essential overview of the broad evidence-base emerging in this area of research, policy and practice. Individual chapters employ specific case studies, featuring particular medicines/therapies, and focusing upon a number of health care settings and environments including general practice, community pharmacy, hospital specialisms as well as community-based private practice and self-care.

Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.

This practical, readable guide focuses on how to effectively integrate complementary therapies into mainstream primary care. Based on the authors' successful real-world clinical experiences, it offers realistic advice on key issues, appropriate referrals, and treatment options. Patient information sheets and clinical guidance sheets on commonly seen conditions serve as convenient, quick-reference guides. Covers key considerations related to integrating complementary therapies into a primary care practice, such as funding, resources, and legal issues. Presents easy-to-follow flowcharts for clinical decision-making and treatment options. Introduces research models and issues commonly used in complementary medicine. (Product description).

Complementary and alternative medicine encompasses a wide range of modalities, including acupuncture, herbs and supplements, naturopathy, and body and mind therapies. The use of these healing methods is increasing rapidly, and more and more patients are approaching primary care physicians with questions about them. The purpose of this issue is to help doctors understand the evidence supporting and refuting complementary and alternative medicine techniques so they can provide patients with answers. This is the first of a two-part series, and it focuses on the various modalities.

This authoritative collection is the first wide-ranging overview dedicated to traditional, complementary and integrative medicine (TCIM) and its scientific study. Compiled by an expert editorial team, it is an essential guide to the vast and ever-growing international literature on TCIM. Contributions come from practitioners and academics drawn from a diverse range of disciplines and professions across the globe. From perspectives on the significance of TCIM within public health policy to discourses on its influence in fields such as psychiatry and sociology, discrete chapters come together to provide an international map of the contemporary research, key debates and core issues which shape the field. Carefully structured to ensure easy navigation, the reader is divided into three parts: - Part A focuses on the consumption of TCIM, including chapters on its use through the life-cycle and within the context of disease and health management - Part B covers considerations for practitioners across the world, taking in issues over ethics, communication and education - Part C features chapters on the role of evidence, research and knowledge production in TCIM and looks at what lies ahead for the field With its thought-provoking insights and suggestions for further reading, this comprehensive resource provides guidance and inspiration for anyone embarking on study, practice or research within health, nursing or medicine.