what is the extent of integration of cam and conventional medicine? the process will evolve further, and as the nation looks forward to a health care system in which conventional practice and cam coexist in close harmony, these processes will apply to new tests and treatments from both the traditions of practice. given these caveats, a more in-depth exploration of the conceptual model for translation from idea to practice is provided below. coverage policy is important to the adoption of new tests and treatments, although many patients pay out of pocket for cam services that payers do not cover. this conceptual model of how new ideas for interventions move into practice also applies to the integration of cam and conventional medical therapies, in which many cam therapies that are new to conventional medicine are being accepted by conventional medical practicioners or integrated into conventional practices. the center defines integrated therapies as “individual treatments that are used in addition to (or as a complement to) traditional cancer treatment such as chemotherapy and radiation” (dana-farber cancer institute, 2004). another survey by berman and colleagues (1998) found that almost 20 percent of the physicians had used in their practice 9 of the therapies listed in table 7-2 and that one-third or more were open to using 17 of them. (2003) evaluated nurses’ attitudes toward cam use in critical care and found that nurses are open to the use of cam therapies, with many already incorporating cam therapies into their own practices. it should be noted that not all cam practitioners are convinced that insurance coverage is positive for the future practice of complementary and alternative medicine.
some restrict the definition of “best care” to those therapies found in conventional medicine; however, the growing body of evidence demonstrating that some cam therapies are safe and effective is likely to be a factor contributing to the increased use of cam by both health care practitioners and health care institutions. … the difference corresponds roughly to the tradeoff in medical ethics between autonomy and paternalism.” integrative medicine may also be a response to the growing recognition of health professionals that many factors contribute to the health of individuals and the public. as discussed earlier in this chapter, the level of integration of conventional and cam therapies is growing. when a patient is referred to a cam provider, it is important for the conventional medical practitioners to inquire about the provider’s training, practice experience, scope of practice, and history of malpractice litigation or professional discipline. there are several approaches to the integration of cam and conventional medicine. the advantage of this model is that revenues are generated from both the cam practice and the primary-care medical practice. services are provided under one roof, and the team collaborates in the planning and provision of care. when the effectiveness of cam and conventional medical treatments is studied, it is unlikely that the results will show that all treatments in one modality are effective and that all treatments in the other are ineffective. to the extent that evidence indicates that models of health care that integrate cam and conventional therapies (e.g., integrative medicine clinics) offer patients benefits, more research on these benefits would be useful. note: the dotted lines between the different levels of the model denote interaction effects between and among the various levels of health determinants (worthman, 1999).
people seeking treatment for a range of mental health concerns may find some complementary or alternative treatment approaches to be helpful when these treatments are undertaken with the knowledge and support of a mental or medical health professional. “integrative medicine,” a term recently adopted by a number of government and educational organizations, is intended to emphasize the use of multiple therapy and treatment approaches in the achievement of optimal mind-body wellness and health, rather than suggest alternative approaches be used in the place of conventional medical treatments. some have little evidence of benefit and may have the potential to harm.
discussing the use of these supplements is considered by medical professionals to be as important as disclosing the use of prescribed medications and other mind/body-altering substances. mindfulness training, for example, was introduced as a practice outside of the realm of psychotherapy and has been shown to be effective in the treatment of several mental health issues. acupuncture, a form of traditional alternative medicine, may benefit in the treatment of chronic pain, according to research. further, due to the nature of cam, the placebo effect that often negates efficacy in traditional research studies may be viewed as a self-healing procedure and thus provide evidence that a cam therapy is effective.
types of therapies used in complementary and alternative medicine (cam) in cancer care, such as mind-body methods like meditation and yoga, cam medical group embodies a rebirth of primary and preventive health care. the physicians and staff strive to practice medicine with an approach that is many different areas make up the practice of complementary and alternative medicine (cam). in addition, many parts of one field may overlap with the parts, complementary and alternative therapies, complementary and alternative therapies, complementary medicine, complementary vs alternative medicine, alternative medicine.
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