Please use this identifier to cite or link to this item: http://dl.pgu.ac.ir/handle/2123/16874
Title: Model of Integrative Medicine: How Complementary and Alternative Medicine Has Been Integrated into Conventional Cancer Care
Keywords: integrative medicine;complementary and alternative medicine;CAM;supportive care services;integrative medicine model;intergrative oncology
Publisher: University of Sydney;Sydney Medical School
Description: An emerging trend in health care is the increased use of complementary and alternative medicine (CAM) by consumers. This has led to the integration of CAM services into conventional hospital settings, which is often called integrative medicine (IM). This is most commonly seen for the management of cancer-related symptoms and side effects. This study sets out to understand different approaches to IM models of care through a comprehensive assessment of what is known about IM, evaluation of how IM operates in a number of major centres, and a comparison between the main models across three countries. Our scoping review identified five main models of IM that could be categorised into three systems (independent, dependent, and integrative). These differing models and systems depict a range of philosophical, theoretical, and practical considerations in the execution of IM models of care; moving from a focus on providers to a focus on patient centred care. The insights developed in our review were then applied to investigate the structure of IM centres and to explore the experiences of senior stakeholders of IM centres in three Western countries - the USA, Germany, and Australia. Centres in the USA and Germany were identified from their prominence in the literature, while Australian centres were identified as part of a scoping exercise that determined the proportion of cancer hospitals providing supportive care and CAM services. A mixed methods approach that incorporated survey and interview data was used to explore the IM models in operation. All of the IM centres emphasised the need for collaboration and engagement between all stakeholders. The German and USA centres retained a strong emphasis on physician-focused care while Australian centres demonstrated a greater focus on patient-centred care. The patient-centred care model requires recognition of the need to personalise medical care, including CAM, for the individual, and the requirement for more collaboration between disciplines, within teams and between staff and patients. Patient-centred care appears to represent the future direction of health care services. An organisational assessment tool was developed based on the results of this study to determine the level of integration of individual IM centres. The tool was applied to Australian IM centres. The majority of the Australian centres were evaluated as level 3 of collaboration, which indicates that in these centres CAM is integrated into the hospital system, but that the expansion of the CAM program is controlled by the hospital. The organisational assessment tool provides a means of assessing where a service sits on this matrix and could be used to plan service development. IM healthcare is complex and requires an understanding of the contextual and philosophical background of both conventional medicine and CAM in order to identify and address key barriers from both medical paradigms. Collaboration and engagement between all stakeholders is essential to meet the demands of patients seeking IM care, and to provide safe patient-centred care.;Access is restricted to staff and students of the University of Sydney . UniKey credentials are required. Non university access may be obtained by visiting the University of Sydney Library.
URI: http://dl.pgu.ac.ir/handle/2123/16874
Other Identifiers: http://hdl.handle.net/2123/16874
Type Of Material: OTHER
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Appears in Collections:Postgraduate Theses

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