Integrative medicine and systemic outcomes research - Issues in the emergence of a new model for primary health care
Integrative medicine and systemic outcomes research - Issues in the emergence of a new model for primary health care
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DOI：
10.1001/archinte.162.2.133
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发表时间：
2002-01-28
影响因子：
--
通讯作者：
Weil, A
中科院分区：
文献类型：
--
作者：
Bell, IR;Caspi, O;Weil, A
临床医生和研究人员越来越多地使用术语整合医学来指补充和替代医学（CAM）与传统生物医学的融合。然而，组合药物（CAM添加到常规药物）不是整合的。中西医结合是一个更高层次的护理系统，强调整个人的健康和康复（生物-心理-社会-精神层面）作为主要目标，在支持和有效的医患关系的背景下借鉴传统和CAM方法。使用整合医学的背景下，本文概述了复杂系统理论的相关性作为一种方法，以健康结果的研究。在这种观点中，健康是人作为一个复杂的生命系统的一种紧急属性。在这种概念化中，整体可能表现出其单独部分所不具备的特性。因此，与生物医学研究不同，生物医学研究通常检查医疗保健的一部分和个人的一部分，一次一个，但不是完整的系统，综合结果研究倡导整体的研究。整个系统包括患者与提供者的关系，多种常规和CAM治疗，以及作为干预的护理哲学背景。系统性结果包括整个人内部同时发生的互动变化。
Clinicians and researchers are increasingly using the term integrative medicine to refer to the merging of complementary and alternative medicine (CAM) with conventional biomedicine. However, combination medicine (CAM added to conventional) is not integrative. Integrative medicine represents a higher-order system of systems of care that emphasizes wellness and healing of the entire person (bio-psycho-socio-spiritual dimensions) as primary goals, drawing on both conventional and CAM approaches in the context of a supportive and effective physician-patient relationship. Using the context of integrative medicine, this article outlines the relevance of complex systems theory as an approach to health outcomes research. In this view, health is an emergent property of the person as a complex living system. Within this conceptualization, the whole may exhibit properties that its separate parts do not possess. Thus, unlike biomedical research that typically examines parts of health care and parts of the individual, one at a time, but not the complete system, integrative outcomes research advocates the study of the whole. The whole system includes the patient-provider relationship, multiple conventional and CAM treatments, and the philosophical context of care as the intervention. The systemic outcomes encompass the simultaneous, interactive changes within the whole person.