Blending the boundaries: Steps toward an integration of complementary and alternative medicine into mainstream practice
Blending the boundaries: Steps toward an integration of complementary and alternative medicine into mainstream practice
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DOI：
10.1089/10755530260511892
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发表时间：
2002-12-01
影响因子：
2.6
通讯作者：
Huff, L
中科院分区：
文献类型：
--
作者：
Giordano, J;Boatwright, D;Huff, L
补充和替代医学（CAM）在传统的对抗疗法中越来越受欢迎。文献综述和信息搜索进行，以确定在需求和CAM在美国的可用性的趋势。主要调查的结果表明，在美国CAM的使用有增加。使用CAM的最佳预测因素是较高的教育水平。此外，调查结果显示，CAM领域的研究很少。CAM疗法的许多研究存在缺陷，例如统计功效不足、对照差、治疗不一致和缺乏比较。美国国立卫生研究院国家补充和替代医学中心已宣布其首要战略优先事项是投资研究。目前，有70多所医学院提供替代医学的培训，尽管课程指南很少，CAM课程的内容、形式和要求也有相当大的差异。随着患者获得更多信息，他们的需求和价值观也发生了变化。他们更多地参与整体医疗保健，并采取更自然和全面的方法来实现福祉。卫生保健从业人员，无论是对抗疗法还是替代疗法，都必须充分了解情况。有必要使CAM研究成为高度优先事项。有效和可靠的经验数据必须记录CAM实践的临床疗效和安全性。为了将辅助和管理纳入主流，所有有关实体必须协调努力。医生需要熟悉成熟的CAM疗法，以便向患者提供有关这些方法及其潜在益处和局限性的建议。CAM从业者应获得许可，并在实践范围内进行监管，以提供高标准的护理，并在传统医学方面接受充分的教育，以认识到他们各自的补充实践如何，在哪里以及为什么对整合最有效。
Complementary and alternative medicine (CAM) is growing in popularity among patients traditionally seen in an allopathic setting. A literature review and information search was conducted to determine the trend in demand for and the availability of CAM in the United States.The results of major surveys show that there is an increase in the use of CAM in the United States. The best predictor of CAM use is higher level of education. In addition, findings reveal that the field of CAM is poorly researched. Many studies in CAM therapies have flaws, such as insufficient statistical power, poor controls, inconsistent treatment, and lack of comparisons. The National Center for Complementary and Alternative Medicine of the National Institutes of Health, has declared their top strategic priority to be investing in research. Currently, more than 70 medical schools offer some type of training in alternative medicine, although there are few guidelines for curriculum and there is considerable heterogeneity in content, format, and requirements among CAM courses.As patients have greater access to information, their needs and values change. They become more involved in their overall health care and are taking a more natural and holistic approach to achieving well-being. Health care practitioners, both allopathic and alternative, must be well informed. There is an imperative to make CAM research a high priority. Valid and reliable empirical data must document the clinical efficacy and safety of CAM practices. In order to integrate CAM into the mainstream, there must be a coordinated effort among all the entities involved. Physicians need to be familiar with proven CAM therapies in order to advise patients about these modalities and the potential benefits and limitations. CAM practitioners should be licensed and regulated in scope of practice to provide a high standard of care, and be sufficiently educated in conventional medical science(s) in order to recognize how, where, and why their respective complementary practice is most effective for integration.