Complementary, alternative, integrative, or unconventional medicine?
Complementary, alternative, integrative, or unconventional medicine?
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DOI：
10.1634/theoncologist.6-5-463
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发表时间：
2001-01-01
期刊：
影响因子：
5.8
通讯作者：
Lynch, TJ
中科院分区：
文献类型：
--
作者：
Penson, RT;Castro, CM;Lynch, TJ
1995年去世前不久，肯尼斯B。施瓦茨是马萨诸塞州总医院（MGH）的一名癌症患者，他创立了肯尼斯B。施瓦茨中心。施瓦茨中心是一个非营利组织，致力于支持和推进富有同情心的医疗保健服务，为患者提供希望，为护理人员提供支持，并为愈合过程提供支持。该中心赞助施瓦茨中心圆桌会议，这是一个每月一次的多学科论坛，在这里，护理人员反思病人、家属和护理人员所面临的重要心理社会问题，并获得同事的洞察力和支持。在过去十年中，对补充和替代医学（CAM）的兴趣呈指数级增长，这是由互联网营销、对主流医学的不满、以及患者积极参与医疗保健的愿望。医生估计和报告的CAM使用流行率之间存在很大的不一致性。许多患者不透露他们的做法，主要是因为他们认为CAM福尔斯落在常规医学的范围之外，或者因为医生没有问。对药物相互作用和不良反应的担忧因缺乏食品和药物管理局的监管而加剧。医生需要了解CAM，并适应患者的心理需求。
Shortly before his death in 1995, Kenneth B. Schwartz, a cancer patient at Massachusetts General Hospital (MGH), founded the Kenneth B. Schwartz Center. The Schwartz Center is a non-profit organization dedicated to supporting and advancing compassionate health care delivery, which provides hope to the patient, support to caregivers, and sustenance to the healing process. The center sponsors the Schwartz Center Rounds, a monthly multidisciplinary forum where caregivers reflect on important psychosocial issues faced by patients, their families, and their caregivers, and gain insight and support from fellow staff members.Interest in complementary and alternative medicine (CAM) has grown exponentially in the past decade, fueled by Internet marketing, dissatisfaction with mainstream medicine, and a desire for patients to be actively involved in their health care. There is a large discordance between physician estimates and reported prevalence of CAM use. Many patients do not disclose their practices mainly because they believe CAM falls outside the rubric of conventional medicine or because physicians do not ask. Concern about drug interactions and adverse effects are compounded by a lack of Food and Drug Administration regulation. Physicians need to be informed about CAM and be attuned to the psychosocial needs of patients.