Legal and Social Barriers to Alternative Therapies

描述（由申请人提供）： 此应用程序的目的是准备一个学术，书的长度 手稿，批判性地评估了互补和 替代医学（“CAM”）疗法引入到传统的医疗环境中， 美国的实证的重点是研究至少15个， 多达30个已建立的综合保健中心，其中大多数 都是以医院为基础或附属于学术医疗中心。这本书将 提出了一个学术分析，这些综合保健中心如何 承担了将CAM疗法整合到传统护理中的挑战。 我们的具体目标是提供信息，以帮助医疗保健提供者， 机构：（1）制定许可证颁发标准和程序 CAM从业人员（例如，脊医、针灸师及按摩治疗师） 他们可以作为综合医疗保健中的临床团队成员， （2）制定适当的政策和程序，以尽量减少 综合医疗实践中的医疗事故责任风险;（3）制定 关于药学和治疗学委员会实践的指导方针，因为它们 涉及使用或避免草药产品和其他饮食 补充;（4）了解体制，政治和社会 发展综合医疗保健中心的支持结构、角色 市场力量，以及科学和医学知识对 负责任地提供综合保健。我们的方法包括：（a） 对有关战略和障碍的现有文献进行批判性审查 （B）在建立综合护理模式方面， 选定的综合卫生保健中心的意见和政策， 关于资格认证、责任和膳食补充剂，以及（c）面试 与这些领导人关于他们的做法和发展， 他们遇到的问题。这样的研究旨在填补目前的空白， 通过收集所需的信息， 开发、维持或批判性地评估基于证据的临床 在传统医疗环境中整合CAM疗法。

DESCRIPTION (provided by applicant): The purpose of this application is to prepare a scholarly, book-length manuscript that critically evaluates the integration of complementary and alternative medical ("CAM") therapies into conventional medical settings in the United States. The empirical focus is on studying a minimum of fifteen and as many as thirty established, integrative health care centers, most of which are hospital-based or affiliated with academic medical centers. The book will present a scholarly analysis of how these integrative health care centers have undertaken the challenge of integrating CAM therapies into conventional care. Our specific aims are to provide information to help health care providers and institutions: (1) develop credentialing standards and procedures for licensed CAM practitioners (e.g., chiropractors, acupuncturists and massage therapists) who may serve as members of a clinical team within an integrative health care setting; (2) develop appropriate policies and procedures to minimize malpractice liability risk in integrative health care practices; (3) develop guidelines regarding pharmacy and therapeutics committee practices, as they relate to the use or avoidance of herbal products and other dietary supplements; and (4) understand the institutional, political and social support structure that develops integrative health care centers, the role of market forces, and the importance of scientific and medical knowledge for the responsible delivery of integrative health care. Our methods include: (a) a critical review of the existing literature on strategies and barriers involved in forging models of integrative care, (b) interviews with key personnel in the selected, integrated health care centers regarding views and policies about credentialing, liability, and dietary supplements, and (c) interviews with such leaders regarding the development of their practices and the problems they have encountered. Such a study aims to fill a gap in the current health care literature by collecting the kind of information needed to develop, sustain, or critically evaluate the evidence-based clinical integration of CAM therapies in conventional medical settings.