Conference on Complementary and Alternative Medicine

基于证据的补充和替代医学（CAM）正在被越来越多地使用，并被认为对许多美国人的健康很重要，但它在临终关怀和服务不足的少数群体中被大大低估了。提议的会议的目的是汇集专家在临终关怀，CAM，和医疗保健差距：1)全面评估如何CAM方法可以完全纳入传统的临终关怀；2)提出有效的方法为服务不足和少数群体提供这些服务，3)制定临床研究的研究议程。本次会议关于辅助辅助医学、临终关怀和健康差异的目标是：1)确定当前辅助辅助医学在传统临终关怀中的应用和实践。2)确定服务不足/少数群体的差异，并提出消除差异的步骤。3)介绍和评价目前关于辅助生殖干预措施安全性和有效性的研究。4)确定适合评估辅助农业干预措施有效性的结果指标。5)检查使用CAM改善姑息治疗和安宁疗护病人生活品质的证据。6)强调将CAM纳入临终关怀的法律、后勤和专业障碍。7)制定一项议程，指导未来对当前和新型CAM临终关怀方法的研究，并在全国范围内向相关医疗保健和研究机构传播。8)确定资源和策略，以迅速实施经适当设计、仔细控制的临床研究证明有效的传统临终关怀辅助治疗方法。组委会成员来自亨利福特健康系统、密歇根大学、韦恩州立大学、奥克兰大学和东密歇根大学等知名机构。该委员会在临终关怀和CAM以及医疗保健差异方面具有临床研究专长。组织者的总体目标是举办前几届大型年度会议（今年预计有300名与会者），以提高全国对创造最有效、最富有同情心的综合临终关怀重要性的认识。这种综合护理将把传统医学的最佳实践与那些被证明有效的辅助生殖医学疗法结合起来。随着综合医学的诞生，传统护理和辅助医学之间的医学区别将不复存在，现有的最佳干预措施将使所有人在生命的最后时刻都能享有尊严与安宁。

Evidence-based complementary and alternative medicine (CAM) is being increasingly used and considered important for the health of many Americans, yet it is vastly underutilized for end-of-life care and for underserved and minority populations. The purpose of the proposed conference is to bring together experts in end-of-life care, CAM, and healthcare disparities to: 1) comprehensively evaluate how CAM approaches can be incorporated fully into conventional end-of-life care; 2) propose effective approaches for delivering these services to underserved and minority populations, and 3) develop a research agenda for clinical studies. The conference objectives regarding CAM, end-of-life care, and health disparities are to: 1) Identify current CAM utilization and practice in conventional end-of-life care. 2) Identify disparities in underserved/minority populations and propose steps to eliminate disparities. 3) Present and evaluate current research on the safety and efficacy of CAM interventions. 4) Identify outcome measures suitable for assessing the effectiveness of CAM interventions. 5) Examine evidence for improving quality of life for palliative care and hospice patients utilizing CAM. 6) Highlight the legal, logistical and professional barriers to incorporating CAM in end-of-life care. 7) Establish an agenda for guiding future research on current and novel CAM approaches for end-of-life care and disseminate this nationally to relevant healthcare and research institutions. 8) Identify resources and strategies for rapidly implementing into conventional end-of-life care CAM approaches proven to be effective by appropriately designed, carefully controlled clinical studies. Members of the organizing committee are from notable institutions including Henry Ford Health System, University of Michigan, Wayne State University, Oakland University, and Eastern Michigan University. The committee has clinical research expertise in end-of-life care and CAM, as well as in healthcare disparities. The overall goal of the organizers is to hold the first several large annual conferences (300 attendees expected this year) that will raise national awareness for the importance of creating the most effective and compassionate integrative end-of-life care. This integrative care will incorporate the best practices of conventional medicine with those CAM therapies that are proven effective. As integrative medicine is created, there will be no distinction in medicine between conventional care and CAM, and the best available interventions will allow for dignity and peace for all people at the end of life.