Legal and Social Barriers to Alternative Therapies

描述(由申请人提供)： 这个应用程序的目的是准备一个学术的，书籍长度的 批判性地评价互补和融合的手稿 将替代医疗(“CAM”)疗法纳入传统医疗环境 美国。实证研究的重点是研究至少15个和 多达30个成熟的综合性医疗保健中心，其中大多数 以医院为基础或附属于学术医疗中心。这本书将 提供对这些综合性医疗保健中心如何 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，帮助医疗保健提供者和 机构：(1)为持证人员制定认证标准和程序 凸轮从业者(例如脊医、针灸医生和按摩治疗师) 谁可以作为综合卫生保健中的临床团队的成员 环境；(2)制定适当的政策和程序，尽量减少 综合保健实践中的医疗事故责任风险；(3)发展 关于药房和治疗委员会做法的指导方针，因为它们 与使用或避免使用草药产品和其他饮食有关 补充；以及(4)了解机构、政治和社会 发展综合保健中心的支持结构，其作用 市场力量，以及科学和医学知识对 负责任地提供综合保健服务。我们的方法包括：(A) 关于所涉战略和障碍的现有文献的批判性审查 在打造综合保健模式方面，(B)约谈#年的主要人员 关于观点和政策的选定的综合保健中心 关于认证、责任和膳食补充剂，以及(C)面谈 与这些领导人讨论他们的实践的发展和 他们遇到的问题。这样的研究旨在填补当前的一项空白 通过收集医疗保健文献所需的那种信息 开发、维持或批判性地评估循证临床 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.