Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

Integrative medicine: a tale of two clinics.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • المؤلفون: Boon HS;Boon HS; Kachan N
  • المصدر:
    BMC complementary and alternative medicine [BMC Complement Altern Med] 2008 Jun 18; Vol. 8, pp. 32. Date of Electronic Publication: 2008 Jun 18.
  • نوع النشر :
    Journal Article; Research Support, Non-U.S. Gov't
  • اللغة:
    English
  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101088661 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6882 (Electronic) Linking ISSN: 14726882 NLM ISO Abbreviation: BMC Complement Altern Med Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: London : BioMed Central, [2001-2019]
    • الموضوع:
      Program Development*; Clinical Medicine/*organization & administration ; Complementary Therapies/*organization & administration ; Delivery of Health Care, Integrated/*methods ; Delivery of Health Care, Integrated/*organization & administration ; Outpatient Clinics, Hospital/*organization & administration; Clinical Medicine/methods ; Clinical Medicine/trends ; Complementary Therapies/methods ; Complementary Therapies/trends ; Delivery of Health Care, Integrated/trends ; Evidence-Based Medicine/methods ; Evidence-Based Medicine/trends ; Forecasting ; Humans ; Ontario ; Sensitivity and Specificity
    • نبذة مختصرة :
      Background: Integrative medicine (blending the best of complementary and alternative medicine (CAM) with conventional medicine) is becoming increasingly popular.
      Objectives: The objectives of this paper are to compare and contrast the development of two teams that set out to establish integrative medical clinics, highlighting key issues found to be common to both settings, and to identify factors that appear to be necessary for integration to occur.
      Methods: At St Michael's Hospital (an inner-city teaching hospital in Toronto, Canada), a total of 42 interviews were conducted between February 2004 and August 2006 wi18 key participants (4 administrators, 2 chiropractors, 2 physiotherapists and 10 family physicians). At the CARE (Complementary and Alternative Research and Education) Program at Stollery Children's Hospital, Edmonton, Canada, 44 interviews were conducted with 24 people on four occasions: June 2004, March 2005, November 2006, and June 2007. Basic content analysis was used to identify the key themes from the transcribed interviews.
      Results: Despite the contextual differences between the two programs, a striking number of similar themes emerged from the data. The five most important shared themes were: 1) the necessity of "champions" and institutional facilitators to conceive of, advocate for, and bring the programs to fruition; 2) the credibility of these champions and facilitators (and the credibility of the program being established) was key to the acceptance and growth of the program in each setting; 3) the ability to find the "right" practitioners and staff to establish the integrative team was crucial to each program's ultimate success; 4) the importance of trust (both the trustworthiness of the developing program as well as the trust that developed between the practitioners in the integrative team); and 5) the challenge of finding physical space to house the programs.
      Conclusion: The programs were ultimately successful because of the credibility of the champions, institutional facilitators and the staff members. Selection of excellent clinicians who were able to work well as a team facilitated the establishment of trust both within the team itself as well as between the team and the host institution.
    • References:
      Qual Health Res. 1993 Feb;3(1):112-21. (PMID: 8457790)
      BMC Health Serv Res. 2005 Dec 20;5:78. (PMID: 16368000)
      BMC Health Serv Res. 2004 Jul 01;4(1):15. (PMID: 15230977)
      J Manipulative Physiol Ther. 2007 Oct;30(8):558-65. (PMID: 17996546)
      Soc Sci Med. 2006 Feb;62(3):731-44. (PMID: 16033703)
      Soc Sci Med. 2006 Nov;63(10):2617-27. (PMID: 16926065)
      Soc Sci Med. 2002 Nov;55(10):1745-55. (PMID: 12383459)
      Altern Ther Health Med. 2004 Sep-Oct;10(5):48-56. (PMID: 15478786)
      Complement Ther Clin Pract. 2006 Nov;12(4):249-57. (PMID: 17030296)
      Sociol Health Illn. 2005 Jan;27(1):20-43. (PMID: 15762950)
      Isr Med Assoc J. 2007 Mar;9(3):169-70. (PMID: 17402328)
      BMC Complement Altern Med. 2006 Mar 01;6:5. (PMID: 16509963)
      BMC Complement Altern Med. 2007 Feb 09;7:5. (PMID: 17291340)
      Qual Health Res. 2004 May;14(5):675-90. (PMID: 15107170)
      Altern Ther Health Med. 2006 Mar-Apr;12(2):14-5. (PMID: 16541992)
      Science. 2005 Jan 14;307(5707):194. (PMID: 15653477)
      J Altern Complement Med. 2003 Aug;9(4):585-92. (PMID: 14499036)
      Paediatr Child Health. 2002 Feb;7(2):85-104. (PMID: 20046278)
      Soc Sci Med. 2006 Jun;62(12):2973-87. (PMID: 16414164)
    • الموضوع:
      Date Created: 20080620 Date Completed: 20080724 Latest Revision: 20211020
    • الموضوع:
      20231215
    • الرقم المعرف:
      PMC2443104
    • الرقم المعرف:
      10.1186/1472-6882-8-32
    • الرقم المعرف:
      18564418