scholarly journals Integrative Oncology: Best of Both Worlds—Theoretical, Practical, and Research Issues

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Holger Cramer ◽  
Lorenzo Cohen ◽  
Gustav Dobos ◽  
Claudia M. Witt
Keyword(s):  
Complementary Medicine ◽  
Health Care Professionals ◽  
Complementary Therapies ◽  
The United States ◽  
Cancer Center ◽  
Integrative Oncology ◽  
Patient Centered ◽  
Research Issues ◽  
Medicine Research ◽  
Evidenced Based

More and more cancer patients use complementary therapies. As the majority of patients do not disclose their use of complementary therapies to their oncologists, they expose themselves to possible detrimental effects from the therapies due to drug interactions. To meet the needs of patients and health care professionals on valid information on complementary therapies, the collaborative research project “Competence Network Complementary Medicine in Oncology—KOKON”, an interdisciplinary network for complementary medicine research in oncology, was established. Moreover, Integrative Oncology, a combination of conventional and evidenced-based complementary therapies delivered using a comprehensive approach, is now increasingly used in the United States and Europe. A variety of different Integrative Oncology models have been established worldwide including an expert-based model at the Kliniken Essen-Mitte, Essen, Germany and a patient-centered, evidenced-based approach at The University of Texas MD Anderson Cancer Center. Both models are briefly reviewed. More research is needed and Comparative Effectiveness Research that places strong emphasis on the comparison of different treatment options in usual care settings by including more heterogeneous patients, using less standardized treatment protocols, and measuring patient-centered outcomes would provide useful information for decision-making. To improve the quality of care and research in Integrative Oncology, sustainable financial models for Integrative Oncology and more funding for research are needed.

scholarly journals An Analysis of Methodologies That Can Be Used to Validate if a Perioperative Surgical Home Improves the Patient-centeredness, Evidence-based Practice, Quality, Safety, and Value of Patient Care

2013 ◽  
Vol 119 (6) ◽  
pp. 1261-1274 ◽  
Author(s):  
Thomas R. Vetter ◽  
Nataliya V. Ivankova ◽  
Lee A. Goeddel ◽  
Gerald McGwin ◽  
Jean-Francois Pittet
Keyword(s):  
Perioperative Care ◽  
Healthcare Delivery ◽  
Standard Of Care ◽  
The United States ◽  
Surgical Patients ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Perioperative Surgical Home ◽  
Future Demands ◽  
Evidenced Based

Abstract Approximately 80 million inpatient and outpatient surgeries are performed annually in the United States. Widely variable and fragmented perioperative care exposes these surgical patients to lapses in expected standard of care, increases the chance for operational mistakes and accidents, results in unnecessary and potentially detrimental care, needlessly drives up costs, and adversely affects the patient healthcare experience. The American Society of Anesthesiologists and other stakeholders have proposed a more comprehensive model of perioperative care, the Perioperative Surgical Home (PSH), to improve current care of surgical patients and to meet the future demands of increased volume, quality standards, and patient-centered care. To justify implementation of this new healthcare delivery model to surgical colleagues, administrators, and patients and maintain the integrity of evidenced-based practice, the nascent PSH model must be rigorously evaluated. This special article proposes comparative effectiveness research aims or objectives and an optimal study design for the novel PSH model.

scholarly journals A Brief Survey on Six Basic and Reduced eHealth Indicators in Seven Countries in 2017

2018 ◽  
Vol 09 (03) ◽  
pp. 704-713 ◽  
Author(s):  
Reinhold Haux ◽  
Elske Ammenwerth ◽  
Sabine Koch ◽  
Christoph Lehmann ◽  
Hyeoun-Ae Park ◽  
...  
Keyword(s):  
Health Care ◽  
Information Processing ◽  
Health Care Professionals ◽  
The United States ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Political Will ◽  
Record Data ◽  
Centered Care ◽  
Future Work

Background Holistic, ubiquitous support of patient-centered health care (eHealth) at all health care institutions and in patients' homes through information processing is increasingly supplementing institution-centered care. While eHealth indicators may measure the transition from institution-centered (e.g., hospital-centered) information processing to patient-centered information processing, collecting relevant and timely data for such indicators has been difficult. Objectives This article aims to design some basic eHealth indicators, which are easily collected and measure how well information processing supports holistic patient-centered health care, and to evaluate penetrance of patient-centered health as measured by the indicators internationally via an expert survey. Methods We identified six basic indicators that measure access of health care professionals, patients, and caregivers to the patient's health record data and the ability of providers, patients, and caregivers to add information in the patient's record. In a survey of international informatics experts, these indicators' penetrance were evaluated for Austria, Finland, Germany, Hong Kong, South Korea, Sweden, and the United States in the summer of 2017. Results The eHealth status measured by the indicators varied significantly between these seven countries. In Finland, most practices measured by the indicators were fully implemented whereas in Germany only one practice was partially realized. Conclusion Progress in the implementation of practices that support patient-centered care could mainly be observed in those countries where the “political will” focused on achieving patient-centered care as opposed to an emphasis on institution-centered care. The six eHealth indicators seem to be useful for measuring national progress in patient-centered care. Future work will extend the number of countries analyzed.

scholarly journals Prevalence and Predictors for Nonuse of Complementary Medicine among Breast and Gynecological Cancer Patients

Breast Care ◽  
2019 ◽  
Vol 15 (4) ◽  
pp. 380-385
Author(s):  
Daniela Paepke ◽  
Clea Wiedeck ◽  
Alexander Hapfelmeier ◽  
Kristina Karmazin ◽  
Marion Kiechle ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Cancer Patients ◽  
Complementary Medicine ◽  
Health Care Professionals ◽  
Gynecological Cancer ◽  
Cancer Center ◽  
Breast Cancer Patients ◽  
Gynecology And Obstetrics ◽  
Cam Use

Background: Complementary and alternative medicine (CAM) use is common among cancer patients. Data indicated that CAM use correlates with younger age, higher education levels, higher income, and less physician consultations. However, non-CAM use and predictors for non-CAM use are less clear among breast and gynecological cancer patients. Objectives: The purpose of this study was to determine the prevalence of non-CAM use and to investigate factors that might influence non-CAM use. Methods: The survey was conducted in breast cancer patients from January to May 2013 and in gynecological cancer patients from January to May 2014 with 2 pseudoanonymous questionnaires: one for CAM users (109 questions) and one for non-CAM users (85 questions). The survey was conducted via a telephone interview with 333 patients. Eligible participants were women with breast cancer (n = 285) and gynecological cancer (n = 291) who had undergone surgery at the Department of Gynecology and Obstetrics at the Technical University Munich, Germany, in the years 2012 (breast cancer) and 2011–2013 (gynecological cancer). Descriptive statistics were generated to determine patterns of non-CAM use. Univariable analysis was used to detect patient characteristics associated with noninterest in the different CAM therapies. Results: A total of 333 of 576 patients participated in the survey (58%). Fifty-eight percent (n = 192/333) were diagnosed with breast cancer and 42% (n = 141/333) with gynecological cancer. The overall prevalence of non-CAM use was 42% (n = 139/333). Eighty-one percent (n = 112/139) of the non-CAM users stated to have received no recommendation for CAM use, although 53% (n = 73/139) would have liked to receive information from their physician. As reasons for the nonuse of CAM therapies, 76% (n = 106/139) nonusers declared that they did not believe CAM use was necessary since the conventional therapy was considered sufficient, 44% (n = 61/139) reported a lack of information, 31% (n = 43/139) a fear of fraud, and 22% (n = 31/139) a fear of interactions and side effects of CAM. Sixty-eight percent (n = 95/139) of the patients stated that they would resort to CAM if the disease progressed while only 27% (n = 37/139) would still not use any CAM with progression of disease. Five percent (7/139) did not give any information regarding possible future CAM use with disease progression. Seventy-three percent (n = 102/139) would both welcome more physicians with qualifications in complementary medicine and supported an integration of CAM into our health care system. Furthermore, statistically significant correlations between patients’ sociodemographic characteristics and their nonuse of complementary therapies were identified. Conclusions: Our data demonstrate a high overall interest in CAM even in non-CAM users. Health care professionals should be aware of this in order to be able to better address patients’ needs. It is necessary to explore the use of CAM with cancer patients, educate them about potentially beneficial therapies even in the light of the limited available evidence, and work towards an integrated model of health care. Therefore, we implemented a counseling service as an outpatient program (ZIGG) for integrative medicine concepts and evidence-based complementary treatments to discuss integrative health approaches proactively with cancer patients in our cancer center in 2013.

Bibliometric Analysis of Integrative Medicine Studies from 2000 to 2019

2021 ◽  
pp. 1-13
Author(s):  
Bo-Young Youn ◽  
Hyun Jong Song ◽  
Keeyoung Yang ◽  
Chunhoo Cheon ◽  
Youme Ko ◽  
...  
Keyword(s):  
Patient Care ◽  
Integrative Medicine ◽  
Healthcare Providers ◽  
Well Being ◽  
The United States ◽  
Patient Centered ◽  
Medicine Research ◽  
Number Of Patients ◽  
Centered Care ◽  
Complementary And Alternative

Integrative medicine has become a vital component of patient care. It provides patient-centered care that is focused on prevention and overall well-being. As there has been a growing number of patients favoring a blend of conventional, complementary and alternative approaches, integrative medicine has exceeded beyond the evaluation of complementary therapies. However, it is noteworthy that there has been a dilemma of providing substantial evidence supporting the efficacy of some complementary and alternative therapies. This study’s goals were to analyze publication trends, most productive journals, most productive funding agencies, most productive authors, most relevant keywords, and countries in the field of integrative medicine research. Additionally, science mapping included country collaboration analysis and thematic evolution analysis. The findings from this study showed a constant rise in annual growth of publications from 2000 to 2019; the United States was dominant in various analysis categories. In conclusion, a comprehensive review of the evolution of research of integrative medicine will help healthcare providers understand an overview of the present status while encouraging more evidence-based research for the betterment of integrative patient care.

Critical Review of Complementary Therapies for Prostate Cancer

2003 ◽  
Vol 21 (11) ◽  
pp. 2199-2210 ◽  
Author(s):  
Simon Wilkinson ◽  
Gerald W. Chodak
Keyword(s):  
Prostate Cancer ◽  
Health Care Professionals ◽  
Critical Review ◽  
Complementary Therapies ◽  
Treatment Strategies ◽  
Complementary Therapy ◽  
The United States ◽  
Sufficient Evidence ◽  
Current Evidence ◽  
Prostate Cancer Prevention

Despite its prominence as the most frequently diagnosed solid tumor among men in the United States, relatively little is known about the etiology of prostate cancer. Furthermore, research into treatment strategies for prostate cancer continues to lag behind research for the other most common cancers. At the same time, however, the popularity of complementary therapies among prostate cancer patients continues to grow. In this article, we provide a critical review of the most recent evidence for dietary modifications, food supplements, and herbs in prostate cancer prevention and treatment. Despite encouraging data for some of these interventions, even the strongest proponents of complementary therapy agree that only randomized controlled trials can provide sufficient evidence on which to create universal guidelines. However, such trials are highly complex and expensive, and they require lengthy follow-up. Until such trials are completed, an opportunity exists for health care professionals to improve their knowledge and understanding of the current evidence for or against complementary therapy in prostate cancer.

scholarly journals Setting an Agenda for Hospital Medicine Research: Making Sure the Right People Are at the Table

10.12788/3403 ◽  
2020 ◽  
Vol 15 (6) ◽  
pp. 383-384
Author(s):  
Alexander F Glick ◽  
Ramon EA Jacobs-Shaw ◽  
Rebecca E Rosenberg
Keyword(s):  
United States ◽  
Health System ◽  
Patient Engagement ◽  
Outcomes Research ◽  
Hospital Medicine ◽  
The United States ◽  
Service Industries ◽  
Patient Centered ◽  
Medicine Research ◽  
The Right

Unlike other service industries, US healthcare has been slower to adopt an approach of asking users (patients) how to make things better. However, patient engagement in systems of healthcare (eg, Patient and Family Advisory Councils [PFAC]) and health system-­based research (eg, Patient Centered Outcomes Research Institute [PCORI]) are gaining currency in the United States.1,2

Complementary Therapies in Cystic Fibrosis

2012 ◽  
Vol 26 (1) ◽  
pp. 14-17 ◽  
Author(s):  
Sarah F. Fowler Braga ◽  
Michaela M. Almgren
Keyword(s):  
Cystic Fibrosis ◽  
Health Care Professionals ◽  
Complementary Therapies ◽  
Autosomal Recessive ◽  
Genetic Disorders ◽  
The United States ◽  
Pharmacological Therapy ◽  
Omega 3 ◽  
Drug Therapy Management ◽  
Northern European

Cystic fibrosis is one of the most common autosomal recessive genetic disorders in caucasians of Northern European descent, affecting approximately 30 000 children and adults living in the United States, today. Complications of this chronic disease result in deterioration of lung function and development of pancreatic abnormalities requiring pharmacological therapy and may include patients seeking complementary and alternative option for treatment. Health care professionals should be knowledgeable of these therapies to effectively provide education and drug therapy management. This article offers an overview of the most common complementary therapies in cystic fibrosis such as vitamin A, vitamin C, vitamin E, zinc, omega 3 fatty acids, docosahexaenoic acid (DHA), garlic, ginseng, and curcumin.

scholarly journals Prevalence, and health- and sociodemographic associations for visits to traditional and complementary medical providers in the seventh survey of the Tromsø study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Agnete E. Kristoffersen ◽  
Ann Ragnhild Broderstad ◽  
Frauke Musial ◽  
Trine Stub
Keyword(s):  
Health Care ◽  
Complementary Medicine ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Conventional Medicine ◽  
Care Delivery ◽  
Culturally Sensitive ◽  
Care Providers ◽  
Patient Centered ◽  
Conventional Health Care

Abstract Background Patient-centered culturally sensitive health care (PC-CSHC) has emerged as a primary approach to health care. This care focuses on the cultural diversity of the patients rather than the views of the health care professionals. PC-CSHC enables the patient to feel comfortable, respected, and trusted in the health care delivery process. As users of traditional and complementary medicine (T&CM) rarely inform their conventional health care providers of such use, the providers need to identify the users of T&CM themselves to avoid negative interaction with conventional medicine and to be able to provide them with PC-CSHC. Since the patterns of traditional medicine (TM) use are different to those of complementary medicine (CM), the aim of this study was to investigate the prevalence, and the health- and sociodemographic associations for visits to TM- and CM providers in an urban population. Method The data were collected through two self-administrated questionnaires from the seventh survey of the Tromsø Study, a population-based cohort study conducted in 2015–2016. All inhabitants of Tromsø aged 40 or above were invited (n = 32,591) and n = 21,083 accepted the invitation (response rate 65%). Pearson chi-square tests and one-way ANOVA tests were used to describe differences between the groups whereas binary logistic regressions were used for adjusted values. Results The results revealed that 2.5% of the participants had seen a TM provider, 8.5% had seen a CM provider whereas 1% had visited both a TM and a CM provider during a 12-month period. TM users tended to be older, claim that religion was more important to them, have poorer economy and health, and have lower education compared to CM users. We found that more than 90% of the participants visiting T&CM providers also used conventional medicine. Conclusion A considerable number of the participants in this study employed parallel health care modalities including visits to conventional, traditional, and complementary medicine providers. To offer patient-centered culturally sensitive health care that is tailored to the patients’ treatment philosophy and spiritual needs, conventional health care providers need knowledge about, and respect for their patients’ use of parallel health care systems.

scholarly journals Cultural Competency: Integrating an Evidence-Based Course for Increasing Inclusive Practices

2020 ◽  
Author(s):  
Tracy Chappell ◽  
Ingrid Provident
Keyword(s):  
Cultural Competence ◽  
Occupational Therapy ◽  
Cultural Competency ◽  
Health Care Professionals ◽  
The United States ◽  
Quantitative Information ◽  
Evidence Based ◽  
Self Awareness ◽  
Evidenced Based ◽  
Occupational Therapy Practitioners

PURPOSE: The United States is rapidly becoming more culturally diverse; thus, therapists need to be equipped with an adequate skill set to provide culturally inclusive services. Although educational institutions and continuing education courses provide some form of cultural competency training, there is no standardized approach currently for occupational therapists. METHODS: This article describes an evidenced-based course which was used to develop cultural competence among 11 occupational therapy practitioners. The online components included activities to increase knowledge, skills, comfort, awareness, and resources for practice settings. A pre-test/post-test format using the Clinical Cultural Competency Questionnaire (CCCQ) was used to gather quantitative information. RESULTS: The outcomes of this study indicate that completion of evidence-based educational modules on cultural competency can increase knowledge, skills, comfort, and awareness for occupational therapy practitioners, providing an impetus for further exploration. The highest percent of change from pre to post survey was in knowledge (150%) related to cultural competence following the completion of the intervention. DISCUSSION/CONCLUSION: Because health care professionals have an ethical responsibility to be culturally competent, this article highlights how advantageous it is for healthcare professionals to complete an online, evidence-based course to increase their self-awareness and awareness of other cultures.

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