Integrative medicine and systemic outcomes research - Issues in the emergence of a new model for primary health care

被引:179
作者
Bell, IR
Caspi, O
Schwartz, GER
Grant, KL
Gaudet, TW
Rychener, D
Maizes, V
Weil, A
机构
[1] Univ Arizona, Coll Med, Hlth Sci Ctr, Dept Med,Program Integrat Med, Tucson, AZ 85724 USA
[2] Univ Arizona, Coll Med, Dept Psychiat, Tucson, AZ 85724 USA
[3] Univ Arizona, Coll Med, Dept Psychol, Tucson, AZ 85724 USA
[4] Univ Arizona, Coll Med, Dept Neurol, Tucson, AZ 85724 USA
[5] Univ Arizona, Coll Med, Dept Family & Community Med, Tucson, AZ 85724 USA
[6] Univ Arizona, Coll Med, Dept Obstet & Gynecol, Tucson, AZ 85724 USA
[7] Univ Arizona, Coll Med, Dept Pharm Practice, Tucson, AZ 85724 USA
[8] Univ Arizona, Coll Pharm, Hlth Sci Ctr, Dept Med,Program Integrat Med, Tucson, AZ 85724 USA
[9] Univ Arizona, Coll Pharm, Dept Psychiat, Tucson, AZ 85724 USA
[10] Univ Arizona, Coll Pharm, Dept Psychol, Tucson, AZ 85724 USA
[11] Univ Arizona, Coll Pharm, Dept Neurol, Tucson, AZ 85724 USA
[12] Univ Arizona, Coll Pharm, Dept Family & Community Med, Tucson, AZ 85724 USA
[13] Univ Arizona, Coll Pharm, Dept Obstet & Gynecol, Tucson, AZ 85724 USA
[14] Univ Arizona, Coll Pharm, Dept Pharm Practice, Tucson, AZ 85724 USA
[15] So Arizona Vet Affairs Hlth Care Syst, Tucson, AZ USA
关键词
D O I
10.1001/archinte.162.2.133
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Clinicians and researchers are increasingly using the term integrative medicine to refer to the merging of complementary and alternative medicine (CAM) with conventional biomedicine. However, combination medicine (CAM added to conventional) is not integrative. Integrative medicine represents a higher-order system of systems of care that emphasizes wellness and healing of the entire person (bio-psycho-socio-spiritual dimensions) as primary goals, drawing on both conventional and CAM approaches in the context of a supportive and effective physician-patient relationship. Using the context of integrative medicine, this article outlines the relevance of complex systems theory as an approach to health outcomes research. In this view, health is an emergent property of the person as a complex living system. Within this conceptualization, the whole may exhibit properties that its separate parts do not possess. Thus, unlike biomedical research that typically examines parts of health care and parts of the individual, one at a time, but not the complete system, integrative outcomes research advocates the study of the whole. The whole system includes the patient-provider relationship, multiple conventional and CAM treatments, and the philosophical context of care as the intervention. The systemic outcomes encompass the simultaneous, interactive changes within the whole person.
引用
收藏
页码:133 / 140
页数:8
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