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Titolo:
Advising patients on the use of complementary and alternative medicine
Autore:
Jonas, WB;
Indirizzi:
Uniformed Serv Univ Hlth Sci, Bethesda, MD 20814 USA Uniformed Serv Univ Hlth Sci Bethesda MD USA 20814 Bethesda, MD 20814 USA
Titolo Testata:
APPLIED PSYCHOPHYSIOLOGY AND BIOFEEDBACK
fascicolo: 3, volume: 26, anno: 2001,
pagine: 205 - 214
SICI:
1090-0586(200109)26:3<205:APOTUO>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
ST-JOHNS-WORT; UNITED-STATES; HEALTH; PHYSICIANS; BEHAVIORS; SURVIVAL; BELIEFS; CANCER; TRIALS;
Keywords:
complementary and alternative medicine; patient communication; evidence-based medicine;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
36
Recensione:
Indirizzi per estratti:
Indirizzo: Jonas, WB Uniformed Serv Univ Hlth Sci, 4301 Jones Bridge Rd, Bethesda, MD20814 USA Uniformed Serv Univ Hlth Sci 4301 Jones Bridge Rd Bethesda MD USA 20814
Citazione:
W.B. Jonas, "Advising patients on the use of complementary and alternative medicine", APPL PSY BI, 26(3), 2001, pp. 205-214

Abstract

Complementary and alternative medicine (CAM) is an area of great public interest and activity, both nationally, and worldwide. Many, alternative medical practices have existed for hundreds, even thousands of years. Patients and professionals are turning to CAM for a variety, of reasons. Most have tried conventional medicine fora particular (usually, chronic) medical condition and have found the results inadequate. Some are concerned over the side effects of conventional therapies. Some are seeking out a more "holistic"orientation in health care where they, can address body,, mind, and spirit. A continuing challenge will be how to address CAM services that are basedon time, practitioner-patient interactions, and self-care, using modern standards of evidence, education, licensing, and reimbursement. For most CAM therapies, there is insufficient research to say, definitively, that it works and CAM research is especially limited in the area of cancer Given that situation, the questions (but not answers) facing the medical practitioner are clear-cut. Should the practitioner await the definitive results of formal Phase III randomized clinical trials, or should the practitioner rely, on limited data, seeking out evidence that makes physiological sense and small trials that seem to offer some benefit to the patient? When and at what point do you discourage, permit, or recommend an available alternative therapy? The answers are not simple. There may, be differences of opinion and values among the patient, the practitioner and the organizations that pay, for a therapy. CAM areas should be approached with every, patient who entersthe office recognizing that there are precautions to consider when patients are using, or plan to use, such therapies. This paper presents a broad survey of what complementary and alternative medicine is from the perspectives of both the public as user and the conventional medical practitioner as well as provides examples of issues pertinent to understanding and evaluating research in CAM. The past is back and the future will involve integrationof modern and ancient ways.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/07/20 alle ore 14:45:53