Primary Health Care and Complementary and Integrative Medicine: Practice and Research

256 Pages·2013·1.331 MB·English

by  Jon Adams, Parker Magin, Alex Broom

Primary
Health Care
and
Complementary
Integrative
and
Medicine
Practice Research
and
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Primary
Health Care
and
Complementary
Integrative
and
Medicine
Practice Research
and
Editors
Jon Adams
University of Technology Sydney, Australia
Parker Magin
University of Newcastle, Australia
Alex Broom
The University of Queensland, Australia
Imperial College Press
ICP
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Published by
Imperial College Press
57 Shelton Street
Covent Garden
London WC2H 9HE
Distributed by
World Scientific Publishing Co. Pte. Ltd.
5 Toh Tuck Link, Singapore 596224
USA office: 27 Warren Street, Suite 401-402, Hackensack, NJ 07601
UK office: 57 Shelton Street, Covent Garden, London WC2H 9HE
Library of Congress Cataloging-in-Publication Data
Primary health care and complementary and integrative medicine : practice and research / edited by
Jon Adams.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-84816-977-7 (hardcover : alk. paper)
I. Adams, Jon, 1971–
[DNLM: 1. Integrative Medicine--methods. 2. Complementary Therapies.
3. Primary Health Care. WB 113]
616--dc23
2012048471
British Library Cataloguing-in-Publication Data
A catalogue record for this book is available from the British Library.
Copyright © 2013 by Imperial College Press
All rights reserved. This book, or parts thereof, may not be reproduced in any form or by any means,
electronic or mechanical, including photocopying, recording or any information storage and retrieval
system now known or to be invented, without written permission from the Publisher.
For photocopying of material in this volume, please pay a copying fee through the Copyright
Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, USA. In this case permission to
photocopy is not required from the publisher.
Typeset by Stallion Press
Email: [email protected]
Printed in Singapore
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Contents
List of Figures vii
List of Tables ix
Notes on Contributors xi
Acknowledgements xxiii
Introduction 1
Part One Patients, Illness and Disease: CIM Use
and its Context in Primary Health Care 9
Chapter 1 Primary Health Care, Complementary
and Alternative Medicine and Women’s Health:
A Focus upon Menopause 11
Amie Steel, Jane Frawley, Jon Adams,
David Sibbritt, and Alex Broom
Chapter 2 Complementary and Integrative Medicine, Aging
and Chronic Illness: Towards an Interprofessional
Approach in Primary Health Care 35
Kevin D. Willison, Sally Lindsay, Marissa Taylor,
Harold Schroeder, and Gavin J. Andrews
Chapter 3 Complementary and Alternative Medicine
and Skin Disease in General Practice 51
Parker Magin and Jon Adams
Part Two Practitioners and the Professional CIM Interface 71
Chapter 4 Naturopaths: Their Role in Primary
Health Care Delivery 73
Jon Wardle and Jon Adams
v
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vi Contents
Chapter 5 Linking Complementary and Alternative Medicine,
Traditional Medicine and Primary Health Care:
The Role of Local Health Traditions in Promoting
Health Security 93
Daniel Hollenberg and Maria Costanza Torri
Chapter 6 Examining the Relationship between
Complementary and Integrative Medicine
and Rural General Practice: A Focus upon
Health Services Research 115
Jon Wardle, Jon Adams, Alex Broom,
and David Sibbritt
Chapter 7 (Just) Who is the Expert? The Ambiguity of
Expertise in Over-the-Counter CAM Purchasing:
An Ethnographic Study of UK Community
Pharmacies and Health Shops 133
Helen Cramer, Lesley Wye,
Marjorie Weiss, and Ali Shaw
Part Three Conceptualising Integrative Medicine in Primary
Health Care: Experience and Challenges 155
Chapter 8 Integrating Complementary Medicine
in Primary Health Care as a Response
to Contemporary Challenges: A Focus upon
Effectiveness Gaps and Self-Care 157
David Peters
Chapter 9 Exploring a Model of Integrative Medicine:
A Case Study in Swedish Primary Health Care 181
Tobias Sundberg
Chapter 10 Integration in Primary Health Care: A Focus
upon Practice and Education and the Importance
of a Critical Social Science Perspective 203
Jon Adams, Daniel Hollenberg, Alex Broom,
Amie Steel, David Sibbritt, and Chi-Wai Lui
Index 229
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List of Figures
Figure 2.1 Dialectical strategies to enhance primary health
care (PHC) for the aged. Legend: PHC = primary
health care; CDM = chronic disease management;
CAM = complementary and alternative medicine;
IPE/IPC = interprofessional education,
interprofessional collaboration 36
Figure 9.1 An outline of the qualitative procedures
and analyses developing the IM model
(Sundberg et al., 2007) 183
Figure 9.2 The IM model and the IM care process illustrated
as a clinical case management flowchart:
(1) The patient with subacute to chronic non-specific
LBP/NP consults the gatekeeping general practitioner
at the primary care unit, (2) The general practitioner
develops a conventional care treatment plan in
dialogue with the patient, (3) The patient goes through
the conventional care process, i.e., “treatment
as usual”, (4) Should CTs be considered appropriate,
these are integrated into the treatment plan by way
of a consensus case conference with the IM provider
team, (5) The patient receives CTs as an integrated part
of the treatment plan, i.e., the integrative care process
is initiated, (6) When the treatment plan is completed
the case management is finished. Please note that for
the current research project the patients were assigned
by randomisation and integrative care was only
delivered for up to 12 weeks. PC Unit = primary
care unit (Sundberg et al., 2007) 187
vii
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List of Tables
Table 1.1 Consultations with alternative health
practitioners in the previous 12 months 18
Table 1.2 Self-prescribed treatments used in the previous
12 months 19
Table 1.3 Attitudes towards alternative medicine
and doctors 20
Table 1.4 Access to and satisfaction with general
practitioners 21
Table 7.1 Key characteristics of each of the six study sites 139
Table 7.2 Comparison of key characteristics
of the six study sites 146
Table 8.1 How the Self-Care Library codes the evidence,
safety and cost 169
Table 8.2 An example of the way the Self-Care Library
categorises information 170
ix
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