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Integrating complementary and alternative medicine into mainstream healthcare services: the perspectives of health service managers.

Singer J, Adams J - BMC Complement Altern Med (2014)

Bottom Line: Health service managers are key stakeholders central to ensuring effective integrative health care services.Some health service managers expressly align the notion of treating the whole person within a health promotion model and focus on the relevance of diet and lifestyle factors as central to a CAM approach.The broader implications of this study can help assist in the development of health service policy on CAM integration in mainstream healthcare services.

View Article: PubMed Central - HTML - PubMed

Affiliation: University Centre for Rural Health, University of Sydney, PO Box 3074, Lismore NSW 2480, Australia. judy.singer@ucrh.edu.au.

ABSTRACT

Background: Complementary and alternative medicine (CAM) is increasingly included within mainstream integrative healthcare (IHC) services. Health service managers are key stakeholders central to ensuring effective integrative health care services. Yet, little research has specifically investigated the role or perspective of health service managers with regards to integrative health care services under their management. In response, this paper reports findings from an exploratory study focusing exclusively on the perspectives of health service managers of integrative health care services in Australia regarding the role of CAM within their service and the health service managers rational for incorporating CAM into clinical care.

Methods: Health service managers from seven services were recruited using purposive and snowball sampling. Semi-structured interviews were conducted with the health service managers. The services addressed trauma and chronic conditions and comprised: five community-based programs including drug and alcohol rehabilitation, refugee mental health and women's health; and two hospital-based specialist services. The CAM practices included in the services investigated included acupuncture, naturopathy, Western herbal medicine and massage.

Results: Findings reveal that the health service managers in this study understand CAM to enhance the holistic capacity of their service by: filling therapeutic gaps in existing healthcare practices; by treating the whole person; and by increasing healthcare choices. Health service managers also identified CAM as addressing therapeutic gaps through the provision of a mind-body approach in psychological trauma and in chronic disease management treatment. Health service managers describe the addition of CAM in their service as enabling patients who would otherwise not be able to afford CAM to gain access to these treatments thereby increasing healthcare choices. Some health service managers expressly align the notion of treating the whole person within a health promotion model and focus on the relevance of diet and lifestyle factors as central to a CAM approach.

Conclusions: From the perspectives of the health service managers, these findings contribute to our understanding around the rationale to include CAM within mainstream health services that deal with psychological trauma and chronic disease. The broader implications of this study can help assist in the development of health service policy on CAM integration in mainstream healthcare services.

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Related in: MedlinePlus

Health services managers’ rationale for including CAM in service delivery.
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Figure 1: Health services managers’ rationale for including CAM in service delivery.

Mentions: In this section we describe the main themes that emerged from the thematic analysis of participants’ perceptions about the role of CAM and their rationale for including CAM into clinical care.Figure 1 summarises the various ways in which the service managers explained how CAM improved holistic capacity.


Integrating complementary and alternative medicine into mainstream healthcare services: the perspectives of health service managers.

Singer J, Adams J - BMC Complement Altern Med (2014)

Health services managers’ rationale for including CAM in service delivery.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4048459&req=5

Figure 1: Health services managers’ rationale for including CAM in service delivery.
Mentions: In this section we describe the main themes that emerged from the thematic analysis of participants’ perceptions about the role of CAM and their rationale for including CAM into clinical care.Figure 1 summarises the various ways in which the service managers explained how CAM improved holistic capacity.

Bottom Line: Health service managers are key stakeholders central to ensuring effective integrative health care services.Some health service managers expressly align the notion of treating the whole person within a health promotion model and focus on the relevance of diet and lifestyle factors as central to a CAM approach.The broader implications of this study can help assist in the development of health service policy on CAM integration in mainstream healthcare services.

View Article: PubMed Central - HTML - PubMed

Affiliation: University Centre for Rural Health, University of Sydney, PO Box 3074, Lismore NSW 2480, Australia. judy.singer@ucrh.edu.au.

ABSTRACT

Background: Complementary and alternative medicine (CAM) is increasingly included within mainstream integrative healthcare (IHC) services. Health service managers are key stakeholders central to ensuring effective integrative health care services. Yet, little research has specifically investigated the role or perspective of health service managers with regards to integrative health care services under their management. In response, this paper reports findings from an exploratory study focusing exclusively on the perspectives of health service managers of integrative health care services in Australia regarding the role of CAM within their service and the health service managers rational for incorporating CAM into clinical care.

Methods: Health service managers from seven services were recruited using purposive and snowball sampling. Semi-structured interviews were conducted with the health service managers. The services addressed trauma and chronic conditions and comprised: five community-based programs including drug and alcohol rehabilitation, refugee mental health and women's health; and two hospital-based specialist services. The CAM practices included in the services investigated included acupuncture, naturopathy, Western herbal medicine and massage.

Results: Findings reveal that the health service managers in this study understand CAM to enhance the holistic capacity of their service by: filling therapeutic gaps in existing healthcare practices; by treating the whole person; and by increasing healthcare choices. Health service managers also identified CAM as addressing therapeutic gaps through the provision of a mind-body approach in psychological trauma and in chronic disease management treatment. Health service managers describe the addition of CAM in their service as enabling patients who would otherwise not be able to afford CAM to gain access to these treatments thereby increasing healthcare choices. Some health service managers expressly align the notion of treating the whole person within a health promotion model and focus on the relevance of diet and lifestyle factors as central to a CAM approach.

Conclusions: From the perspectives of the health service managers, these findings contribute to our understanding around the rationale to include CAM within mainstream health services that deal with psychological trauma and chronic disease. The broader implications of this study can help assist in the development of health service policy on CAM integration in mainstream healthcare services.

Show MeSH
Related in: MedlinePlus