선진국의 일차의료부문의 통합의료 ―일차보건의료체계에서의 한의학에 주는 함의―
Use of Integrative Medicine among primary care patients in Western counties ―Its implication for traditional Korean medicine in primary care system―
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초록
The objective of this study is to discuss the role of integrative medicine (IM) in contemporary health care settings, and how and which factors affect and facilitate the success of IM in terms of the integration of complementary and alternative medicine (CAM) and conventional medicine in primary health care (PHC). IM is meant to provide the best possible health care, for both patient and physician. The way of IM use in the developed countries presents various ways that IM can be provided, and it appears that strategies have been successfully developed to facilitate integration. Although few of the barriers to the integration of CAM and conventional medicine have been resolved, concerns over the legitimacy of CAM in health care (e.g., safety, biomedical evidence, and efficacy) are being overcome by the use of evidence-based practice in IM delivery. There are dominant models of IM that have been developed. The model types signify different levels of equity between CAM and conventional medicine in regard to the power, autonomy, and control held by each. However, the factors common to all IM models, whether describing CAM as supplementary or complementary to conventional medicine, is the concept of a health care model that aspires to be client-centred and holistic, with focus on health rather than disease as well as mutual respect among peer practitioners. Finally, this study concluded that the growth and viability of traditional Korean medicine(TKM) depend on evidence-based practices and identifying the successful influences on the integration of TKM and conventional medicine for recognition of its inherent value in PHC. Some recommendations for the integration of TKM and conventional medicine were suggested.
Abstract
The objective of this study is to discuss the role of integrative medicine (IM) in contemporary health care settings, and how and which factors affect and facilitate the success of IM in terms of the integration of complementary and alternative medicine (CAM) and conventional medicine in primary health care (PHC). IM is meant to provide the best possible health care, for both patient and physician. The way of IM use in the developed countries presents various ways that IM can be provided, and it appears that strategies have been successfully developed to facilitate integration. Although few of the barriers to the integration of CAM and conventional medicine have been resolved, concerns over the legitimacy of CAM in health care (e.g., safety, biomedical evidence, and efficacy) are being overcome by the use of evidence-based practice in IM delivery. There are dominant models of IM that have been developed. The model types signify different levels of equity between CAM and conventional medicine in regard to the power, autonomy, and control held by each. However, the factors common to all IM models, whether describing CAM as supplementary or complementary to conventional medicine, is the concept of a health care model that aspires to be client-centred and holistic, with focus on health rather than disease as well as mutual respect among peer practitioners. Finally, this study concluded that the growth and viability of traditional Korean medicine(TKM) depend on evidence-based practices and identifying the successful influences on the integration of TKM and conventional medicine for recognition of its inherent value in PHC. Some recommendations for the integration of TKM and conventional medicine were suggested.
참고문헌 (54)
- Starfield B, "Primary Care" (1998), Oxford University Press
- Ben-Arye E, "Attitudes of Arab and Jewish patients towards integration of complementary medicine in primary care clinics in Israel : A cross-cultural study", Soc Sci Med, 68, pp.177~182 (2009)
- Artus M, "The use of CAM and conventional treatments among primary care consulters with chronic musculoskeletal pain", BMC Fam Pract, 8, pp.26~ (2007)
- Chua SA, "Attitudes and beliefs towards complementary and alternative medicine (CAM) : A cross-cultural approach comparing Singapore and the United Kingdom", Complementary Therapies in Medicine, 16(5), pp.247~253 (2008)
- Rakel D, "Integrative medicine" (2003), Saunders
- Eisenberg D, "Trends in alternative medicine use in the United States, 1990–1997", JAMA, 280, pp.1569~1575 (1998)
- Ni H, "Utilization of Complementary and Alternative Medicine by United States Adults Results From the 1999 National Health Interview Survey", MEDICAL CARE, 40(4), pp.353~358 (2002)
- Gress S, "Coordination and management of chronic conditions in Europe : the role of primary careposition paper of the European Forum for Primary Care", Qual Prim Care, 17(1), pp.78~86 (2009)
- Kidd MR, "Primary health care reform : equity is the key", MJA, 189(4), pp.221~222 (2008)
- Erler A, "Preparing primary care for the future–perspectives from the Netherlands", England, and USA Z. Evid. Fortbild. Qual. Gesundh. wesen (ZEFQ) (2011)
- The world health report 2008 : primary health care now more than ever, "WHO", WHO, ~ (2008)
- De Bakker D, "Towards a strong primary care : specialization in the land of generalists? In : Inaugural lecture", pp.2010
- "Overuse of emergency departments among insured Californians" (2006)[URL]
- Bodenheimer T, "The primary care-specialty income gap : why it matters", Ann Intern Med, 146(4), pp.301~306 (2007)
- Van Weel C, "How should GPs be paid?", Medical Journal of Australia, 181(2), pp.98~99 (2004)
- Coote W., "General practice reforms", Medical Journal of Australia, 191(2), pp.58~59 (2009)
- Foster M, "Does Enhanced Primary Care enhance primary care? Policy induced dilemmas for allied health professionals", Medical Journal of Australia, 188(1), pp.29~31 (2008)
- World Health Organization, "The world health report 2000" (2000), Improving Performance
- World Health Organization, "Targets for health for all" (1985), Regional Office for Europe
- Ham C, "Health check. Health care reforms in an international context", King’s Fund Institute, ~ (1990)
- Bjersåa K, "Perceptions of complementary therapies among Swedish registered professions in surgical care", Complementary Therapies in Clinical Practice, 17(1), pp.44~49 (2011)
- Glenngård AH, "Health Systems in Transition" (2005), WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies
- Sundberg T, "Towards a model for integrative medicine in Swedish primary care", BMC Health Services Research, 7(1), pp.1~107 (2007)
- Trends in access to complementary or alternative medicines (CAMs) via primary care in England : 1995-2001, "Thomas KJ", Results from a follow-up national survey. Family Practice, 575~577 (2001)
- Clinical Governance for Complementary and Alternative Medicine in Primary Care, "Jane Wilkinson J", Department of Health and the King’s Fund, ~ (2004)
- McCartney M., "The scam of integrative medicine", BMJ, 343 (2011)
- Ong CK, "Complementary and Alternative Medicine : the consumer perspective" (2003), The Prince of Wales’s Foundation for Integrated Health
- "The NHSTA Directory of Complementary and Alternative Practitioners"[URL]
- complementary and alternative medicine : a New Zealand nationwide survey, "N Z Med J", 2006, ~
- Marshall R, "The use of alternative therapies by auckland general practitioners", N Z Med J, 213(5) (1990)
- Ministerial Advisory Committee on Complementary and Alternative Health, "Complementary and Alternative Health Care in New Zealand" (2004)
- First Annual Report to the Minister of Health, "Ministerial Advisory Committee on Complementary and Alternative Health(MACCAH)", Ministry of Health, ~ (2002)
- Bocock C, "Beliefs of New Zealand Doctors About Integrative Medicine for Cancer Treatment", Integrative Cancer Therapies, 1(9) (2011)
- Hartel U, "Use and acceptance of classical natural and alternative medicine in Germany—findings of a representative population-based survey", Forschende Komplementarmedizin und Klassische Naturheilkunde, 11(6), pp.327~334 (2004)
- M. Frenkel, "Integrating complementary and alternative medicine into conventional primary care : the patient perspective", Explore, 4(3), pp.178~186 (2008)
- Münstedt K, "Use of complementary and alternative medicine in departments of obstetrics in Germany", Forsch Komplementärmed, 16, pp.111~116 (2009)
- McCaffrey AM, "Understanding patient preference for integrative medical care : results from patient focus groups", J Gen Intern Med., 22(11), pp.1500~1505 (2007)
- 최찬호, "탈 의료화로서의 대체의학에 관한 논점", 대한예방한의학회지, 11(1), pp.85~99 (2007), 대한예방한의학회
- "Healthcare systems in transition template 2006"[URL]
- Zhang, A, "Complementary and alternative medicine use in Australia : a national population-based study", 박사, pp.2006
- Bensoussan A, "O’Connor K. Naturopathic and western herbal medicine practice in Australia — a workforce survey", Complement Ther Med, 17(27) (2004)
- Leach M, "Public, nurse and medical practitioner attitude and practice of natural medicine", Complement Ther Nurs Midwifery, 10(1), pp.13~21 (2004)
- Adams J, "The profile of women who consult alternative health practitioners in Australia", Med J Aust, 179, pp.297~300 (2003)
- Hollenberg D, "Uncharted ground : patterns of professional interaction among complementary", alternative and biomedical practitioners in integrative health care settings, 2006, pp.62, 731~744
- Lewith G, "Complementary and alternative medicine—with a difference", Med J Aust., 180, pp.585~586 (2004)
- Adams J, "General practitioners, complementary therapies and evidence-based medicine : the defence of clinical autonomy", Complement Ther Med, 8, pp.248~252 (2000)
- Peters D, "Integrating complementary therapies in primary care" (2002), Edinburgh
- Myklebust M., "An integrative medicine patient care model and evaluation of its outcomes : the University of Michigan experience", J Altern Complement Med., 14, pp.821~826 (2008)
- Maizes V, "ntegrative medicine and patient-centered care", Explore, 5, pp.277~289 (2009)
- Myklebust M, "An integrative medicine patient care model and evaluation of its outcomes : the University of Michigan experience", J Altern Complement Med, 14, pp.821~826 (2008)
- Hollenberg D, "How do private cam therapies affect integrative health care settings in a publicly funded health care system?", J Complement Integr Med, 4, pp.1~16 (2007)
- Thomas K, "Access to complementary medicine via general practice", Br J Gen Pract, 51, pp.25~30 (2001)
- Hale A, "2002 survey of ATMS : acupuncturists, herbalists and naturopaths", J Aust Tradit Med Soc, 8, pp.143~149 (2002)