An Integrative Day Care Clinic for chronically ill patients: Concept and case presentation

Paul, Anna; Lauche, Romy; Cramer, Holger; Altner, Nils; Langhorst, Jost; Dobos, Gustav

doi:10.1016/j.eujim.2012.07.980

Cited by 22 publications

(15 citation statements)

References 17 publications

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“…Daneben gibt die Leitlinie eine abgeschwächt positive Empfehlung für Akupunktur in Kombination mit Moxibustion als komplementäre Therapie im leichten bis moderaten Schub (Empfehlung 10.18) sowie für eine multimodale komplementäre Mind-Body-Therapie zur Verbesserung der Lebensqualität (Empfehlung 10.17). Letztere Empfehlung ist bisher nahezu einzigartig in Deutschland; erstmals wird hier eine multimodale Mind-Body-Therapie empfohlen, wie sie in Deutschland in integrativmedizinischen Kliniken angeboten wird [3]. Die Empfehlung basiert unter anderem auf einer deutschen randomisierten Studie [4,5], die zeigen konnte, dass ein multimodales Lebensstilmodifikationsprogramm mit Elementen der Mind-Body-Medizin die Lebensqualität von Patienten in Remission oder mit geringer Krankheitsaktivität in klinisch relevantem Umfang steigern kann.…”

Section: Tableunclassified

Komplementäre, alternative und integrative Therapien in den medizinischen Leitlinien - die Leitlinie «Diagnostik und Therapie der Colitis ulcerosa» als Beispiel gelungener Integration

et al. 2014

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Section: Tableunclassified

Komplementäre, alternative und integrative Therapien in den medizinischen Leitlinien - die Leitlinie «Diagnostik und Therapie der Colitis ulcerosa» als Beispiel gelungener Integration

et al. 2014

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“…When conventional medical in-hospital procedures are broadened to a holistically orientated patient care, studies show positive effects on the quality outcomes. 16 – 20 Yet these studies refer to condition without DRGs.…”

Section: Introductionmentioning

confidence: 99%

Levels of Patient Satisfaction on Integrative Medicine Before and After Implementation of Diagnosis-related Groups

Romeyke

Nöhammer

Scheuer

et al. 2018

Glob Adv Health Med

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ObjectivesThe aim of this article is to study patient satisfaction with complementary and alternative medicine (CAM) in an in-hospital setting before and after the introduction of diagnosis-related groups (DRGs).MethodsPatients were interviewed regarding a general evaluation of their hospital stay, the psychological talking therapy, the nutrition therapy, and the overall success of the treatment.ResultsThe medical treatment was evaluated by 1158 patients. A very good success was reported by 347, a good by 609, a moderate by 181, and none by 21 patients. DRG implementation showed no significant effects. Psychological talking therapy was evaluated as “very good” (P ≤ .05). With regard to the success of the medical talking and nutrition therapy, there were no significant differences (P ≥ .05) between the time before and after DRG implementation.ConclusionBroadening conventional medical treatment with CAM practices can lead to a parallel treatment of DRGs in hospitals working with complementary medicine. This results in very patient-centered therapies, which may impact patient satisfaction.

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“…Developed as an integrative medicine inpatient ward from the beginning, the hospital combines conventional medicine, complementary medicine, and mind/body medicine to treat patients with chronic internal medicine diseases. [ 5 , 10 , 12 , 13 ] Prior studies have shown positive effects of the inpatient treatment on physical and mental health in mixed patients groups. [ 5 ] Chronic and therapy-refractory pain is a major reason for referral.…”

Section: Introductionmentioning

confidence: 99%

Integrative medicine for chronic pain

et al. 2016

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Introduction:Integrative medicine inpatient treatment has been shown to improve physical and mental health in patients with internal medicine conditions. The aim of this study was to investigate the effectiveness of a 2-week integrative medicine inpatient treatment in patients with chronic pain syndromes and the association of treatment success with patient-related process variables.Methods:Inpatients with chronic pain syndromes participating in a 2-week integrative medicine inpatient program were included. Patients’ pain intensity, pain disability, pain perception, quality of life, depression, and perceived stress were measured on admission, discharge, and 6 months after discharge. Likewise process variables including ability and will to change, emotional/rational disease acceptance, mindfulness, life and health satisfaction, and easiness of life were assessed.Results:A total of 310 inpatients (91% female, mean age 50.7 ± 12.4 year, 26.5% low back pain, and 22.9% fibromyalgia) were included. Using mixed linear models, significant improvements in pain intensity, pain disability, pain perception, quality of life, depression, and perceived stress were found (all P < 0.05). Ability to change and implementation, disease acceptance, mindfulness, life and health satisfaction, and light heartedness/easiness likewise improved (all P < 0.05). Improved outcomes were associated with increases in process variables, mainly ability to change and implementation, disease acceptance, life and health satisfaction, and light heartedness/easiness (R2 = 0.03–0.40).Conclusions:Results of this study suggest that a 2-week integrative medicine inpatient treatment can benefit patients with chronic pain conditions. Functional improvements are associated with improved ability to change and implementation, disease acceptance, and satisfaction.

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An Integrative Day Care Clinic for chronically ill patients: Concept and case presentation

Cited by 22 publications

References 17 publications

Komplementäre, alternative und integrative Therapien in den medizinischen Leitlinien - die Leitlinie «Diagnostik und Therapie der Colitis ulcerosa» als Beispiel gelungener Integration

Komplementäre, alternative und integrative Therapien in den medizinischen Leitlinien - die Leitlinie «Diagnostik und Therapie der Colitis ulcerosa» als Beispiel gelungener Integration

Levels of Patient Satisfaction on Integrative Medicine Before and After Implementation of Diagnosis-related Groups

Integrative medicine for chronic pain

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