Beyond the boundaries: relationship between general practice and complementary medicine.

Pietroni, Patrick

doi:10.1136/bmj.305.6853.564

Cited by 38 publications

(17 citation statements)

References 3 publications

(1 reference statement)

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“…The references studied provided good coverage of the CAM taxonomies available: Levin and Coreil (1) : “New age” healing in the U.S.Pietroni (7) : Beyond the boundaries: relationship between general practice and complementary medicineGrossinger (4) : Planet Medicine (Book 1: Origins; Book 2: Modalities)NCCAM Classification System of CAM (5) (first published in 1997)Kaptchuk and David Eisenberg (9) : Varieties of healing. 2: A taxonomy of unconventional healing practices…”

Section: Methodsmentioning

confidence: 99%

The Integrated Taxonomy of Health Care: classifying both complementary & biomedical practices using a uniform classification protocol

Porcino

MacDougall²

2009

IJTMB

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Background:Since the late 1980s, several taxonomies have been developed to help map and describe the interrelationships of complementary and alternative medicine (CAM) modalities. In these taxonomies, several issues are often incompletely addressed: A simple categorization process that clearly isolates a modality to a single conceptual categoryClear delineation of verticality—that is, a differentiation of scale being observed from individually applied techniques, through modalities (therapies), to whole medical systemsRecognition of CAM as part of the general field of health careMethods:Development of the Integrated Taxonomy of Health Care (ITHC) involved three stages: Development of a precise, uniform health glossaryAnalysis of the extant taxonomiesUse of an iterative process of classifying modalities and medical systems into categories until a failure to singularly classify a modality occurred, requiring a return to the glossary and adjustment of the classifying protocolResults:A full vertical taxonomy was developed that includes and clearly differentiates between techniques, modalities, domains (clusters of similar modalities), systems of health care (coordinated care system involving multiple modalities), and integrative health care.Domains are the classical primary focus of taxonomies. The ITHC has eleven domains: chemical/substance-based work, device-based work, soft tissue–focused manipulation, skeletal manipulation, fitness/movement instruction, mind–body integration/classical somatics work, mental/emotional–based work, bio-energy work based on physical manipulation, bio-energy modulation, spiritual-based work, unique assessments. Modalities are assigned to the domains based on the primary mode of interaction with the client, according the literature of the practitioners.Conclusions:The ITHC has several strengths: little interpretation is used while successfully assigning modalities to single domains; the issue of taxonomic verticality is fully resolved; and the design fully integrates the complementary health care fields of biomedicine and CAM.

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Section: Methodsmentioning

confidence: 99%

The Integrated Taxonomy of Health Care: classifying both complementary & biomedical practices using a uniform classification protocol

Porcino

MacDougall²

2009

IJTMB

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“…3 Some physicians argue that the extent of collaboration between the two groups should be much more than mere referrals. It is argued that physicians need to learn to work alongside alternative practitioners because they are an inevitable part of the future primary care services (Pietroni, 1992) and are better equipped to deal with conditions which orthodox medicine has failed to address successfully; conditions such as stress and environment related illnesses, addiction, psychological disorders and 'undifferentiated diseases' (Peters, 1994).…”

Section: Physicians and Alternative Therapistsmentioning

confidence: 99%

A Critical Review of the Sociology of Alternative Medicine: Research on Users, Practitioners and the Orthodoxy

Siahpush

2000

Health (London)

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The popularity of alternative therapies in the past two decades has been accompanied by a proliferation of sociological works investigating different aspects of this phenomenon. 1,2 A major strand of the literature in 'the sociology of alternative medicine', which concerns three social actors: users of alternative therapies; practitioners of alternative therapies; and physicians (the orthodoxy). Research on users of alternative medicine has mainly investigated the causes of people's use of these modalities and has focused on three questions: Why do people use alternative medicine? Why has alternative medicine become popular in recent times? and, What is the sequence of events that leads to alternative medicine use? Research on alternative practitioners has mainly investigated the issue of professionalization of these practitioners. Research on physicians has mainly investigated: physicians' views on and professional relationships with alternative therapists; physicians' views on the efficacy of alternative therapies; the orthodoxy's views on the knowledge base of these therapeutic systems; and physicians who use alternative techniques. The article argues that a paucity of empirical research is a major weakness of the present state of the sociology of alternative medicine and thus several research possibilities are delineated. Its aim is to provide a critical review of the literature on each of the above topics and suggest future research possibilities.KEYWORDS alternative medicine; the sociology of alternative medicine ADDRESS

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“…Várias delas têm como pressuposto a existência de uma "dinâmica vital", energia, espírito, "sopro", que está além da noção de funcionalidade fisiológica e orgânica 1,3,7,16 , e que pode ser estimulada. Em que pese os profissionais da atenção primária à saúde, especialmente os médicos generalistas ou médicos de família e comunidade poderem e necessitarem exercitar uma visão mais integral e holística 19 , é compreensível sua dificuldade, nesse exercício, pois decorre tanto das caracterís-ticas do saber biomédico quanto dos contextos organizacionais e institucionais em que a prática se desenvolve no Brasil. Essa dificuldade parece ser menor nas Medicinas Complementar e Alternativa, ou pelo menos em outras racionalidades médicas, notadamente nas vitalistas 16,18 .…”

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Práticas integrativas e complementares: oferta e produção de atendimentos no SUS e em municípios selecionados

Sousa¹,

Bodstein²,

Tesser

et al. 2012

Cad. Saúde Pública

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Beyond the boundaries: relationship between general practice and complementary medicine.

Cited by 38 publications

References 3 publications

The Integrated Taxonomy of Health Care: classifying both complementary & biomedical practices using a uniform classification protocol

The Integrated Taxonomy of Health Care: classifying both complementary & biomedical practices using a uniform classification protocol

A Critical Review of the Sociology of Alternative Medicine: Research on Users, Practitioners and the Orthodoxy

Práticas integrativas e complementares: oferta e produção de atendimentos no SUS e em municípios selecionados

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