Complementary and alternative medicine education: Promoting a salutogenic focus in health care

Rakel, David; Guerrera, Mary P.; Desai, Gautam J.; Ferrara, E

doi:10.1007/978-1-137-26559-3_21

Cited by 1 publication

(6 citation statements)

References 25 publications

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“…Central elements in many CAM modalities have been associated with person-centeredness, empowerment, salutogenic care and self-management (e.g., Author 1, 2015b;Berger et al, 2012;Launsø, 1996;Maciocia, 1994;Mulkins et al, 2015;Rakel et al, 2012).…”

Section: Cam Use In Public Healthcare Contextsmentioning

confidence: 99%

“…He challenges public healthcare systems and requests doctors to ask themselves whether they promote a positive or negative development of the sense of coherence (Antonovsky, 1979(Antonovsky, , 1987. Rakel et al (2012) link a salutogenic focus to CAM education and argue for several potential benefits of salutogenic education also in public healthcare, such as more efficient healthcare with reduced cost and healthier and happier healthcare professionals.…”

Section: What Can Phenomenological and Social Perspectives On Health mentioning

confidence: 99%

“…The widespread use of CAM has been interpreted both as a result of positive experiences with CAM and a somewhat negative attitude toward the biomedical dominance in Western public healthcare systems (e.g. Coulter, 2004; Coulter and Willis, 2007; Launsø, 1996; Mulkins et al, 2015; Rakel et al, 2012; Salamonsen, 2013; Salamonsen et al, 2010, 2012a, 2012b; Sarsina et al, 2012; Siahpush, 1998). Siahpush (1998) distinguishes in an interesting review between three competing hypotheses to explain why people turn to CAM despite receiving or being offered treatment within the public healthcare system:…”

Section: Cam Use In Public Healthcare Contextsmentioning

confidence: 99%

“…Central elements in many CAM modalities have been associated with person-centeredness, empowerment, salutogenic care, and self-management (e.g. Salamonsen, 2016; Berger et al, 2012; Launsø, 1996; Maciocia, 1994; Mulkins et al, 2015; Rakel et al, 2012). Complementary explanations for CAM use can be found in the literature, such as increasing economic capital (Eisenberg et al, 1993) and CAM users perceived as consumers (e.g.…”

Section: Cam Use In Public Healthcare Contextsmentioning

confidence: 99%

“…Systematic reviews have shown that beliefs about control and participation, a holistic view of health, and a desire for natural, non-invasive treatments predict CAM use after controlling for demographic and clinical variables. Studies have also revealed that many CAM users experience their health beliefs as conflicting compared to those of health professionals in the public healthcare (Berger et al, 2012; Bodeker et al, 2007; Hughner and Kleine, 2008; Launsø, 1996; Mao et al, 2008; Mulkins et al, 2015; Rakel et al, 2012; Salamonsen 2013, 2016; Salamonsen et al, 2010; Verhoef et al, 2006). Recent white papers like the Norwegian innovation program Future Care (Report to the Storting 29, 2012–2013) recommend a higher degree of patient involvement and shared decision-making in public healthcare.…”

Section: Cam Use In Public Healthcare Contextsmentioning

confidence: 99%

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Epistemological challenges in contemporary Western healthcare systems exemplified by people’s widespread use of complementary and alternative medicine

Salamonsen

Ahlzén

2017

Health (London)

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Modern Western public healthcare systems offer predominantly publicly subsidized healthcare traditionally based on biomedicine as the most important basis to cure persons who suffer from disorders of somatic or psychiatric nature. To which extent this epistemological position is suitable for this purpose is under scientific debate and challenged by some people's personal understandings of health and illness, their individual illness experiences and their decision-making. Current studies show decreasing levels of patient trust in Western public healthcare and a widespread patient-initiated use of complementary and alternative medicine which is often linked to unmet patient-defined healthcare needs. Patients'/complementary and alternative medicine users' understandings of their afflictions are often based on elements of biomedical knowledge as well as embodied and experience-based knowledge. We believe this points to the need for a phenomenologically and socially based understanding of health and illness. In this article, we analyze challenges in contemporary healthcare systems, exemplified by people's widespread use of complementary and alternative medicine and based on three ways of understanding and relating to unhealth: disease (the biomedical perspective), illness (the phenomenological perspective), and sickness (the social perspective). In public healthcare systems aiming at involving patients in treatment processes, acknowledging the coexistence of differing epistemologies may be of great importance to define and reach goals of treatment and compliance.

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Section: Cam Use In Public Healthcare Contextsmentioning

confidence: 99%

Section: What Can Phenomenological and Social Perspectives On Health mentioning

confidence: 99%