Zur Lage der Komplementärmedizin in Deutschland

Albrecht, Henning

doi:10.1159/000347149

Cited by 9 publications

(6 citation statements)

References 18 publications

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“…12,13 Whereas integrative medicine and care are slowly finding their way into the German hospital landscape, 3 university hospitals still have an ambivalent attitude toward T&CM. 14,15 There is growing research on supportive T&CM interventions for specific symptoms in pediatric oncology such as fatigue, psychological stress, and pain, [16][17][18] and also few descriptions of implementation projects in pediatric settings. 19,20 To date, however, limited research on the implementation, applicability, and evaluation of integrative care in the highly specialized field of children's oncology is available in Germany.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of an Integrative Care Program in Pediatric Oncology

et al. 2020

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Purpose: This article discusses the results of an evaluation of the one-year implementation period of an integrative care program at a pediatric oncology ward, which consists of integrative care treatments offered three times a week to the patients. The guiding questions are how the model was implemented, which factors have to be considered for successful implementation, and which factors showed to be obstacles during implementation. Methods: A mixed-methods approach was applied for data saturation. Qualitative data consist of participant observations and informal conversations during the implementation phase. All observational records were filed in the data program MAXQDA. For the quantitative data, all integrative care treatments applied on the intensive care unit were documented and subsequently filed in an Excel sheet. Both sets of data were analyzed for the evaluation. Results: Four main thematic clusters influenced the implementation: (1) the organization and structure of the intensive care unit; (2) mood and atmosphere; (3) feedback on treatment; and (4) time and experience. All factors are interlinked and cannot be looked at independently. Results of the quantitative data show that the most frequent used treatments were those with calming and relaxing effects, followed by treatments for stomachache, nausea, and obstipation. Conclusions: The implementation of an integrative model of care is a process that demands thorough understanding of the complex setting of the ward, ongoing adaptation to the structures and organization of the ward, and the integration of factors like feedback, time, atmosphere, and the mood of parents, patients, and nurses.

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Section: Introductionmentioning

confidence: 99%

Evaluation of an Integrative Care Program in Pediatric Oncology

et al. 2020

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“…Apart from publications in peer-reviewed journals, the current review also included doctoral theses in German. This reflects the situation in German-speaking countries, where (for unknown reasons) homeopathy is more frequently used than in other countries (Kayne 2006, Mathie and others 2012, Albrecht 2013, Allensbach Institute for Public Opinion Research 2014). In their characterisation of research literature on veterinary homeopathy in preparation of following publications, Mathie and others (2012) did not define doctoral thesis as peer-reviewed as was done in this review.…”

Section: Discussionmentioning

confidence: 76%

Efficacy of homeopathy in livestock according to peer‐reviewed publications from 1981 to 2014

Doehring

Sundrum

2016

Veterinary Record

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Homeopathy is widely used in livestock, especially in order to reduce the use of antibiotics, although it is often seen as controversial. A comprehensive literature review has been conducted to assess the efficacy of homeopathy in cattle, pigs and poultry. Only peer-reviewed publications dealing with homeopathic remedies, which could possibly replace or prevent the use of antibiotics in the case of infective diseases or growth promotion in livestock were included. Search results revealed a total number of 52 trials performed within 48 publications fulfilling the predefined criteria. Twenty-eight trials were in favour of homeopathy, with 26 trials showing a significantly higher efficacy in comparison to a control group, whereas 22 showed no medicinal effect. Cure rates for the treatments with antibiotics, homeopathy or placebo varied to a high degree, while the remedy used did not seem to make a big difference. Looking at all the studies, no study was repeated under comparable conditions. Consequently, the use of homeopathy currently cannot claim to have sufficient prognostic validity where efficacy is concerned. When striving for high therapeutic success in treatment, the potential of homeopathy in replacing or reducing antibiotics can only be validated if evidence of efficacy is confirmed by randomised controlled trials under modified conditions.

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“…The health care system still struggles to accept those T&CM/CIM modalities that lack evidence-based support [35]. Accordingly, T&CM/CIM research and professorships in IM are still dependent on third-party funding [19]. Therefore, the project described here is exceptional.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, different models to integrate T&CM modalities into conventional medicine and care have been developed since the 1990s [15], and some hospitals and clinics in Europe and the USA have begun to offer T&CM modalities [16,17]; these include acupuncture, chiropractic, yoga, massage therapy, naturopathy, and anthroposophic medicine [5]. While IM is slowly finding its way into the German hospital landscape [18], university hospitals, with their focus on high-technology medicine and academic research, still have an ambivalent or even denunciatory attitude to T&CM/CIM [19]. Although openness towards T&CM/CIM is prevailing, one reason for difficulties in merging the 2 domains lies in what Pérard et al [20] define as major cultural differences between conventional and traditional, complementary, or integrative medicine and their differing philosophies, historical development, and settings.…”

Section: Introductionmentioning

confidence: 99%

Development of an Integrative Care Program in a Pediatric Oncology Unit

et al. 2020

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Purpose: The aim of this article is to describe what needs to be considered in implementing care practices, in this case an integrative care program consisting of anthroposophic treatments, in an intensive care unit (ICU) of a teaching hospital. Methods: We used a pediatric oncology department to implement an integrative care program. We conducted a qualitative study including participant observation and semi-structured interviews with parents, nurses, doctors, and therapists. Data analysis was based on a grounded theory approach and focused on the status quo of care in the ICU. Results: The following factors needed to be considered: the structure of the ICU, communication and information dissemination, and time constraints. This led to the following components of the integrative care program: (1) a training plan in anthroposophic treatments for all nurses that was conducted by 2 trained anthroposophic nurses, and (2) the introduction of an integrative shift that was on top of regular care at the ICU and focused on delivery of integrative care to patients. Conclusion: To add new care components to an ICU, the existing context has to be considered. Time constraints and high workload are factors that need to be recognized. In this particular context, a highly flexible program was the solution.

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Zur Lage der Komplementärmedizin in Deutschland

Cited by 9 publications

References 18 publications

Evaluation of an Integrative Care Program in Pediatric Oncology

Evaluation of an Integrative Care Program in Pediatric Oncology

Efficacy of homeopathy in livestock according to peer‐reviewed publications from 1981 to 2014

Development of an Integrative Care Program in a Pediatric Oncology Unit

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