Best Practice for Integrative Medicine in Australian Medical Practice.

  • Extreme Wellness Institute
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The ‘Best Practice for Integrative Medicine in Australian Medical Practice’ is an Australasian Integrative Medicine Association (AIMA) endorsed document as principles to assist medical practitioners for the safe and appropriate integration of evidence-based complementary medicine into medical practice. In Australia, the use of Integrative Medicine (IM) by medical practitioners, particularly general practitioners (GPs) as a part of routine clinical practice is increasing. A National Prescribing Survey (NPS) survey indicated that approximately 30% of GPs in Australia describe themselves as practising IM. About two thirds of Australian consumers have used one or at least one CM in the previous 12 months, with 28% on a regular basis. The document is designed to assist the understanding of IM by the medical profession and for authorities to refer to when seeking guidelines in this field of medicine. The authors undertook an extensive consultation process to develop these principles.

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... [31][32][33][34][35][36][37][38] As a means of ensuring methodological rigour, the selection of CAM disciplines for this study was underpinned by four processes. (a) Mapping the CAM disciplines most frequently reported across various frameworks [39][40][41] ; (b) Targeting the largest and the most prevalent forms of CAM used in the Trans-Tasman region 32,42 ; (c) Identifying disciplines reported in the National Centre for Complementary and Alternative Medicine definition of CAM, 43 and (d) Isolating CAM disciplines included in CAM-specific Trans-Tasman Practitioner-Based Research Networks. 31 The selection of Australia and New Zealand was underpinned by methodological (i.e., similar models of care and professional regulatory structures, as well as Trans-Tasman mutual recognition principles, 44 pragmatic (i.e. ...
Introduction Despite the growing international popularity and use of complementary and alternative medicine (CAM), the uptake of evidence-based practice (EBP) in CAM has been slow. This cross-sectional survey aimed to further our understanding of the factors impacting EBP uptake in CAM. Methods The 32-item oBSTACLES instrument was administered online using the SurveyMonkeyTM platform. The survey evaluated barriers to both the conduct and application of research among CAM practitioners and researchers, from multiple CAM disciplines across Australia and New Zealand. Participants were recruited via practice-based research networks, professional associations, CAM educational institutions, CAM research centres, pertinent product manufacturers and social media platforms. Data were analysed using descriptive statistics. Results Six hundred and eighty-two CAM stakeholders responded to the survey. Barrier items were divided into two interlinked constructs, “capacity” and “culture”. Capacity related to issues regarding access, competency, bias, incentives, and time, whereas culture related to values and complex systems. Under capacity, the greatest proportion of participants (>70%) agreed that access was a barrier to the conduct and application of research, including lack of funding, institutional support, research training and collaborations. In terms of culture, the majority of participants (>60%) agreed that values were a barrier to research conduct and application, including limited undergraduate research opportunities and diverse views of evidence. Conclusion Findings from this research suggest a multitude of barriers negatively impact the conduct and application of research in CAM. Insights gained from this research will be instrumental in developing actionable strategies aimed at mitigating the impact of these barriers to improve research engagement in CAM.
Integrative medicine is based on a model of being proactive and promoting health and wellness, rather than being reactive and solely focusing on episodic disease processes. Integrative medicine incorporates a holistic approach to clinical practice that encourages owner involvement with a focus on individualized care, maintained wellness, optimized performance, and disease prevention. Health promotion and preventative care require a different set of clinical skills and perspectives than is typically provided by a traditional veterinary education. Productive interprofessional collaborations are an essential component to the effective delivery of integrative medicine services.
Complementary and alternative medicine (CAM) is an increasingly prevalent part of contemporary health care. Whilst there have been some attempts to understand the dynamics of CAM integration in the health care system from the perspective of conventional care providers and patients, little research has examined the view of CAM practitioners. This study aims to identify the experiences of integration within a conventional healthcare system as perceived by naturopaths. Qualitative semi-structured interviews were conducted using a purposeful sample of 20 practising naturopaths in South East Queensland, Australia to discuss their experiences and perceptions of integrating with conventional medical providers. Analysis of the interviews revealed five broad challenges for the integration of CAM according to naturopaths: competing paradigms between CAM and conventional medicine; co-option of CAM by conventional medical practitioners; the preservation of separate CAM and conventional medical worlds by patients and providers due to lack of formalised relations; negative feedback and biases created through selective or limited experience or information with CAM; and indifferent, reactive and one-sided interaction between CAM and conventional medical providers. Naturopaths support the integration of health services and attempt to provide safe and appropriate care to their patients through collaborative approaches to practice. The challenges identified by naturopaths associated with integration of CAM with conventional providers may impact the quality of care of patients who choose to integrate CAM and conventional approaches to health. Given the significant role of naturopaths in contemporary health-care systems, these challenges require further research and policy attention.
This chapter discusses mindful leadership. This concept starts with being a mindful leader in the areas of self-awareness, self-management, ethics and morals, actions and effort, and reflection or meditation. Leaders must create a vision and then compassionately develop others, distribute power, coach for success, and correctly employ teams in their organization. These concepts lead to a mindful organization that is focused on threats rather than failure and responds in resilient and sensitive ways. All of these mindful leadership concepts are supported by an ever-growing body of neuroscience.
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