By David Peters, MBChB DRCOG MFHom MLCOM, Leon Chaitow, ND DO, Gerry Harris, BA LicAc BAcC, and Sue Morrison, MA FRCGP (Auth.)
This publication is a pragmatic and readable advisor to the mixing of complementary cures into mainstream basic care. in response to the winning reports of the authors in a medical environment, it bargains clinicians, therapists, and different healthcare pros a pragmatic routemap of the major concerns, in addition to useful ways that to make sure shut operating, acceptable referrals, suggestion and remedy judgements. sufferer details sheets and scientific counsel sheets for key stipulations are incorporated in complete
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Additional info for Integrating Complementary Therapies in Primary Care. A Practical Guide for Health Professionals
So the apparent benefit can be ascribed to the natural course of the condition rather than to the therapy. Again, only rigorous study design can distinguish between the two. ● Mood improvement or cure? CPs often have much more time to spend with their patient than a harassed GP loaded down with guidelines and tight budgets. Is it any wonder that they make patients feel better? That mood change is sometimes taken to be the cure. ● Psychological investment in alternatives Alternative healing can involve a commitment of considerable financial expense, huge amounts of time, extensive family involvement and a large investment of belief that the treatment will have some effect.
Yet parallels between CPs’ ideas about their approaches and conventional health care have to be found. And, even though CT treatments tend not to be standardized, research methods allowing their rigorous evaluation will certainly be needed to rationalize and justify their introduction. Finding a scientific explanation for the principles behind some of the therapies is one challenge. There is, for instance, no anatomical basis for the existence of acupuncture meridians; nor do we have a biochemical explanation for how homeopathic remedies work.
So if RCT results that are relevant to the questions an integrative team face are available then these would form an important part of their rationale. As yet though there are too few for, although at least 5000 have already been published, this is a tiny fraction of the numbers of drug RCTs conducted. Can the availability of RCTs be the key determinant for introducing CTs then? Probably not, but in the cause of evidence-based medicine we have to proceed ‘using the best available evidence’. As the summary at the end of this chapter shows, relatively few RCTs of complementary therapies have been done.