Integrative Medicine = Good medicine . Kathi J. Kemper, MD, MPH Caryl J Guth Chair for Holistic and Integrative Medicine Professor of Pediatrics, Public Health Sciences, Family and Community Medicine Wake Forest University Health Sciences. CAM US History.
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Kathi J. Kemper, MD, MPH
Caryl J Guth Chair for Holistic and Integrative Medicine
Professor of Pediatrics, Public Health Sciences, Family and Community Medicine
Wake Forest University Health Sciences
BMJ, 28 Feb 2004
NCCAM Clearinghouse:(US) 1-888-644-6226
Integrative Medicine is the practice of medicine that reaffirms the importance of the relationship between practitioner and patient, focuses on the whole person, is informed by evidence, and makes use of all appropriate therapeutic approaches, healthcare professionals and disciplines to achieve optimal health and healing.
Consortium of Academic Health Centers for Integrative Medicine, 5/05
Sustainable, Healing Environment
Holistic Patient- Centered Care
Comprehensive Therapeutic Options
Caring for whole person - body, mind, emotions, spirit, relationships -- in the context of family, culture and community
Culturally sensitive care
Can a surgeon be holistic? YES
Care based primarily on visits
Professional autonomy drives variability
Professionals control care
Information is a record
Decision making is based on training and experience
Care is based on continuous healing relationships
Care is customized according to patient needs and values
The patient is the source of control
Knowledge is shared and information flows freely
Decision making is evidence- basedUS Institute of Medicine’s Rules for the Twenty-First Century Health Care System
Do no harm is an individual responsibility
The system reacts to needs
Cost reduction is sought
Preference is given to professional roles over the system.
Safety is a system property
Needs are anticipated
Waste is continuously decreased
Cooperation among clinicians is a priorityInstitute of Medicine’s Simple Rules for the Twenty-First Century Health Care System
Integrative Medicine emphasizes
The knowledge and use of Complementary and Alternative Medicine (CAM) is an important aspect of Integrative Medicine.
Section on Integrative Medicine, Internal Medicine, UNM
Bioenergetic therapies: Acupuncture/Acupressure, Healing/Therapeutic Touch, Prayer, Homeopathy
Biomechanical Therapies: Surgery, Osteopathic/ Chiropractic; Bodywork/Massage
Biochemical Therapies: Medications, Herbs, vitamins, minerals, dietary supplements
Lifestyle Therapies: Mind-body; Environment; Exercise/Rest; Diet/Smoking/Drinking
Kemper K. BMC CAM 2007
Cohen M. Pediatrics, 2005
Kemper. Arch Dis Child, 2001
Kemper, et al. BMC CAM, 2007; 7:5
Heart Center practice?
Bone & Joint
Burden of disease, preventability, and research and translation gaps.
Ockene, et al. Am J Prev Med, 2007; 32(3) :244
(From the Institute of Medicine, 2002.7)
Murray CJL. Lancet, 1997