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What Integrative Medicine means for the future of Health care? Experts Views

 


-By Dr. B G Roopa Lakhsmi (h.c), Founder & MD, WELLBEEING, Integrated Health Centre

The excerpt from the experts’ world-wide practicing Integrative Medicine...

Integrative medicine has much larger goals, and is very relevant to the health care crisis that we face today. Dr. Andrew Weil’s Vision for the Future of Integrative Medicine

It is about taking the patient from a state of disease to a state of health. It is about integrating effective therapeutic methods into a comprehensive strategy that works for the patient, and that emphasizes personal responsibility on the part of the patient as well. Dushyant Viswanathan, MD

We can’t solve non communicable disease with the tools we have in regular medicine. Integrative medicine is the solution, but providers should be adaptable to the new models because the old models of getting it into a hospital are not proving successful.” Dr James Maskell, author of a book called’ The Evolution of Medicine’, lays out a step-wise method for physicians to, as the subtitle puts it, “Join the Movement to Solve Chronic Disease and Fall Back in Love with Medicine.”

Management of chronic diseases requires a different approach with more emphasis on personalized prevention, health promotion and lifestyle interventions," It reaffirms the importance of the therapeutic relationship between practitioner and patient and that focuses on the whole person (body, mind and spirit) including all aspects of lifestyle,” says Dr Dawie van Velden, a registered family physician, lecturer and researcher at the Faculty of Health Sciences at the University of Stellenbosch.

In the past few decades we have seen a sea change in the medical landscape from the solo practice, primary care country doctor to large urbanized health care systems, from high-touch, low-cost care to high-tech, specialized, expensive, sometimes impersonal health care. Some patients feel lost in our current health care system. They see specialist after specialist and receive prescription after prescription and test after test. They wonder whether their specialists speak to each other. It is hoped that the perspectives offered by integrative medicine will eventually transform mainstream medicine by improving patient outcomes, reducing costs, improving safety, and increasing patient satisfaction. says Victor S. Sierpina, MD, ABFM, ABIHMa James E. Dalen, MD, MPHb a University of Texas Medical Branch Galveston b Weil Foundation University of Arizona Tucson

When it comes to improving health care, one fact seems fairly undisputed: “What we have now is a ‘sick care’ system that is reactive to problems,” says Dr. Ralph Snyderman, MD, Chancellor Emeritus at the Duke University School of Medicine.

According to Dr. Ka-Kit Hui, MD, founder and director of the UCLA Center for East-West Medicine and the Wallis Annenberg Professor in Integrative East-West Medicine, “current health care works by waiting until symptoms of disease arise, as opposed to spending more time and effort on disease prevention so that those problems do not occur in the first place.” He describes a health-disease continuum, with “feeling great”, “wellness/absence of disease”, and “minor symptoms” on one hand, and “multiple/chronic symptoms”, “acute/advanced disease” and “terminal stage/death” on the other.” One of the fundamental flaws of the typical medical approach is looking at the body in terms of individual body systems. Patients are often referred by their “jack-of-all-trades” GP, to “specialist” teams for specific ailments. However, what this approach really lacks, is the understanding that there are interrelated drivers of health and disease, that cross multiple organ systems. Disease rarely occurs in isolation, but rather, sets off a cascade of events within the body that depending on a person’s individual genetic and lifestyle factors can alter the trajectory of their health. www.fxmedicine.com.au

The number of US hospitals offering integrative therapies, such as acupuncture, massage therapy, therapeutic touch, and guided imagery, has increased from 8% in 1998 to 42% in 2010.(4) Many academic cancer centers offer these integrative practices as part of a full spectrum of care. Other hospitals offer programs in integrative women’s health, cardiology, and pain management.  2017 The American Journal of Medicine

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