Integrating Complementary and Alternative Medicine into Family Medicine Practice: Narrative Review
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Abstract
Complementary and Alternative Medicine (CAM) has witnessed a significant surge in usage across various populations and regions in recent decades. This review article delves into the prevalence and patterns of CAM usage, from cancer patients to cultural practices in Saudi Arabia and New Zealand. In Saudi Arabia, CAM practices, especially spiritual ones like prayer and reciting the Quran, are widely adopted, with herbs, honey, and dietary products also being popular. New Zealand healthcare professionals, including general practitioners and midwives, generally hold a positive view towards CAM, with acupuncture being particularly favored. However, concerns about CAM's scientific evidence, safety, and costs persist. In the U.S., while CAM is popular, many family physicians feel inadequately trained to address CAM-related patient queries. In Germany, a significant number of family physicians use CAM in their practices, emphasizing the need for increased CAM education and research. The data underscores the global trend of CAM adoption and the need for its effective integration into mainstream healthcare. Despite its popularity, the integration of CAM in medical education remains limited in many regions, including Saudi Arabia. However, there's a noticeable shift with some medical schools beginning to incorporate CAM into their curriculum. The article underscores the importance of evidence-based practice, education, training, open communication, regulation, interdisciplinary collaboration, a patient-centered approach, thorough documentation, continuous research, cultural sensitivity, and cost-effectiveness evaluation when considering the integration of CAM into mainstream healthcare. The recommendations provided aim to ensure that patients receive holistic care that is both safe and effective. The overarching theme is the need for a balanced, informed, and collaborative approach to integrating CAM into family medicine practice.
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