Integrating Complementary and Alternative Medicine into Family Medicine Practice: Narrative Review
DOI:
https://doi.org/10.53555/jaz.v44i5.3317Keywords:
Complementary Medicine, Alternative Medicine, Family Medicine, General Practice, MedicineAbstract
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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References
National Center for Complementary and Integrative Health (NCCIH). (2018). Complementary, Alternative, or Integrative Health: What’s In a Name? U.S. Department of Health & Human Services. https://www.nccih.nih.gov/health/complementary-alternative-or-integrative-health-whats-in-a-name
Clarke, T. C., Black, L. I., Stussman, B. J., Barnes, P. M., & Nahin, R. L. (2015). Trends in the use of complementary health approaches among adults: United States, 2002-2012. National health statistics reports, (79), 1–16.
Astin, J.A. (1998). Why patients use alternative medicine: results of a national study. JAMA, 279(19), 1548-1553.
Kemper, K.J., Amata-Kynvi, A., Dvorkin, L., Whelan, J.S., Woolf, A., Samuels, R.C., & Hibberd, P. (2000). Herbs and other dietary supplements: healthcare professionals' knowledge, attitudes, and practices. Alternative therapies in health and medicine, 6(3), 58.
Vohra, S., Feldman, K., Johnston, B., Waters, K., & Boon, H. (2005). Integrating complementary and alternative medicine into academic medical centers: experience and perceptions of nine leading centers in North America. BMC Health Services Research, 5(1), 78.
Maizes, V., Rakel, D., & Niemiec, C. (2009). Integrative medicine and patient-centered care. Explore, 5(5), 277-289.
Matovina, C., Birkeland, A. C., Zick, S., & Shuman, A. G. (2017). Integrative Medicine in Head and Neck Cancer. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 156(2), 228–237. https://doi.org/10.1177/0194599816671885
Sackett, K., Carter, M., & Stanton, M. (2014). Elders' use of folk medicine and complementary and alternative therapies: an integrative review with implications for case managers. Professional case management, 19(3), 113–125. https://doi.org/10.1097/NCM.0000000000000025
Balneaves, L. G., Watling, C. Z., Hayward, E. N., Ross, B., Taylor-Brown, J., Porcino, A., & Truant, T. L. O. (2022). Addressing Complementary and Alternative Medicine Use Among Individuals With Cancer: An Integrative Review and Clinical Practice Guideline. Journal of the National Cancer Institute, 114(1), 25–37. https://doi.org/10.1093/jnci/djab048
Kligler, B., Maizes, V., Schachter, S., Park, C.M., Gaudet, T., Benn, R., Lee, R., & Remen, R.N. (2004). Core competencies in integrative medicine for medical school curricula: a proposal. Academic Medicine, 79(6), 521-531. [7]
Ernst, E. (2000). The role of complementary and alternative medicine. BMJ, 321(7269), 1133-1135.
Alrowais, N. A., & Alyousefi, N. A. (2017). The prevalence extent of Complementary and Alternative Medicine (CAM) use among Saudis. Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society, 25(3), 306–318. https://doi.org/10.1016/j.jsps.2016.09.009
Horrigan, B., Lewis, S., Abrams, D., & Pechura, C. (2012). Integrative medicine in America—How integrative medicine is being practiced in clinical centers across the United States. The Bravewell Collaborative.
Ernst E, Cassileth BR. The prevalence of complementary/alternative medicine in cancer: a systematic review. Cancer. 1998;83(4):777–82. doi: 10.1002/(SICI)1097-0142(19980815)83:4<777::AID-CNCR22>3.0.CO;2-O.
Horneber M, Bueschel G, Dennert G, Less D, Ritter E, Zwahlen M. How many cancer patients use complementary and alternative medicine: a systematic review and metaanalysis. Integr Cancer Ther. 2012;11(3):187–203. doi: 10.1177/1534735411423920
Liu, L., Tang, Y., Baxter, G. D., Yin, H., & Tumilty, S. (2021). Complementary and alternative medicine - practice, attitudes, and knowledge among healthcare professionals in New Zealand: an integrative review. BMC complementary medicine and therapies, 21(1), 63. https://doi.org/10.1186/s12906-021-03235-z
Aizuddin, A. N., Zamzuri, M. I. A., Mansor, J., Nurumal, S. R., Yunus, S. Z. S. A., Razak, M. A. A., Jamhari, M. N., Fah, T. S., Miskam, H. M., Hod, R., & Yusoff, H. M. (2022). Perception of integrating complementary and alternative medicine practice in patient's treatment among the healthcare practitioners: a systematic review. The Pan African medical journal, 43, 19. https://doi.org/10.11604/pamj.2022.43.19.31133
Alrowais NA, Alyousefi NA. The prevalence extent of Complementary and Alternative Medicine (CAM) use among Saudis. Saudi Pharm J. 2017;25(3):306–18
Abuelgasim KA, Alsharhan Y, Alenzi T, Alhazzani A, Ali YZ, Jazieh AR. The use of complementary and alternative medicine by patients with cancer: a cross-sectional survey in Saudi Arabia. BMC Complement Altern Med. 2018 Mar;18(1):88.
Qureshi NA, Khalil AA, Alsanad SM. Spiritual and Religious Healing Practices: Some Reflections from Saudi National Center for Complementary and Alternative Medicine, Riyadh. J Relig Health. 2020;59(2):845–69.
Bahall M, Legall G. Knowledge, attitudes, and practices among health care providers regarding complementary and alternative medicine in Trinidad and Tobago. BMC Complement Altern Med. 2017;17(1):1–9
Joos, S., Musselmann, B., & Szecsenyi, J. (2011). Integration of complementary and alternative medicine into family practices in Germany: results of a national survey. Evidence-based complementary and alternative medicine : eCAM, 2011, 495813. https://doi.org/10.1093/ecam/nep019
Ernst, E., & Cohen, M. H. (2001). Informed consent in complementary and alternative medicine. Archives of Internal Medicine, 161(19), 2288-2292.
Kemper, K. J., Gardiner, P., & Gobble, J. (2006). Expertise about herbs and dietary supplements among diverse health professionals. BMC Complementary and Alternative Medicine, 6(1), 15
Al Mansour M.A., Mohammad E.Y., Abdalla S., Medani K., Mahmoud W., Meraj S. Satisfaction, self-use and perception of medical students in Majmaah University, Kingdom of Saudi Arabia, towards complementary and alternative medicine. J. Taibah Univ. Med. Sci. 2015;10(1):74–78
Adams, K. E., Cohen, M. H., Eisenberg, D., & Jonsen, A. R. (2002). Ethical considerations of complementary and alternative medical therapies in conventional medical settings. Annals of Internal Medicine, 137(8), 660-664.
Cohen, M. H., & Eisenberg, D. M. (2002). Potential physician malpractice liability associated with complementary and integrative medical therapies. Annals of Internal Medicine, 136(8), 596-603.
Boon, H., Verhoef, M., O'Hara, D., & Findlay, B. (2004). From parallel practice to integrative health care: a conceptual framework. BMC Health Services Research, 4(1), 15.
Epstein, R. M., & Street, R. L. (2011). The values and value of patient-centered care. Annals of Family Medicine, 9(2), 100-103.
Wieland, L. S., Manheimer, E., & Berman, B. M. (2011). Development and classification of an operational definition of complementary and alternative medicine for the Cochrane collaboration. Alternative Therapies in Health and Medicine, 17(2), 50.
Napier, A. D., Ancarno, C., Butler, B., Calabrese, J., Chater, A., Chatterjee, H., ... & Guesnet, F. (2014). Culture and health. The Lancet, 384(9954), 1607-1639.
Herman, P. M., Poindexter, B. L., Witt, C. M., & Eisenberg, D. M. (2012). Are complementary therapies and integrative care cost-effective? A systematic review of economic evaluations. BMJ Open, 2(5), e001046.
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Copyright (c) 2023 Mohamad Ahmad Alenezi , Reem Ayidh Salman Alanazi, Thana Ghazi Sajir Alanazi, Shouq Fayed K Alanazi , Mohammed Khalid Alzalbani, Nahed Khulaif J Alanazi, Buthaynah Sughayyir Bin Gharib Alanazi, Bader Maiedh Mohsen Al Adainan , Rashid Saleh Mohammed Balhareth
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