Change search
ReferencesLink to record
Permanent link

Direct link
Pragmatic Model for Integrating Complementary and Alternative Medicine in Primary Care Management of Chronic Musculoskeletal Pain
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences. Avd Nutrition and Health, The Louis Bolk Institute, The Netherlands; National Information and Knowledge Centre for Integrative Medicine (NIKIM), Netherlands.
The van Praag Instituut, Utrecht, The Netherlands; National Information and Knowledge Centre for Integrative Medicine (NIKIM), Netherlands.
Avd Nutrition and Health, The Louis Bolk Institute, The Netherlands.
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.ORCID iD: 0000-0002-3907-2197
Show others and affiliations
2016 (English)In: Primary Healthcare, ISSN 2167-1079, Vol. 6, no 2, 1000224Article in journal (Refereed) Published
Abstract [en]

Background: Integration of complementary and alternative medicine (CAM) into conventional care is driven by patients’ needs for holistic care. This study aimed to develop a model for integration of CAM into primary healthcare in close collaboration with patients suffering from chronic musculoskeletal pain (CMP). Methods: The study had a qualitative inductive approach following the principles of Grounded Theory, where data were collected and generated via several data sources and steps; individual and focus group interviews and meetings with patients, general practitioners (GPs), CAM practitioners, health insurers and other key informants. Results: Consensus was reached on a model in which shared decision making was introduced to facilitate discussions on CAM between patients and GPs. Guided by evidence and best-practices, GPs refer patients to one of five selected and reimbursed CAM therapies (acupuncture, homeopathy, naturopathy, osteopathy or Tai Chi) and respective practitioner within their integrative network. CAM practitioners report treatment outcome back to the GP who follows-up on the patient for further evaluation. Conclusions: In conclusion, it was feasible to develop a model for integration of CAM into primary healthcare management of CMP that was driven by patients’ needs and obtained consensus of all stakeholders. The model is the first in the Netherlands to provide for integrative health services in primary care. It needs to be tested in a study setting before further implementation is recommended.

Place, publisher, year, edition, pages
2016. Vol. 6, no 2, 1000224
Keyword [en]
Primary care; Complementary and alternative medicine; Integrative medicine; Chronic musculoskeletal pain
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-29120DOI: 10.4172/2167-1079.1000224OAI: oai:DiVA.org:miun-29120DiVA: diva2:1038495
Note

Financed by Dutch Ministry of Health, Welfare and Sports

Available from: 2016-10-18 Created: 2016-10-18 Last updated: 2016-10-28Bibliographically approved

Open Access in DiVA

fulltext(474 kB)12 downloads
File information
File name FULLTEXT01.pdfFile size 474 kBChecksum SHA-512
0ebbdb789761b0db2c477982312b6c63435e8c08b7fbcfc18a45a3f938aa447e1629cf5565a43c615df02987ff17b7cc5d7868215d8af829c764e4c745424f80
Type fulltextMimetype application/pdf

Other links

Publisher's full texthttp://www.omicsgroup.org/journals/pragmatic-model-for-integrating-complementary-and-alternativemedicine-in-primary-care-management-of-chronic-musculoskeletal-pain-2167-1079-1000224.pdf

Search in DiVA

By author/editor
Jong, Miek CJong, Mats
By organisation
Department of Nursing Sciences
Nursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 12 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 21 hits
ReferencesLink to record
Permanent link

Direct link