Integrative Medicine and the Health of the Public A Summary of the February 2009 Summit (2009) / Chapter Skim
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2 The Vision for Integrative Health and Medicine
2 The Vision for Integrative Health and Medicine
Pages 37-52
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From page 37... ...
Moderated by Michael Johns, the panelists emphasized the notion that the current health care system is fragmented, short sighted, and not oriented to health promotion or disease prevention, and that a shift in the focus of the system will be necessary for a healthy population. Bill Novelli, for example, described the large contribution that Americans' individual behavior choices make in preserving health or causing diseases.
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From page 38... ...
She lived a remarkably healthy and active life for 100% Health status 0% Birth Projected human life span 120 years FIGURE 2-1 The square wave life curve.
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From page 39... ...
A coherent set of national health goals and strategies and an effective program for health promotion and disease prevention could provide one of the biggest returns on investment this nation could ever make, said Novelli. Substantial changes in health behavior would require a synergistic combination of social marketing and public policy strategies that reach beyond the clinical setting.
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From page 40... ...
The policy changes included federal regulation of manufacturing, marketing, and sales of tobacco products; tax increases; and local interventions. The social marketing strategies recommended would combine with public policy and medical strategies to create more effective smoking cessation programs that go beyond the typical medical model.
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From page 41... ...
Ideally, electronic data systems and health records would make patient information available to every relevant caregiver in real time, which encourages and enables service integration, said Halvorson. The American Recovery and Reinvestment Act of 2009 included support for electronic patient records and electronic support for care, which could move this effort forward.
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From page 42... ...
The tools are used by teams of caregivers across the health care setting as they actively work with and advise individual patients. Personalized information is used in selecting treatments but also may be used in suggesting behavior changes, best weight and activity levels, and other health promotion opportunities.
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From page 43... ...
• Complementary and alternative • Evidence-based, outcome-focused practices practices • Belief that the body helps heal • Principles for creation of healing itself environments • The lead of empowered patients alternative health practitioners, health coaches, and wellness mentors, as well as medical specialists. Putting the patient in the driver's seat allows representatives from any number of disciplines to serve as the navigator, helping people sort through conflicting data as well as many difficult choices they must make during their lifetimes.
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From page 44... ...
To the National Coalition for Cancer Survivorship, use of evidencebased medicine and evidence-based practices are basic quality indicators in cancer care. However, this usage is difficult to monitor in the face of the typically uncoordinated and unsystematic approaches to cancer care chronicled by a succession of IOM reports, including From Cancer Patient to Cancer Survivor: Lost in Transition (2005)
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From page 45... ...
Prime characteristics of patient-centered care involve attentively eliciting patient preferences and integrating mind, body, and spirit. However, cancer survivorship research reveals that when people are diagnosed with cancer, they temporarily lose the basic skills of everyday life.
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From page 46... ...
In some cases, studies of issues the public cares about simply do not exist. As use of integrative practices advances, health professionals may gain a deeper understanding of why some of these approaches work.
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From page 47... ...
The smart patient and integrative health movements must therefore develop and promote user-friendly ways for people to obtain health information that are easy to use and include positive, motivating messages. Another way to increase patient control would be to encourage the use of health coaches and navigators.
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From page 48... ...
A corollary concern was raised regarding privacy protections for personal data in electronic health records. While there can be no absolute guarantee that an individual's medical record will be completely safe, Oz replied, in places such as British Columbia that have a national system for exchanging medical records, people find the advantages of the system outweigh their concerns about potential privacy breaches.
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From page 49... ...
In addition, Halvorson said that tackling the problem of medical school debt might encourage more young physicians to enter the primary care field, even if it remains less remunerative than many specialties. PRIORITY ASSESSMENT GROUP REPORT 1 Integrative Medicine and Its Role in Shaping the National Health Reform Agenda Dr.
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From page 50... ...
The first priority identified by the group was the need to advance a new and shared vision for health -- a national consensus that the health system should move away from the current predominant focus on the sickness model to a person-centered health, wellness, and prevention model that is holistic from birth to death, and involves individuals, families, and loved ones. It suggested that health care transformation should develop and build on a framework of individual responsibility for making responsible preventive and care choices that is supported by personally appropriate information and decision coaching.
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From page 51... ...
; articulating the definition and vision of integrative medicine, gaining support from key constituencies, and launching the na tional campaign; active demonstration projects; progress in developing new evidence criteria; progress in reimbursement, especially because patient and physi cian incentives are already progressing in the marketplace that can be built upon; and advances in the integrative medicine agenda, as patients are "ac tivated" to take control of disease prevention and management.
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