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Informing the model of care for an academic integrative healthcare centre: a qualitative study exploring healthcare consumer perspectives.
BMC Complementary and Alternative Medicine ( IF 4.782 ) Pub Date : 2020-02-18 , DOI: 10.1186/s12906-019-2801-4
Carolyn Ee 1 , Kate Templeman 1 , Suzanne Grant 1 , Nicole Avard 1 , Michael de Manincor 1 , Jennifer Hunter 1
Affiliation  

BACKGROUND In response to high demand and the growing body of evidence for traditional and complementary therapies, the practice of integrative medicine and integrative healthcare has emerged where these therapies are blended with conventional healthcare. While there are a number of academic integrative healthcare centres worldwide, there are none in Australia. Western Sydney University will soon establish an academic integrative healthcare centre offering evidence-informed traditional and complementary therapies integrated with conventional healthcare in a research-based culture. The aim of this study was to explore healthcare consumers' views about the perceived need, advantages, and disadvantages of the proposed centre and its relevance to community-defined problems and health and service needs. METHODS Qualitative methods, informed by community-based participatory research, were used during 2017. Focus groups supplemented with semi-structured interviews were conducted with healthcare consumers. Participants were recruited through paid advertisements on Facebook. Thematic coding, informed by an integrative healthcare continuum, was used to analyse and organise the data. Analysis was augmented with descriptive statistics of participant demographic details. RESULTS Three main themes emerged: (i) the integrative approach, (i) person-centred care, and (iii) safety and quality. Participants proposed a coordinated healthcare model, with perspectives falling along a continuum from parallel and consultative to fully integrative models of healthcare. The importance of multidisciplinary collaboration and culturally appropriate, team-based care within a supportive healing environment was emphasised. A priority of providing broad and holistic healthcare that was person centred and treated the whole person was valued. It was proposed that safety and quality standards be met by medical oversight, evidence-informed practice, practitioner competency, and interprofessional communication. CONCLUSIONS Our findings demonstrate that participants desired greater integration of conventional healthcare with traditional and complementary therapies within a team-based, person-centred environment with assurances of safety and quality. Findings will be used to refine the model of care for an academic integrative healthcare centre in Western Sydney.

中文翻译:

为学术综合性医疗中心提供护理模式:探索医疗保健消费者观点的定性研究。

背景技术响应于对传统和补充疗法的高需求和越来越多的证据,在将这些疗法与传统保健混合的情况下,出现了中西医结合疗法。尽管世界各地有许多学术综合医疗中心,但澳大利亚却没有。西悉尼大学不久将建立一个学术综合医疗中心,以研究文化为基础,提供循证知情的传统和补充疗法与传统医疗相结合。这项研究的目的是探讨医疗保健消费者对拟建中心的感知需求,优缺点及其与社区定义的问题以及健康和服务需求的相关性的看法。方法定性方法 在2017年期间使用了基于社区参与性研究的信息。与医疗保健消费者进行了补充半结构式访谈的焦点小组。通过在Facebook上的付费广告招募了参与者。在综合医疗保健统一体的指导下,主题编码用于分析和组织数据。分析增加了参与者人口统计细节的描述性统计数据。结果出现了三个主要主题:(i)综合方法,(i)以人为本的护理和(iii)安全与质量。参与者提出了一种协调的医疗保健模型,其观点涵盖了从平行和咨询的医疗保健模式到完全集成的医疗模式。多学科合作和文化上适当的重要性,强调了在支持性康复环境中基于团队的护理。提供以人为本并对待整个人的广泛而全面的医疗服务是当务之急。建议通过医疗监督,有据可查的实践,从业人员能力以及专业间的沟通来达到安全和质量标准。结论我们的研究结果表明,参与者希望在以团队为基础,以人为中心的环境中,将传统医疗保健与传统和补充疗法更好地融合在一起,并保证安全和质量。研究结果将用于完善西悉尼学术综合医疗中心的医疗模式。建议通过医疗监督,有据可查的实践,从业人员能力以及专业间的沟通来达到安全和质量标准。结论我们的研究结果表明,参与者希望在以团队为基础,以人为中心的环境中,将传统医疗保健与传统和补充疗法更好地融合在一起,并保证安全性和质量。调查结果将用于完善西悉尼学术综合医疗中心的护理模式。建议通过医疗监督,有据可查的实践,从业人员能力以及专业间的沟通来达到安全和质量标准。结论我们的研究结果表明,参与者希望在以团队为基础,以人为中心的环境中,将传统医疗保健与传统和补充疗法更好地融合在一起,并保证安全和质量。调查结果将用于完善西悉尼学术综合医疗中心的护理模式。结论我们的研究结果表明,参与者希望在以团队为基础,以人为中心的环境中,将传统医疗保健与传统和补充疗法更好地融合在一起,并保证安全和质量。调查结果将用于完善西悉尼学术综合医疗中心的护理模式。结论我们的研究结果表明,参与者希望在以团队为基础,以人为中心的环境中,将传统医疗保健与传统和补充疗法更好地融合在一起,并保证安全和质量。调查结果将用于完善西悉尼学术综合医疗中心的护理模式。
更新日期:2020-04-09
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