什么是综合医学?制定澳大利亚全科医疗服务研究综合医学操作定义的决策标准

IF 2.8 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE
Jennifer Hunter , Joanna E. Harnett , Wai-Jo Jocelin Chan , Marie Pirotta
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引用次数: 0

摘要

背景操作定义概述了如何衡量概念定义,以进行一致、可重复的数据收集和分析。本文报告了在对澳大利亚全国全科医生活动调查的二次分析中,将用于综合医学(IM)操作定义的决策标准。方法一个多学科团队在专家知识和文献综述的基础上,采用迭代方法,根据是否反映IM,建立对《国际初级保健分类》第二版(ICPC-2 PLUS)和《药物编码图谱》中的术语进行分类的决策标准,传统/主流医学(MM)或IM和MM两者(IM/MM)。结果最终决定标准将所有检查、调查、咨询/咨询和含有合成成分的药物的术语,以及转诊至二级护理服务和非传统或补充医学从业者的医疗从业者的术语归类为MM。适用于两种类型临床实践的术语(例如,预防性健康、生活方式医学、心理社会和一些含有天然成分的药物)被归类为IM/MM。其余术语主要反映了世界卫生组织对传统医学和补充医学的理论定义,被归类为IM。结论在全科医学中区分综合医学和传统/主流医学是特定的,并不总是可能的。IM/MM类别建议将综合医学作为一种延伸,而不是一种替代。综合医学操作定义的基本原理与澳大利亚和国际上的研究人员和卫生服务部门有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What is integrative medicine? Establishing the decision criteria for an operational definition of integrative medicine for general practice health services research in Australia

Background

Operational definitions outline how a conceptual definition will be measured for consistent, reproducible data collection and analysis. This article reports the decision criteria that will be used for an operational definition of integrative medicine (IM) in a secondary analysis of an Australian national survey of general practitioner activity.

Methods

A multidisciplinary team applied an iterative approach, informed by expert knowledge and literature reviews to establish decision criteria for categorizing the terms in the Australian clinical interface terminology of the International Classification of Primary Care, second edition (ICPC-2 PLUS) and the Coding Atlas for Pharmaceutical Substances, according to whether they reflected IM, conventional/mainstream medicine (MM), or both IM and MM (IM/MM).

Results

The final decision criteria categorized all terms for examinations, investigations, advice/counselling, and drugs with synthetic ingredients, and terms for referrals to secondary care services and healthcare practitioners that are not a traditional or complementary medicine practitioner as MM. Terms that could apply to both styles of clinical practice (e.g., preventive health, lifestyle medicine, psychosocial and some drugs with natural ingredients) were categorised as IM/MM. The remaining terms, that mostly reflected the World Health Organization's theoretical definitions of traditional and complementary medicine, were categorized as IM.

Conclusion

Differentiating between integrative and conventional/mainstream medicine in general practice is context specific and not always possible. The category IM/MM proposes integrative medicine as an extension, rather than an alternative. The rationale for the integrative medicine operational definition has relevance for researchers and health services in Australia, and internationally.

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来源期刊
Integrative Medicine Research
Integrative Medicine Research Medicine-Complementary and Alternative Medicine
CiteScore
6.50
自引率
2.90%
发文量
65
审稿时长
12 weeks
期刊介绍: Integrative Medicine Research (IMR) is a quarterly, peer-reviewed journal focused on scientific research for integrative medicine including traditional medicine (emphasis on acupuncture and herbal medicine), complementary and alternative medicine, and systems medicine. The journal includes papers on basic research, clinical research, methodology, theory, computational analysis and modelling, topical reviews, medical history, education and policy based on physiology, pathology, diagnosis and the systems approach in the field of integrative medicine.
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