Models of Medicine Flashcards
1
Q
What are the 3 factors facilitating the growth of interest in and use of CAM?
A
- popular dissatisfaction with orthodox medicine
- post-modern philosophy: rejection of scientific authority, increase in consumerism, importance of individual responsibility for health
- widespread availability and access to health information
2
Q
What are the 5 classes of CAM?
A
- whole medical system e.g. homeopathy, Chinese medicine
- mind-body medicine e.g. medication, prayer, music
- biologically based practices e.g. dietary supplements, herbal products
- manipulative and body-based practices e.g. chropractic, oestopathy, massage
- energy medicine e.g. Reiki, therapeutic touch
3
Q
What are the typical CAM user characteristics?
A
female middle aged higher socio-economic backgrounds higher level of education high income regional difference to south of England ethnicity - no research
4
Q
Why do people use CAM?
A
dissatisfaction with conventional healthcare
rejection of science and technology
rejection of the establishment
desperation
5
Q
What are the 5 steps in the process to becoming a CAM user?
A
- Individual develops a nature centred and holistic philosophy of health
- Decision to visit a CAM therapist
- chronic illness
- lifestyle change
- acute illness but orthodox medicine unsuccessful - Patient-practitioner encounter
- greater satisfaction as consulation longer, believed competence
- patient views therapy as efficacious, feels capable of carrying out prescribed treatment regimen - Cultivation of a culture of natural health care, further lifestyle changes, learning new practices
- Individual becomes a regular user, holds firm belief in therapy, doesn’t completely discard orthodox medicine, belief in its use for certain conditions, useful diagnosis
6
Q
What are the areas of potential controversy?
A
- training of CAM professionals vs CAM practicing doctors
- effects on doctor patient relationship
- adverse effects/interactions
- evidence base?
