Models of medicine Flashcards
What is Kelinmans model of healthcare systems?
Professional sector most emergency and cancer pain management occurs in this sector
Popular immediate and extended family media and community most health is lost and gained outside of the healthcare setting
Folk complimentary and alternative medicines
Why do we need to know about CAM’s
Why because they are used by a lot of people in society and are even used by some healthcare professionals thus fit into the inner ring of kelinmans model
What is the different between complimentary and alternative medicine
Complimentary used along side orthodox medical treatments e.g. in cancer patients things to improve physical and mental health
Whereas
Alternative is the use of non mainstream practices in the place of orthodox medical treatment
How many people in the UK population use CAM?
about 1/3rd
10% consult a therapist
and about 26% use over the counter treatment as its generally cheaper and easier can self treat
Why is there an increase in the use of CAM?
Popular dissatisfaction with orthodox medicine
fear of side effects, cannot get appointments, media scares, medical negligence, attitude of doctors
Widespread availability of health care information over the Internet
Increase in consumerism patient can choose what they want
increase in the amount of chronic diseases that modern medicine can only do so much for
desperation where modern medicine has not helped or worked people turn to alternative medicine
more positive patient therapist encounter the therapist makes time to talk to the patient feels more personal and less rushed than orthodox encounters
Need to reduce NHS costs
What is homeopathy ? how commonly used is it?
17% of people who use CAM use it
idea that treat like with like
ie giving highly diluted disease casing substances such as white arsenic that in high doses would case the symptoms you are experiencing in order to cure your illness
What is accupuncture?
Form of energy medicine where needles are inserted into certain points of the body to allow the flow of Qi that in acupuncture accounts for normal health to be restored
Used for pain relief in many musculoskeletal conditions
What is Chiropractic CAM?
Manipulative body practice
commonly used for musculoskeletal pain and issues and there is growing evidence it helps
Regulated by law General chiropractic council should have a certificate to practice
What are the user demographics of CAM?
Generally females (more educated open to talk about and aware about health)
Middle aged (menopause symptoms)
Higher socioeconomic group as they have the disposable income to spend on treatment
Ethnicity in some ethnicities may be common to use a complimentary medicine e.g. Chinese traditional medicine
Regional differences more common in the south of England where hippies collected and in rural areas where there a fewer resources so generally rely on passed down herbal remedies
What are herbal remedies ?
use of plants and plant extracts to treat illness can be brought over the counter and used to self treatment commonly available and the most commonly used in the uk
What are the areas of controversy surrounding CAM
Treatment widely available are the therapists qualified to give health advice many CAM practices are not regulated
Training in CAM differs where it is regulated some therapists do years of training whereas doctors can do short week course and then be qualified on therapy
Adversely affects the doctor patient relationship:
If complimentary treatment was downplayed by GP but worked for patient can lead to erosion of trust in doctor patient relationship puts less trust in the doctor and the profession
Issues with medication interactions particularly antidepressants can lead to heart failure
Limited evidence base for which to prove that CAM’s ar effective but in the short term if they are effective for the patient why not as they reduce NHS costs
