Presentation on theme: "Complementary and Alternative Medicine – an overview"— Presentation transcript:
1Complementary and Alternative Medicine – an overview Dr Kevin HickeyShipley Health Centre
2Complementary and Alternative Medicine “A broad domain of healing resources that encompasses all health systems, modalities and practices and their accompanying theories and beliefs, other than those intrinsic to the politically dominant health systems of a particular society or culture in a given historical period”!!
3Complementary and Alternative Medicine Perceptions: PositiveTreat anythingMore time given to patientsGrowing body of evidenceMore holistic approachCan succeed where conventional methods failHope for the hopeless
4Complementary and Alternative Medicine Perceptions: NegativeStrange smelling herbs and needlesStrange words: chakras / meridians/ energies/ chiUnnecessary painLimited evidenceUnknown mechanisms of actionPlacebo effectUnregulatedPrivate sector
5Complementary and Alternative Medicine Evidence improvingMechanisms more understoodMore regulationFull explanations before treatmentSignificant numbers of therapists working within the NHSPrimary and secondary carePrivate, voluntary and NHS funding
6House of Lords Report November 2000 CAM therapies grouped by organisational characteristics, diagnostic capabilities, apparent effectiveness and training
7Group 1 Acupuncture Chiropractic Herbal medicine Homeopathy Osteopathy Professionally organised disciplines, with their own diagnostic approach. They have some scientific evidence of effectiveness and recognised systems of training for practitioners
8Group 2 Aromatherapy Bach flower remedies Bodywork therapies including massageCounselling stress therapyHealingHypnotherapyMaharishi ayurvedic medicineMeditationNutritional medicinesReflexologyShiatsuYogaComplementary therapies which lack a firm scientific basis and are not regulated to protect the public, but which give help and comfort to many people
9Group 3a Anthroposophical medicine Ayurvedic medicine Chinese herbal medicineEastern medicine (tibb)NaturopathyTraditional chinese medicineAlternative disciplines which offer diagnostic information as well as treatment but for which the Committee did not find convincing evidence of efficacy. 3a are long established and traditional disciplines with very specific philosophies
10Group 3b Crystal therapy Dowsing Iridology Kinesiology Radionics As 3a but classed as “Other alternative disciplines”.
11CAM As Last Resort?Mainly provided in the private sector for people with poorly met needs:Chronic painful and stress related conditions, frequent consultersSpecific conditions e.g. Irritable bowel syndrome, migraine, back and neck pain, eczema, rhinitis, hay fever, insomniaSide effects from conventional therapies
12CAM As First Resort? Improve patient choice Improve practitioner choiceImprovement of public well beingImprovement of public healthFreely available on NHS?
13What about the Placebo Effect? 20-40% improvement accounted for by placebo effectPeople feel betterSymptoms resolveLong tradition of using placebos in primary careLess use of resources(Mostly) harmlessBetter than doing nothing?