The effectiveness of integrative health care for chronic disease: a systematic review
Autor: | Heather Eaton, Matthew J Leach, Tamara Agnew, Marlene Wiese, Manisha Thakkar |
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Přispěvatelé: | Leach, Matthew J, Eaton, Heather, Agnew, Tamara, Thakkar, Manisha, Wiese, Marlene |
Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
integrative medicine
medicine.medical_specialty Cost-Benefit Analysis Psychological intervention 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) systematic review Outcome Assessment Health Care Preventive Health Services Health care medicine Humans 030212 general & internal medicine Intensive care medicine Integrative Medicine business.industry General Medicine Clinical trial integrative health care Chronic disease Patient Satisfaction Chronic Disease Usual care Workforce Quality of Life Integrative medicine business chronic disease |
Popis: | Background: The past few decades have witnessed a surge in consumer, clinician and academic interest in the field of integrative health care (IHC). Yet, there is still uncertainty regarding the effectiveness of IHC for complex, long-term health conditions. Objective: To assess the effectiveness of IHC for the management of any chronic health condition. Methods: Seven databases and four clinical trial registries were searched from inception through to May 2018 for comparative/controlled clinical trials investigating the effectiveness of IHC for any chronic disease, and assessing any outcome. Risk of bias was assessed using the Cochrane Collaboration Risk of Bias tool. Results: The search yielded 6,926 results. Eight studies met the inclusion criteria. All studies had at least three design features that carried an uncertain/high risk of bias. Differences in physiological, psychological and functional outcomes, and quality of life between patients receiving IHC and patients receiving conventional/usual care were varied and inconsistent. Changes in patient satisfaction with care were inconclusive. No studies reported the effectiveness of IHC on workforce- or administration-related parameters. Evidence from one trial suggested IHC may be more cost-effective than conventional care. Conclusions: The findings indicate some promising effects for the use of IHC to manage chronic disease. However, the uncertain/high-risk of bias across multiple domains, diverse and inconsistent findings, and heterogeneity of outcome measures and study populations prevents firm conclusions from being reached. Along with conducting further well-designed, long-term studies in this field, there is a need to ensure interventions closely align with the definition/principles of IHC. Refereed/Peer-reviewed |
Databáze: | OpenAIRE |
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