Informing the model of care for an academic integrative healthcare centre: a qualitative study exploring healthcare consumer perspectives

Autor: Michael J de Manincor, Suzanne J Grant, Carolyn Ee, Nicole Avard, Jennifer Hunter, Kate Templeman
Rok vydání: 2020
Předmět:
Adult
Male
integrative medicine
complementary therapies
Adolescent
Community-based participatory research
Participatory action research
Young Adult
03 medical and health sciences
0302 clinical medicine
Health care
Humans
integrative healthcare
030212 general & internal medicine
Qualitative Research
community-based participatory research
Medical education
business.industry
stakeholder engagement
Australia
traditional
complementary and integrative medicine

Academic health centre
lcsh:Other systems of medicine
Evidence-based medicine
Middle Aged
lcsh:RZ201-999
Focus group
Complementary and alternative medicine
030220 oncology & carcinogenesis
Female
Integrative medicine
person-centred care
Thematic analysis
evidence-based medicine
business
Psychology
Attitude to Health
Delivery of Health Care
Research Article
Qualitative research
Zdroj: BMC Complementary Medicine and Therapies, Vol 20, Iss 1, Pp 1-15 (2020)
BMC Complementary Medicine and Therapies
ISSN: 2662-7671
Popis: Background In response to high demand and the growing body of evidence for traditional and complementary therapies, the practice of integrative medicine and integrative healthcare has emerged where these therapies are blended with conventional healthcare. While there are a number of academic integrative healthcare centres worldwide, there are none in Australia. Western Sydney University will soon establish an academic integrative healthcare centre offering evidence-informed traditional and complementary therapies integrated with conventional healthcare in a research-based culture. The aim of this study was to explore healthcare consumers’ views about the perceived need, advantages, and disadvantages of the proposed centre and its relevance to community-defined problems and health and service needs. Methods Qualitative methods, informed by community-based participatory research, were used during 2017. Focus groups supplemented with semi-structured interviews were conducted with healthcare consumers. Participants were recruited through paid advertisements on Facebook. Thematic coding, informed by an integrative healthcare continuum, was used to analyse and organise the data. Analysis was augmented with descriptive statistics of participant demographic details. Results Three main themes emerged: (i) the integrative approach, (i) person-centred care, and (iii) safety and quality. Participants proposed a coordinated healthcare model, with perspectives falling along a continuum from parallel and consultative to fully integrative models of healthcare. The importance of multidisciplinary collaboration and culturally appropriate, team-based care within a supportive healing environment was emphasised. A priority of providing broad and holistic healthcare that was person centred and treated the whole person was valued. It was proposed that safety and quality standards be met by medical oversight, evidence-informed practice, practitioner competency, and interprofessional communication. Conclusions Our findings demonstrate that participants desired greater integration of conventional healthcare with traditional and complementary therapies within a team-based, person-centred environment with assurances of safety and quality. Findings will be used to refine the model of care for an academic integrative healthcare centre in Western Sydney.
Databáze: OpenAIRE