پزشکی و سلامتطب سنتی

CAM Working with Mainstream Health

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CAM Working with Mainstream Health A Homeopathic perspective

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Benefits of an integrated appro 3 year pilot study (1993-95): ‘Report on NHS practice-based homeopathy project - Analysis of effectiveness and cost of homeopathic treatment within a GP practice at St. Margaret’s Surgery, Bradford on Avon, Wilts.’

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Complaints selected for treatment in the migraines & chronic headaches including. ۲ 1712535 _ sinusitis, hayfever, lage ol a EVO gery CPL Ee Ne arsed eo T efi) _ drug dependency - ‏ای وت ۱۲ 5 رطه‌ناوهوز0 ورزر‎ MENTAL and ~ menstrual-PMT, 6۲6 ‏ردمت 5و‎ EMOTIONAL with Teter Cam state) Lae bs Te) Ala + PE ane | ‏لل‎

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Pilot Study Results Patient Satisfaction - Very (68%) ~ Satisfied (27%) _ Not satisfied (2%) Improvement in the condition ~ 90% or more (32%) ~ 60% or more (65%) ~ 50% or more (72%) ~ no change (16%)

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۱ tl ek Seg a CE ene a ‏اا‎ Benefits - improved sense of —> - money saved on prescriptions - decrease or cessation of reliance on maintenance drugs e.g inhalers ~ no harmful side effects ~ holistic or whole approach - improvement or disappearance of other conditions

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Pilot Study Results Conclusions of Study: ~ high level of benefit and satisfaction - common outcome - no consultations in year after treatment ~ 97% of respondents said they would be prepared to see the Homeopath again - positive outcomes for treatment plus cost effectiveness for conditions on the list.

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Audit Results of a Wellington Practice- most frequent complain ار اا ‎anxiety and depression‏ _ low energy- chronic fatigue SP ‏الل ل ا‎ bae ay _ skin- eczema etc _ sleep- insomnia, nightmares in children _ respiratory - URTI’s, asthma, recurrent chest infections _ GI disturbances

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Clinical Trials 1997 Meta - Analysis of Homeopathic Research ~ systematic review of 25 years of clinical studies using homeopathic medicine covering controlled trials ~ showed homeopathic medicine was effective, .. showed it was ineffective and were inconclusive

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Clinical Trials- Break Down of Results _ /19 respiratory infections _ ./20 mental and psychological problems _/5 hayfever _ ./7 GI conditions _ -/7 recovery after abdominal surgery _ -/6 in treating rheumatological disease ~ ./15 miscellaneous ~ -/7 other infections 7

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Clinical Trials placebo controlled trial: © 7/5) Dutch children --, reduction in the use of antibiotics compared with _—__ in the placebo group higher rate of adenoidectomy with placebo group compared to treatment group

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Clinical Trials > (۳۱۱۱۱۱۱۵۵۸ ۱۱۱۱ ۱۱ ۱۱ then given a remedy made from main allergen improved compared with given placebo - Meta-analysis of 3 similar asthma studies involving — patients showed similar results 3

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Clinical Trials Childhood Diarrhoea ‏سس‎ - treatment group showeda - ->= = than placebo and the sicker the children the more dramatic the response.

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ل ا ا الال 00 Practice Experience - informal integration Growing number of referrals GP’s for the treatment of conditions such as: - Viral - glandular fever, CMV and post viral syndrome ~ Recurrent infections esp ear nose and throat in children - Mental and emotional issues 6

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Sa eee SS On een CRN ‏سكاع طب‎ Experience - informal integration - Referrals are increasing p where Homeopaths encourage tri- partite relationships between patients, their GP and the homeopath _ GP’s are seeing positive results within 24 hrs of treatment in an acute infection; and ~ a decrease in recurrent infections (post homeopathy).

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Sa eee SS On een CRN ‏سكاع طب‎ Experience - informal integration - Hawkes Bay homeopath- referrals are from GP’s and an additional _.. by other practitioners e.g osteopaths _ ‘The Ear Clinic’ Devonport Auckland- ‏ان اه اع ع1 اموا لالد‎ ~ The Children’s Ear Clinic in Sydney commenced in1997- children per ear clinic day, average age 6 mths to 3 ۱۸۵۰ 3

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۱ A aed Sh oe ac eee Experience - informal integration _ GP referrals are based on evi 9 homeopathy is yielding positive health outcomes for patients _ Parents are choosing homeopathic treatment for children to reduce need for antibiotics; and - desire to reduce the number of infections by improving their immune ۰

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Benefits of a more for antibiotics - significant reduction to cessation (esp ear and throat infections) of the recurrent ENT/URTI’s _ increased general health and wellbeing & reduction in other complaints

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Benefits of a more integrated approac. - increased learning potential due to: improved hearing, fewer days off school, improved behaviour home/school ~ downstream health savings due to reduced procedures e.g grommets, tonsillectomies

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Case Examples ۱۲۱ ۱ throat infections term 1of2004- ~~ off school due to 1111105 ~ term 2 of 2004 after homeopathic treatment - — days off school N.B. no other changes made in this period

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Case Examples Case 2 male 50 years - post. fatigue ~ after glandular fever ~ unable to hold down his job - within 2 months after beginning homeopathic treatment he was back at work 00

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Methods of Integration - Explore referral mechanisms - currently ad hoc based on individual GP’s awareness of effectiveness ~ Explore through PHO’s integration of a homeopath into the practice as is the case in the UK ~ Marketing and promotion

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The Way Forward - Research Propos. _ NZ based research be unde: substantiate current anecdotal evidence of benefits in integrating homeopathic treatment into the health care regimen for the treatment of recurrent ENT/URTI’s OR other conditions that patients typically present with e.g post viral fatigue, asthma eczema, PMT, mental/emotional issues

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Research Proposal- Options - Replicate UK, NHS study in NZ ~ Investigate smaller trial in URTI’s or ENT’s or chronic fatigue in say 4- 6 main centers ~ Audits - Other - data collection over 1-2 year period

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Conclusion _ New Zealand is a small country with a lot of homeopaths and as such is ideally set to test homeopathy in a clinical setting.

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