CAM Working with Mainstream Health
اسلاید 1: 1www.tabaye.ir
اسلاید 2: CAM Working with Mainstream Health A Homeopathic perspective
اسلاید 3: 3Research Supporting Benefits of an integrated approach3 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.’
اسلاید 4: 4Complaints selected for treatment in the study migraines & chronic headachessinusitis, hayfever, allergieschronic coughs indigestion, IBSmenstrual-PMT, cycle issues, menopausejoint problems skin complaints including psoriasis, urticaria, hives, eczema, drug dependency general STRESS, MENTAL and EMOTIONAL with or without another primary complaint
اسلاید 5: 5Pilot Study ResultsImprovement in the condition 90% or more (32%)60% or more (65%)50% or more (72%)no change (16%)Patient SatisfactionVery (68%)Satisfied (27%)Not satisfied (2%)
اسلاید 6: 6Patients Reported Benefits improved sense of wellbeingmoney saved on prescriptionsdecrease or cessation of reliance on maintenance drugs e.g inhalersno harmful side effectsholistic or whole approachimprovement or disappearance of other conditions
اسلاید 7: 7Pilot Study ResultsConclusions of Study:high level of benefit and satisfaction -common outcome - no consultations in year after treatment97% of respondents said they would be prepared to see the Homeopath againpositive outcomes for treatment plus cost effectiveness for conditions on the list.
اسلاید 8: 8 Audit Results of a Wellington Practice- most frequent complaints mental/emotional problems - anger, anxiety and depressionlow energy- chronic fatiguebehaviour issues in childrenskin- eczema etcsleep- insomnia, nightmares in childrenrespiratory - URTI’s, asthma, recurrent chest infectionsGI disturbances
اسلاید 9: 9Clinical Trials1997 Meta - Analysis of Homeopathic Researchsystematic review of 25 years of clinical studies using homeopathic medicine covering 107 controlled trials81 showed homeopathic medicine was effective, 24 showed it was ineffective and 2 were inconclusive
اسلاید 10: 10Clinical Trials- Break Down of Results13/19 respiratory infections 18/20 mental and psychological problems5/5 hayfever5/7 GI conditions5/7 recovery after abdominal surgery4/6 in treating rheumatological disease13/15 miscellaneous6/7 other infections
اسلاید 11: 11Clinical TrialsURTI Study - randomised double blind, placebo controlled trial: 175 Dutch children54.8% reduction in the use of antibiotics compared with 37.7% in the placebo group 24% higher rate of adenoidectomy with placebo group compared to treatment group
اسلاید 12: 12Clinical TrialsAsthma Study 24 patients allergy tested then given a remedy made from main allergen 82% improved compared with 38% given placeboMeta-analysis of 3 similar asthma studies involving 202 patients showed similar results
اسلاید 13: 13Clinical TrialsChildhood Diarrhoea Study treatment group showed a 20% faster than placebo and the sicker the children the more dramatic the response.
اسلاید 14: 14 NZ Homeopathic Practice Experience - informal integration Growing number of referrals from GP’sfor the treatment of conditions such as:Viral - glandular fever, CMV and post viral syndromeRecurrent infections esp ear nose and throat in childrenMental and emotional issues including PND
اسلاید 15: 15NZ Homeopathic Practice Experience - informal integrationReferrals are increasing particularly 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).
اسلاید 16: 16NZ Homeopathic Practice Experience - informal integrationHawkes Bay homeopath - 18% of referrals are from GP’s and an additional 15% by other practitioners e.g osteopaths‘The Ear Clinic’ Devonport Auckland - 10 - 20 referrals per weekThe Children’s Ear Clinic in Sydney commenced in 1997 - 8-10 children per ear clinic day, average age 6 mths to 3 years
اسلاید 17: 17NZ Homeopathic Practice Experience - informal integrationGP referrals are based on evidence that homeopathy is yielding positive health outcomes for patientsParents are choosing homeopathic treatment for children to reduce need for antibiotics; anddesire to reduce the number of infections by improving their immune system.
اسلاید 18: 18 Benefits of a more integrated approach Anecdotal evidence suggests:significant to total reduction in need for antibioticssignificant reduction to cessation (esp ear and throat infections) of the recurrent ENT/URTI’s increased general health and wellbeing & reduction in other complaints
اسلاید 19: 19 Benefits of a more integrated approachincreased learning potential due to: improved hearing, fewer days off school, improved behaviour home/schooldownstream health savings due to reduced procedures e.g grommets, tonsillectomies
اسلاید 20: 20Case Examples 10 Year old boy with recurrent ear and throat infectionsterm 1 of 2004 - 23 days off school due to illnessterm 2 of 2004 after homeopathic treatment - no days off school N.B. no other changes made in this period
اسلاید 21: 21Case ExamplesCase 2 male 50 years - post viral fatigueafter glandular fever unable to hold down his jobwithin 2 months after beginning homeopathic treatment he was back at work
اسلاید 22: 22Methods of IntegrationExplore referral mechanisms - currently ad hoc based on individual GP’s awareness of effectivenessExplore through PHO’s integration of a homeopath into the practice as is the case in the UK Marketing and promotion
اسلاید 23: 23The Way Forward - Research ProposalsNZ based research be undertaken to 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
اسلاید 24: 24Research Proposal- OptionsReplicate UK, NHS study in NZ Investigate smaller trial in URTI’s or ENT’s or chronic fatigue in say 4- 6 main centers AuditsOther - data collection over 1-2 year period
اسلاید 25: 25ConclusionNew 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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