Cohen Ezra, Cambron Jerrilyn, Shiel Robert
Department of Clinical Sciences, National University of Health Sciences, Lombard, IL 60148, USA.
J Manipulative Physiol Ther. 2009 Nov-Dec;32(9):758-64. doi: 10.1016/j.jmpt.2009.10.008.
The initiation of multiple clinical programs within a previously single-purpose health care institution brings multiple health care providers together under one roof. A baseline cross-sectional survey was undertaken to measure the development of integrative care communication patterns and cross-disciplinary knowledge at a health sciences university clinic.
This study was conducted by means of 3 separate surveys administered to all complementary and alternative medicine (CAM) faculty clinicians, CAM student interns, and patients attending CAM therapy at a university clinic (National University of Health Sciences, Lombard, Ill). The CAM therapies included acupuncture and Oriental medicine, chiropractic medicine/doctor of chiropractic, massage therapy, and naturopathic medicine/naturopathic doctor.
Consultations between practitioners, including clinicians and interns, of different professions were predominantly informal in nature. The highest level of familiarity was with chiropractic philosophy; the lowest level was with naturopathic philosophy. Clinicians were very familiar with the philosophies of the other professions, with interns and patients being variably familiar with the other professions' philosophies. Less than 20% of patients reported being referred to another care provider. Clinicians, interns, and patients indicated that they would like additional opportunities to take advantage of multiple professions working together.
This study is an initial assessment of the knowledge, communication patterns, and actions within the clinic during these early stages of integration. Recommendations for integrating both clinical care and educational processes within a multiple professions university are considered.
在一个先前单一用途的医疗机构内启动多个临床项目，使得多个医疗服务提供者聚集在同一屋檐下。开展了一项基线横断面调查，以衡量一所健康科学大学诊所综合护理沟通模式和跨学科知识的发展情况。
本研究通过对一所大学诊所（伊利诺伊州伦巴德市国立卫生科学大学）的所有补充和替代医学（CAM）专业临床医生、CAM学生实习生以及接受CAM治疗的患者进行3项独立调查来进行。CAM疗法包括针灸和东方医学、整脊医学/整脊博士、按摩疗法以及自然疗法/自然疗法医生。
不同职业的从业者（包括临床医生和实习生）之间的会诊本质上主要是非正式的。对整脊理念的熟悉程度最高；对自然疗法理念的熟悉程度最低。临床医生对其他职业的理念非常熟悉，实习生和患者对其他职业的理念熟悉程度各异。不到20%的患者报告被转诊至其他护理提供者处。临床医生、实习生和患者表示，他们希望有更多机会利用多个职业协同工作的优势。
本研究是对整合早期阶段诊所内的知识、沟通模式及行为的初步评估。文中考虑了在一所多专业大学内整合临床护理和教育过程的建议。
