Integrative Oncology Program, The Oncology Service, Lin Medical Center, Clalit Health Services, Haifa, Israel.
Patient Educ Couns. 2012 Dec;89(3):423-9. doi: 10.1016/j.pec.2012.02.011. Epub 2012 Mar 7.
Describing the processes that preceded the opening of an integrative oncology program (IOP) within the oncology service (OS) of the largest health maintenance organization in northern Israel.
The groundwork towards initiation of the IOP was based on three key elements (1) Interviews with patients, practitioners and directors were performed in order to explore perspectives regarding complementary medicine integration (CM) within the OS; (2) review of research data on CM efficacy and safety in cancer care; (3) critical comparative analysis of seven models of IOPs in Israel, Europe, and the U.S.
Ninety-three interviews included 24 patients, 34 conventional practitioners, 9 medical directors, and 26 CM-trained practitioners. The interviews revealed that there is a need for CM in the OS, aimed towards improving patients' well-being during chemotherapy and advanced disease. An integrative oncology score (IOS) was formulated based on 6 themes considered promoters of successful integration.
Integration of CM within an oncology service should address patients' needs and research knowledge and be built upon mandatory practitioners' communication.
IOP modeling necessitates in-depth study aimed at revealing the OS needs and expectations, adjusting research data to the OS clinical challenges, and tailoring an appropriate model of integrative care.
描述在以色列北部最大的健康维护组织的肿瘤服务（OS）中开设综合肿瘤学计划（IOP）之前的过程。
IOP 的启动基础是三个关键要素：（1）对患者、从业者和主任进行访谈，以探索 OS 中补充医学整合（CM）的观点；（2）审查关于癌症治疗中 CM 疗效和安全性的研究数据；（3）对以色列、欧洲和美国的 7 种 IOP 模型进行批判性比较分析。
93 次访谈包括 24 名患者、34 名常规从业者、9 名医学主任和 26 名接受 CM 培训的从业者。访谈表明，OS 中需要 CM，旨在改善化疗和晚期疾病期间患者的舒适度。根据被认为是成功整合的 6 个主题，制定了综合肿瘤学评分（IOS）。
CM 在肿瘤服务中的整合应满足患者的需求和研究知识，并建立在强制性从业者沟通的基础上。
IOP 模型的构建需要深入研究，旨在揭示 OS 的需求和期望，调整研究数据以应对 OS 的临床挑战，并定制适当的综合护理模式。
