Rodríguez-van Lier María Esperanza, Simón Luis Manuel Hernández, Gómez Rosa Estela López, Escalante Ignacio Peón
ESIME, SEPI, Ingeniería de Sistemas IPN, México City & Sección de Acupuntura, Universidad Estatal del Valle de Ecatepec, Estado de México ; ESIME, SEPI, Ingeniería de Sistemas IPN, México City
ESIME, SEPI, Ingeniería de Sistemas IPN, México City
Afr J Tradit Complement Altern Med. 2013 Nov 2;11(1):180-6. eCollection 2014.
There are various models of health care, such as the epidemiological, psychosocial, sociological, economic, systemic of Neuman, cognitive medicine or ecological, ayurvedic, supraparadigmatic among others. All of them are seeking to combine one or more elements to integrate a model of health care. The article presents a systemic approach to health care with complementary medicines such as rehabilitative acupuncture, homeopathy and chiropractic through the application of a method of holistic care and integrated approach.
There was a participatory action research in January 2012 to January 2013, with a comprehensive approach in 64 patients using the clinical method. We included the environmental aspects, biological, emotional, and behavioral to identify, recognize and integrate the form of manifestation of the disease. Later, it was ordered in a coherent way the etiologic factors, precipitating factors and identified the vulnerability of the patients as well as the structural alterations, classifying them in immediate, mediate and late. Referred to the three disciplines: rehabilitative acupuncture, homeopathy and chiropractic to be seen doing references and against-references between them, evaluating the current state of health and each meeting by noting the clinical and behavioral changes submitted and thus the area of attention to which would be forwarded to continue their treatment.
64 patients rotated by the 3 areas taking an average of 30 meetings with rehabilitative acupuncture, 12 with homeopathy and 10 with chiropractic. The changes were submitted clinical attitudinal, behavioral, clinical and organic.
The model of care was multifaceted and interdisciplinary with a therapeutic approach of individualization and a holistic view to carry out a comprehensive diagnosis and provide quality health care to the population.
存在多种医疗保健模式，如流行病学模式、心理社会模式、社会学模式、经济模式、纽曼系统模式、认知医学模式或生态模式、阿育吠陀模式、超范式模式等。所有这些模式都在寻求结合一个或多个要素以整合出一种医疗保健模式。本文通过应用整体护理和综合方法，提出了一种将康复针灸、顺势疗法和脊椎按摩疗法等补充医学纳入其中的医疗保健系统方法。
2012年1月至2013年1月进行了一项参与式行动研究，采用临床方法对64名患者进行了全面研究。我们纳入了环境、生物、情感和行为等方面，以识别、认识和整合疾病的表现形式。随后，以连贯的方式梳理了病因因素、诱发因素，确定了患者的易感性以及结构改变，并将其分为即刻、中介和晚期。涉及康复针灸、顺势疗法和脊椎按摩疗法这三个学科，对它们之间进行参照和对比参照，通过记录提交的临床和行为变化来评估健康现状和每次会诊情况，从而确定后续治疗应关注的领域。
64名患者在这三个领域间轮换，平均接受30次康复针灸治疗、12次顺势疗法治疗和10次脊椎按摩疗法治疗。出现了临床态度、行为、临床和机体方面的变化。
该护理模式是多方面且跨学科的，采用个体化治疗方法和整体观，以进行全面诊断并为民众提供优质医疗保健服务。
