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整合医疗的万花筒模型作为心脏病学和脊椎按摩疗法的协作范式:行动呼吁。

The Kaleidoscope Model of Integrative Healthcare as a collaborative paradigm for cardiology and chiropractic: a call to action.

作者信息

Cohen Daniel J, Schulman Steven, Masarsky Charles S, Todres-Masarsky Marion

机构信息

Harbor Healthcare Inc., Portsmouth, VA, United States.

Coronary Care Unit, Johns Hopkins, Baltimore, MD, United States.

出版信息

Integr Med Res. 2018 Mar;7(1):1-8. doi: 10.1016/j.imr.2018.01.009. Epub 2018 Feb 8.

Abstract

This review article proposes a model of integrative care for cardiovascular patients in institutional settings. We review relevant historic and contemporary examples of medical-chiropractic cooperation and a brief review of the literature illustrating the clinical benefits of chiropractic care for patients with cardiovascular disease. The groundwork proposes a distinct research and clinical practice model incorporating the doctor of chiropractic (D.C.) as a synergistic partner with the medical cardiologist coined the Kaleidoscope Model of Integrative Care (KM). While a traditional kaleidoscope does not alter the nature of light itself, the observer does see the 'raw data' of colors and shapes, wavelengths, etc. contained within the "potential" of the light itself; left unrecognized, even subtle re-orientations of the instrument changes the perspective. Similarly, the KM is intended as a conduit for slight reorientations to traditional medical-chiropractic-patient hierarchies, thus creating new treatment options and generating robust changes in inter-professional perception of the patient's condition(s) and treatment options. It is hoped that this model will not only serve future patients within hospitals, but that institutions will serve as incubators for better collaboration and research among the majority of free-standing medical and chiropractic practices ultimately benefitting the patient with cardiovascular disease.

摘要

这篇综述文章提出了一种针对机构环境中心血管疾病患者的综合护理模式。我们回顾了医学与脊椎按摩疗法合作的相关历史和当代实例,并简要回顾了说明脊椎按摩疗法对心血管疾病患者临床益处的文献。在此基础上,我们提出了一种独特的研究和临床实践模式,将脊椎按摩疗法博士(D.C.)作为医学心脏病专家的协同合作伙伴,这一模式被称为综合护理万花筒模型(KM)。虽然传统的万花筒不会改变光本身的性质,但观察者确实能看到光本身“潜在”包含的颜色、形状、波长等“原始数据”;如果未被识别,即使仪器有细微的重新定向也会改变视角。同样,KM旨在作为对传统医学 - 脊椎按摩疗法 - 患者层级进行轻微重新定向的渠道,从而创造新的治疗选择,并在专业间对患者病情和治疗选择的认知上产生显著变化。希望这个模型不仅能为医院未来的患者服务,而且这些机构将成为大多数独立医学和脊椎按摩疗法实践之间更好合作与研究的孵化器,最终使心血管疾病患者受益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe02/5884005/35ca2a583c0c/gr1.jpg

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