Marsden Centre For Excellence in Integrative Medicine, Vaughan, ON.
Immersion Health, Portland, OR, U.S.A.
Curr Oncol. 2019 Feb;26(1):12-18. doi: 10.3747/co.26.4815. Epub 2019 Feb 1.
Patient use of integrative oncology (the inclusion of nonconventional treatments alongside the conventional standard of care) continues to grow, with some studies showing its use in cancer patients to be as high as 91%. Naturopathic physicians are primary care providers who use integrative therapies to deliver patient-centred care. The Oncology Association of Naturopathic Physicians (oncanp) was formed in 2004 as a specialty association for naturopathic physicians providing integrative cancer care (nd oncs). Currently, the membership encompasses more than 400 naturopathic physicians and students, 115 of whom are board-certified Fellows of the American Board of Naturopathic Oncology. In 2016, oncanp established a committee comprising recognized experts in the field of naturopathic oncology to develop a Principles of Care (poc) guideline. The committee first undertook a review of existing standard-of-care and best-practice guidelines in the field of oncology and then adapted those concepts into a draft document. The draft document was then reviewed by naturopathic physicians, medical and radiation oncologists, naturopathic policy experts, and finally the oncanp membership at large. The poc document presented here provides clear guidelines for nd oncs on how best to deliver patient-centred care in the areas of assessment, treatment planning, care management, interprofessional collaboration, and survivorship care. This naturopathic oncology poc document can be a valuable resource for nd oncs and other oncology care providers to further an understanding of the naturopathic and integrative oncology care model and its potential for collaboration.
患者对整体肿瘤学(将非常规治疗与常规标准护理相结合)的应用持续增长,一些研究表明,癌症患者的使用率高达 91%。自然疗法医师是初级保健提供者,他们使用整体疗法提供以患者为中心的护理。自然肿瘤医师协会(Oncanp)于 2004 年成立,是一个为提供整体癌症护理的自然疗法医师设立的专业协会(nd oncs)。目前,该协会拥有 400 多名自然疗法医师和学生,其中 115 人获得美国自然肿瘤学委员会的董事会认证。2016 年,Oncanp 成立了一个由自然肿瘤学领域公认专家组成的委员会,以制定护理原则(poc)指南。委员会首先审查了肿瘤学领域现有的标准护理和最佳实践指南,然后将这些概念改编成一份草案文件。该草案文件随后由自然疗法医师、医学和放射肿瘤学家、自然疗法政策专家,最后由整个 Oncanp 会员进行了审查。这里提出的 poc 文件为 nd oncs 提供了明确的指导,说明如何在评估、治疗计划、护理管理、跨专业合作和生存护理等领域提供以患者为中心的护理。这份自然肿瘤学 poc 文件可以成为 nd oncs 和其他肿瘤护理提供者的宝贵资源,有助于进一步了解自然疗法和整体肿瘤学护理模式及其合作潜力。