연구 논문에서 본 '통합의학의 개념' > 통합의학정보

□ 연구 논문에서 본 ‘통합 의학의 개념’  

1. 현대의학에서 통합의학으로의 전환에 대한 장려(혜택)

   (Incentive for a shift from modern scientific medicine to integrative medicine)

Author : Tetsuzo Agishi

Cite : J Artif Organs. 2006;9(3):123-9. doi: 10.1007/s10047-006-0337-0. PMID: 16998695 Review.

Medicine has been evaluated in recent years both quantitatively and qualitatively. Contemporary medicine has been assumed to be conceptually based on modern science.  However, there is a problem that quantity and quality are hard to evaluate using only scientific parameters. It is, therefore, the aim of this article to emphasize that the quantity and quality of medicine need to be evaluated not only from the standpoint of modern scientific medicine but also in terms of integrative medicine.  Integrative medicine is postulated to be comprehensive in its fundamental doctrine, emphasizing a holistic approach including technical, artistic, social, religious, philosophical, and ethical elements. However, in evaluating carefully and seriously actual performance, it was noted that contemporary medicine has been giving greater emphasis to aspects of integrative medicine where increasing concern is paid to patients' personal preferences, as indicated by their quality of life.  An incentive for a shift from exclusively scientific to integrative medicine, which started as early as the

970s, is revival emotion toward a prime modality of medicine.

이 논문은 현대의학은 개념적으로 현대과학에 기초하여 과학적 매개 변수만을 사용하여 의학의 양과 품질평가가 한계가 있다고 전제하고

그 대안으로 통합의학의 의료 기술적 예술적 사회적 종교적 철학적 윤리적 요소를 포함한 전체론적 접근을 검토해야 한다는 연구이다.

2. 현대의 일차 의료에서의 통합의학 모델

  (Integrative medicine models in contemporary primary health care)

Author: Kate Templeman, Anske Robinson

Cite : PMID: 21549259 DOI: 10.1016/j.ctim.2011.02.003

To determine what models of integrative medicine (IM) are being employed in contemporary health care settings, and how and which factors affect and facilitate the success of IM in terms of the integration of complementary and alternative medicine (CAM) and conventional medicine in primary health care (PHC).

상기논문은 통합의학에는 2가지 모델을 제시한다.

하나는 통합의학과 재래식 의학의 생물 의학 증거와 경험 기반 증거의 선택적 조합과 다른 하나는 증거 기반의 통합의학을 재래식 의학에 통합하는 것을 연구했다. 모든 통합의학 모델에 공통적인 요인은 동료 실무자들 사이의 상호 존중뿐만 아니라 질병보다는 건강에 초점을 맞추어 고객 중심적이고 전체적인 것을 열망하는 건강관리 모델의 개념을 제시한다.

이 연구는 호주의 일차의료분야에서의 기존 의학 현장을 기반으로 하고 있다.

3. 부인암에서의 보완적, 대체적 치료방법의 적절한 적용

   (Appropriate use of complementary and alternative medicine approaches in gynecologic cancers)

Author: Dana M Chase 1 , Steven J Gibson, Daniele A Sumner, Jennifer W Bea, David S Alberts

Cite : PMID: 24398574 DOI: 10.1007/s11864-013-0269-x

Gynecologic cancer patients frequently desire alternative and/or complementary interventions or medicines to aid in relief of both cancer-related and treatment-related side effects. Furthermore, women also seek treatment to aid in superior outcomes and cure rates. Unfortunately, evidence suggests that the use of complementary and/or alternative medicine (CAM) is underreported or not discussed with physicians providing cancer care. In gynecologic cancer literature, there is a lack of scientific evidence either supporting or negating CAM. Because of the lack of information available, health care providers do not have good information regarding safety, efficacy, and dose of CAM. This leads to miscommunication or absence of communication between providers and patients. Because patients do use CAM to improve quality of life (QOL) during and after treatment, it would be educational for providers to know the specific  QOL deficits among patients that require attention. Thus, with the ultimate goal of improving QOL for gynecologic cancer patients, providers should be pushed to investigate CAM and determine an honest  support or rejection of these therapies.

상기 논문은 부인과 암환자들의 경우, 부작용 완화를 위해 보완적인 대체의학을 요구하고 있으며 삶의 질을 고양시키는 의학에 필요와 요구에 대한 연구이다.