Will an integrated healthcare system work?


T.The Indian Council for Medical Research (ICMR) under the Federal Ministry of Health and the Federal Ministry of Ayush have agreed to strengthen cooperation in health research in the field of integrative medicine. The move will help the Ayush Division of the All India Institute of Medical Sciences (AIIMS) to evolve into an Integrative Medicine Division. Will such an integrated health care system work?Ennapadam S. Krishnamoorthy and her Cyriac Abby Philips discuss the issue in a moderated conversation. Zveda Hamid. Edited excerpt:

What are your thoughts on Ayush province’s move to open inpatient and outpatient departments in central government hospitals?

Enapadam S. Krishnamoorthy: There seem to be two types of collaborations being talked about. One for practice at AIIMS and one for research. This is a step in the right direction and strengthens the care we can provide under one roof. This helps build harmonized protocols for clinical research studies. This is especially important for non-communicable diseases, where medical options may be limited. Ayurveda and Yoga are Indian psychosomatic medicines. We have an obligation to bring them into the world. That is integrative medicine.

Ciriak Abbey Phillips: Integrative medicine has not been addressed in scientifically advanced societies around the world. Because that would be like mixing things that work with things that don’t work, and giving false credit to things that don’t work. Ayurveda and homeopathy are pseudoscientific practices. There is no evidence of its use as a prophylaxis or treatment for any disease. If we fail to ensure that the public has access to adequate health care, we mix things up and mislead the public. This is only proposed in places like India, where there are large gaps in real policy that need to be filled. [provision of] Bringing healthcare to the masses.

Dr. Phillips, you’ve said before that modern medicines and alternative medicines laced with heavy metals can cause damage to the body. What is the prevalence of alternative medicines? Should the sale of these medicines be regulated?

Ciriak Abbey Phillips: About 50% of people use complementary and alternative medicine, and more than 70% have used complementary or alternative medicine at some point in their lives. Because it is advertised and advertised. There are no science-based benefits, people can pick them up over the counter. Due to the lack of safety and efficacy data, many people experience side effects and adverse events, the most common being liver damage. This is primarily due to contamination, contamination, or direct toxicity of certain herbs in the product. No pharmacovigilance is performed here.

Enapadam S. Krishnamoorthy: Complementary and alternative medicine is not limited to India. It’s a global phenomenon. It’s not just internal. There are all kinds of procedures. Wrong products that can harm the body are a concern and many are offered over the counter. But again, globally, the nutraceutical industry is larger than the pharmaceutical industry. I believe there is room for judicious use and practice. I agree that it must be regulated. We also believe that all formulations should be treated equally when it comes to standards.

Do we need standardized formulations, randomized controlled trials (RCTs), and peer-reviewed studies of traditional medicine?

Enapadam S. Krishnamoorthy: Quality control is extremely important. Formulations should be standardized no matter what field they come from. Also, RCTs are not all gold standards. These are the gold standard for formulations and I believe all oral formulations should be subject to his RCT. However, in the areas of autism, dementia, and other chronic diseases that I work in, it is virtually impossible to conduct RCTs on many non-pharmacologic therapies. I don’t think all modern medicine is great and all traditional medicine is great.

Ciriak Abbey Phillips: Standardization of a formulation should only be considered if it is determined that the formulation may be useful to the patient. None of Ayurveda, Homeopathy, or any other integrative practice, internal or external, has been conclusively proven to be beneficial. So why standardize prescriptions and practices that have no benefit in the first place? I am in need of an education. Well, standardization is important so that we can reduce the burden on health. And when it comes to RCTs, he is the gold standard for real diagnoses and specific interventions that can improve conditions. Alternative and complementary medicines are fleeing RCTs because they know they are not good for them.

Many patients use the traditional system of medicine, and many others use modern medicine alongside the traditional system of medicine. For example, one of her Ayurvedic approaches is to focus on unique treatments for individual circumstances. Naturopathy focuses on non-invasive treatments. In a world where taking pills for any disease is the norm, while mistrust of the pharmaceutical industry grows, is there a reason some people are drawn to these particular approaches?

Ciriak Abbey Phillips: People think modern medicine is just about prescribing pills. Proponents of complementary and alternative medicine also teach patients that modern medicine is the right thing to do. [about] Pill pusher. This is wrong. Many guidelines encourage preventive medicine as one of the greatest aspects of treatment. Preventive medicine does not prescribe pills, it is properly researched, effective lifestyle changes are made, and various other external treatments. The most important aspect is helping people understand which medical choices are right for them and which are the least risky when done within certain evidence-based margins. Alternative medicine lacks adequate safety and benefit nets. People need to understand that integrative medicine is a business. Data show that it increases treatment costs and does not improve patient clinical outcomes.

Enapadam S. Krishnamoorthy: Modern medicine is also a business. I am a modern medicine doctor and I prescribe medications to my patients all the time. But I also offer an integrated healthcare approach to help them get better. In the field I am familiar with, most published clinical trials of nonpharmacologic therapies occur in traditional medical settings. Therefore, I do not think that research will not be conducted. There are also peer-reviewed integrative medicine journals. We should not think that we know everything and the patient knows nothing. Good integrative medicine practitioners help patients make and practice safe choices. Ayurveda is an ancient medical system. What doesn’t work doesn’t last for centuries. The Indian Ayush market is growing, which means consumers are opting for the Ayush market. you can’t ignore it.

So why are patients drawn to complementary and alternative medicine?

Enapadam S. Krishnamoorthy: I think there are five barriers in medicine. awareness, access, acceptability, affordability and accountability. People with chronic illnesses are drawn to it because they have already tried many things. Let’s take mental health. If I’ve been on different types of medication for years and it’s not affecting me (10-20% of people don’t respond to medication), other things that might help Isn’t it natural to start looking?

It’s also a matter of acceptability. Medical consultations are often very short and lack proper conversation about one’s health. Rightly or wrongly, other environments to which people gravitate promote it more.

Ciriak Abbey Phillips: From a science-based practitioner’s perspective, there is not enough communication. I also agree with her ESK professor. Don’t just send. [patients] A pharmacy should have human connection and compassion. Alternative medicine fills the gap between patients and doctors. With good communication and compassionate, evidence-based care, many alternative medicines could become obsolete. Important patient-informed decisions are only made when doctors put patients first, discuss evidence-based options first, and then move on to non-evidence-based options. I don’t think integrative medicine has a major role to play now other than bearing the cost. I hope this changes, though.

Enapadam S. Krishnamoorthy: I believe that many medical systems have a role in maintaining human health. Modern medicine is very important. However, there is a wealth of wisdom and ancient traditions that can be wisely and safely incorporated for human well-being.

Ennapadam S. Krishnamoorthy is the founder of the Buddha Clinic in Chennai. Cyriac Abby Philips is a Senior Consultant and Clinical Scientist, Hepatology, Liver Laboratory, Rajagiri Hospital.



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