title: The integrated taxonomy of health care: classifying both complementary and biomedical practices using a uniform classification protocol.
abstract: BACKGROUND
  Since the late 1980s, several taxonomies have been developed to help map and describe the interrelationships of complementary and alternative medicine (CAM) modalities. In these taxonomies, several issues are often incompletely addressed: A simple categorization process that clearly isolates a modality to a single conceptual categoryClear delineation of verticality-that is, a differentiation of scale being observed from individually applied techniques, through modalities (therapies), to whole medical systemsRecognition of CAM as part of the general field of health care
  
  
  METHODS
  DEVELOPMENT OF THE INTEGRATED TAXONOMY OF HEALTH CARE (ITHC) INVOLVED THREE STAGES: Development of a precise, uniform health glossaryAnalysis of the extant taxonomiesUse of an iterative process of classifying modalities and medical systems into categories until a failure to singularly classify a modality occurred, requiring a return to the glossary and adjustment of the classifying protocol
  
  
  RESULTS
  A full vertical taxonomy was developed that includes and clearly differentiates between techniques, modalities, domains (clusters of similar modalities), systems of health care (coordinated care system involving multiple modalities), and integrative health care. Domains are the classical primary focus of taxonomies. The ITHC has eleven domains: chemical/substance-based work, device-based work, soft tissue-focused manipulation, skeletal manipulation, fitness/movement instruction, mind-body integration/classical somatics work, mental/emotional-based work, bio-energy work based on physical manipulation, bio-energy modulation, spiritual-based work, unique assessments. Modalities are assigned to the domains based on the primary mode of interaction with the client, according the literature of the practitioners.
  
  
  CONCLUSIONS
  THE ITHC HAS SEVERAL STRENGTHS: little interpretation is used while successfully assigning modalities to single domains; the issue of taxonomic verticality is fully resolved; and the design fully integrates the complementary health care fields of biomedicine and CAM.
authors: CAMEO Project, BC Cancer Agency and University of British Columbia, Vancouver, BC, Canada;
authors: Antony
authors: A
authors: Porcino
authors: Colleen
authors: C
authors: Macdougall
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