title: Integrating complementary medicine in supportive cancer care models across four continents.
abstract: The need to integrate complementary medicine (CM) consultation in supportive care of patients with cancer is acknowledged by oncologists owing to the ongoing research on CM efficacy and awareness of its potential risks. In this article, we aim to provide oncologists with models for CM integration within supportive care. Descriptive analysis of key elements which facilitate CM integration is presented by physicians leading six integrative cancer care programs across four continents. Perspectives of integration are supplemented by a literature review, quantitative data on the clinical activity in each center, and qualitative narrative-based citations of seven oncology patients and healthcare providers. It is recommended that CM consultation be provided by physicians with extensive CM training. The following key elements were identified as essential for integrative program design within oncological supportive care: (1) Location of the integrative physician (IP) room within the oncology department area, (2) Required oncologist referral to CM consultation, (3) Allocated time to IP-oncologist communication, (4) Research-based integrative practice, (5) Inclusion of paid professional CM practitioners, (6) Institutional cost covered service. Integration of CM consultation within oncological supportive care needs to take in account six key elements that ensure high-quality evidence-based concomitant integrative practice.
authors: Integrative Oncology Program, The Oncology Service, Lin Medical Center, Clalit Health Services, 35 Rothschild St., Haifa, Western Galilee, Israel. eranben@netvision.net.il
authors: Eran
authors: E
authors: Ben-Arye
authors: Elad
authors: E
authors: Schiff
authors: Catherine
authors: C
authors: Zollman
authors: Peter
authors: P
authors: Heusser
authors: Pablo
authors: P
authors: Mountford
authors: Moshe
authors: M
authors: Frenkel
authors: Gil
authors: G
authors: Bar-Sela
authors: Ofer
authors: O
authors: Lavie
mesh_terms: D001118:Argentina / Q000453:epidemiology; D001291:Attitude of Health Personnel; D000529:Complementary Therapies / Q000379:methods* / Q000639:trends; D019317:Evidence-Based Medicine / Q000379:methods / Q000639:trends; D005858:Germany / Q000453:epidemiology; D006801:Humans; D055048:Integrative Medicine / Q000379:methods* / Q000639:trends; D007557:Israel / Q000453:epidemiology; D009369:Neoplasms / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D010817:Physician-Patient Relations; D012017:Referral and Consultation / Q000639:trends; D006113:United Kingdom / Q000453:epidemiology; D014481:United States / Q000453:epidemiology