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Developing integrated CAM services in Primary Care Organisations.

K J Thomas1, P Coleman, E Weatherley-Jones

  • 1Medical Care Research Unit, University of Sheffield, Sheffield, UK. k.j.Thomas@sheffield.ac.uk

Complementary Therapies in Medicine
|March 17, 2004
PubMed
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Most UK primary care organisations discussed complementary and alternative medicine (CAM) and 37% had policies by 2000. Integrated CAM services aligned with NHS priorities may be a future model.

Area of Science:

  • Health Services Research
  • Primary Care Policy
  • Complementary and Alternative Medicine (CAM) Integration

Background:

  • UK primary care services underwent significant reorganisation in 1999.
  • This created a new landscape for the development and provision of integrated NHS CAM therapy services.

Purpose of the Study:

  • To explore policy development for integrated NHS CAM therapy services.
  • To investigate the provision of these services post-primary care reorganisation.

Main Methods:

  • Structured survey interviews with 72 Primary Care Organisation (PCO) Chairpersons in England (1999-2000).
  • Semi-structured telephone interviews with CAM service providers and commissioners within selected PCOs.

Main Results:

Related Experiment Videos

  • By end of 2000, 85% of PCOs had discussed CAM; 37% had a CAM policy.
  • "Provide and review" was a dominant strategy, especially in former fundholding practices.
  • Drivers for CAM policy included patient demand and meeting NHS targets; barriers included cost and perceived lack of credibility.

Conclusions:

  • Integrated CAM services are more likely to develop when viewed as solutions to NHS problems.
  • Locality-based, integrated CAM services responsive to NHS priorities offer a potential future model for primary care.