Integration of complementary and alternative medicine in a major pediatric teaching hospital: an initial overview

Ellen Silver Highfield1, Mary C McLellan, Kathi J Kemper

  • 1Center for Holistic Pediatric Education and Research, Division of General Pediatrics, Children's Hospital, Boston, MA 02115, USA. eshighfield@comcast.net

Insights

A multidisciplinary team offering complementary and alternative medicine (CAM) services and education was established in a pediatric hospital. This initiative successfully integrated CAM into clinical practice and medical training.

Area of Science:

  • Pediatric integrative medicine
  • Complementary and Alternative Medicine (CAM) education
  • Healthcare systems integration

Background:

  • Increasing use of pediatric complementary and alternative medicine (CAM).
  • Limited development of CAM education programs for pediatric healthcare professionals.
  • Need for structured CAM services within pediatric settings.

Purpose of the Study:

  • To detail the establishment of a multidisciplinary CAM team at an urban pediatric hospital and medical school.
  • To describe the integration of CAM clinical services and educational initiatives.
  • To evaluate the impact of a dedicated CAM center in a pediatric academic environment.

Main Methods:

  • Retrospective review of clinical consultation data.
  • Analysis of educational program materials and delivery methods.
  • Examination of team meeting minutes and scholarly publications.

Main Results:

  • Over 5.5 years, more than 2100 consultations were provided across various CAM modalities (e.g., acupuncture, massage, biofeedback).
  • Acupuncture and massage therapies were integrated into a Clinical Practice Guideline.
  • Formal CAM education was delivered through diverse methods, including didactic sessions and clinical practice.
  • CHPER faculty produced significant scholarly output, including 1 book and 64 articles.

Conclusions:

  • An interdisciplinary team of CAM clinicians and educators can be successfully integrated into pediatric teaching hospitals.
  • This integration facilitates the provision of CAM medical education and clinical services.
  • The model demonstrates the feasibility of establishing comprehensive CAM programs within academic pediatric centers.
Abstract

Related Concept Videos

Nursing Clinical Information System01:27

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Hospitals-II00:59

Hospitals-II

Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Integrated Healthcare System01:20

Integrated Healthcare System

An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...