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Related Experiment Videos

Studying optimal healing environments: challenges and proposals.

Patrick G O'Malley1

  • 1Division of General Internal Medicine, Department of Medicine, Walter Reed Army Medical Center, Washington, DC 20307-5001, USA. Patrick.Omalley@na.amedd.army.mil

Journal of Alternative and Complementary Medicine (New York, N.Y.)
|December 8, 2005
PubMed
Summary
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Creating optimal healing environments requires rigorous evidence. Challenges include human dimensions, system dysfunctions, and research gaps, necessitating a coalition to advance this paradigm shift in healthcare.

Area of Science:

  • Clinical Epidemiology
  • Healthcare Systems Research

Background:

  • Optimal healing environments (OHE) are conceptually important but challenging to operationalize.
  • Significant resources are required for OHE, necessitating strong evidence for justification.

Purpose of the Study:

  • To outline challenges in studying OHE from a clinical epidemiology perspective.
  • To identify obstacles hindering the implementation and study of OHE.

Main Methods:

  • Discussion of clinical epidemiology challenges.
  • Identification of obstacles: human resources, relationship-centered care, system dysfunctions, research competencies, evidence base dispersion, and methodological difficulties.

Main Results:

  • Operationalizing OHE is complex due to human dimensions.

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  • Significant obstacles exist in healthcare systems, research, and methodology.
  • The current evidence base for OHE is dispersed and unfocused.

    • Conclusions:

    • OHE represents a paradigm shift in medical care delivery and study, likely requiring decades for transition.
    • Feasible activities include forming a coalition to establish a research agenda.
    • Prioritize validating measurement tools, expanding qualitative methods, and synthesizing evidence to clarify the OHE research agenda.