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Evidence based complementary and alternative medicine: promises and problems.

Ian D Coulter1

  • 1Samueli Institute, UCLA School of Dentistry, RAND, Santa Monica, Southern California University of Health Sciences, Corona del Mar, CA 92625, USA. coulter@rand.org

Forschende Komplementarmedizin (2006)
|April 28, 2007
PubMed
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Establishing an evidence-based complementary and alternative medicine (EBCAM) center revealed research challenges and political contexts. While standard methods have limitations for CAM, EBCAM should adopt appropriate evidence-based practices strategically.

Area of Science:

  • Integrative Medicine
  • Health Services Research
  • Evidence-Based Practice

Background:

  • The demand for evidence-based practice (EBP) in complementary and alternative medicine (CAM) is growing.
  • Establishing a dedicated center for EBCAM involves navigating research and political complexities.
  • Understanding the context of EBP demand is crucial for CAM's integration into healthcare.

Purpose of the Study:

  • To examine the experiences, difficulties, and challenges of establishing a center for evidence-based complementary and alternative medicine (EBCAM) practice.
  • To analyze the research methodologies applicable to EBCAM.
  • To explore the political landscape surrounding the demand for EBP in CAM.

Main Methods:

  • A 3-year funding period for an EBCAM center within the Southern California Evidence-Based Practice Center.

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  • Utilizing the experience gained from establishing and operating the EBCAM center as the basis for analysis.
  • Applying standard evidence-based medicine (EBM) methods where applicable.

    • Main Results:

    • Establishing an EBCAM center demonstrated that standard EBP methods can achieve significant work but also revealed their limitations.
    • Many conventional research methods are not suitable for CAM research; effectiveness is often more critical than efficacy.
    • The demand for EBCAM can be influenced by political motivations, including potential opposition from allopathic medicine aiming to maintain biomedical paradigm dominance.

    Conclusions:

    • CAM should critically evaluate and adopt appropriate EBP principles without discarding valuable CAM practices.
    • Researchers and practitioners must be aware of the political context influencing EBCAM.
    • The integration of CAM into healthcare requires a nuanced approach to evidence and practice.