Journal of Manipulative and Physiological Therapeutics
Volume 32, Issue 9 , Pages 792-798 , November 2009

Contextualizing Integration: A Critical Social Science Approach to Integrative Health Care

  • Jon Adams, PhD

      Affiliations

    • Associate Professor, School of Population Health, University of Queensland, Brisbane, Australia
    • Director, Network of Researchers in the Public Health of Complementary and Alternative Medicine (NORPHCAM), Brisbane, Australia
    • Corresponding Author InformationSubmit requests for reprints to: Jon Adams, Associate Professor, School of Population Health, University of Queensland, Herston Rd, Brisbane, QLD 4006, Australia
    • ,
  • Daniel Hollenberg, PhD

      Affiliations

    • Research Associate, Department of Health, Aging and Society, McMaster University; Centre for International Health, University of Toronto, Toronto, Ontario, Canada
    • ,
  • Chi-Wai Lui, PhD

      Affiliations

    • Research Fellow, School of Population Health, University of Queensland, Brisbane, Australia
    • ,
  • Alex Broom, PhD

      Affiliations

    • Senior Lecturer, Faculty of Health Sciences, University of Sydney, Sydney, Australia

Received 21 April 2009 ,Revised 24 August 2009 ,Accepted 25 August 2009.

References 

  1. In:  Faass N editors. Integrating complementary medicine into health systems. Gaithersburg: Aspen Publishers; 2001;
  2. In:  Micozzi MS editors. Fundamentals of complementary and integrative medicine. 3rd ed.. St. Louis: Saunders Elsevier; 2006;
  3. Horriga BJ. Voices of integrative medicine: conversations and encounters. St. Louis: Churchill Livingstone; 2003;
  4. Stumpf SH, Shapiro SJ, Hardy ML. Divining integrative medicine. Evid Based Complement Alternat Med. 2008;5:409–413
  5. Barrett B. Alternative, complementary, and conventional medicine: is integration upon us?. J Altern Complement Med. 2003;9:417–427
  6. Baer HA. Toward an integrative medicine: merging alternative therapies with biomedicine. Lanham: AltaMira Press; 2005;
  7. Held D. Introduction to critical theory: Horkheimer to Habermas. New York: University of California Press; 1980;
  8. Calhoun C. Critical social theory: culture, history, and the challenges of difference. Oxford: Blackwell; 1995;
  9. Yearley S. Making sense of science: understanding the social study of science. London: Sage; 2005;
  10. In:  Joerges B,  Nowotny H editor. Social studies of science and technology: looking back, ahead. London: Springer; 2003;
  11. Freidson E. Professionalism: the third logic. Chicago: The University of Chicago Press; 2001;
  12. Straus R. Nature and status of medical sociology. Am Sociol Rev. 1957;22:200–204
  13. Coulter ID. Sociological studies of the role of the chiropractor: an exercise in ideological hegemony?. J Manipulative Physiol Ther. 1991;14:51–58
  14. Sundberg T, Halpin J, Warenmark A, Falkenberg T. Towards a model for integrative medicine in Swedish primary care. BMC Health Serv Res. 2007;7:1–9
  15. Myklebust M, Pradhan EK, Gorenflo D. An integrative medicine patient care model and evaluation of its outcomes: the University of Michigan experience. J Altern Complement Med. 2008;14:821–826
  16. Boon H, Verhoef M, O'Hara D, Findlay B. From parallel practice to integrative health care: a conceptual framework. BMC Health Serv Res. 2004;4:1–5
  17. Tataryn DJ, Verhoef MJ. Combining conventional, complementary, and alternative health care: a vision of integration. In:  Tataryn DJ,  Verhoef MJ editor. Advisory Group on Complementary and Alternative Health Care. Perspectives on complementary and alternative health care: a collection of papers prepared for Health Canada. Ottawa: Health Canada Publications; 2001;p. VII.87–VII.109
  18. Boon H, Verhoef M, O'Hara D, Findlay B, Majid N. Integrative healthcare: arriving at a working definition. Altern Ther Health Med. 2004;10:48–56
  19. Mann D, Gaylord S, Norton S. Moving toward integrative care: rationales, models, and steps for conventional-care providers. Complement Health Pract Rev. 2004;9:155–172
  20. Vohra S, Feldman K, Johnston B, Waters K, Boon H. Integrating complementary and alternative medicine into academic medical centers: experience and perception of nine leading centers in North America. BMC Health Serv Res. 2005;5:1–7
  21. Mulkins AL, Eng J, Verhoef MJ. Working towards a model of integrative health care: critical elements for an effective team. Complement Ther Med. 2005;13:115–122
  22. Boon HS, Kachan N. Integrative medicine: a tale of two clinics. BMC Complement. Altern Med. 2008;8:1–8
  23. Bell IR, Caspi O, Schwartz GE, Grant KL, Gaudet TW, Rychener D, et al. Integrative medicine and systemic outcomes research: issues in the emergence of a new model for primary health care. Arch Intern Med. 2002;162:133–140
  24. Dacher ES. A systems theory approach to an expanded medical model: a challenge for biomedicine. J Altern Complement Med. 1995;1:187–196
  25. In:  Hollis M,  Lukes S editor. Rationality and relativism. Oxford: Blackwell; 1982;
  26. Ranjan R. Magic or logic: can “alternative” medicine be scientifically integrated into modern medical practice?. Adv Mind Body Med. 1998;14:43–73
  27. Coulter I. Integration and paradigm clash: the practical difficulties of integrative medicine. In:  Tovey P,  Easthope G,  Adams J editor. The mainstreaming of complementary and alternative medicine: studies in social context. London: Routledge; 2004;p. 103–122
  28. Coulter I, Willis E. Explaining the growth of complementary and alternative medicine. Health Soc Rev. 2007;16:214–225
  29. In:  Peters D editors. Understanding the placebo effect in complementary medicine: theory, practice, and research. Edinburgh: Churchill Livingstone; 2001;
  30. Yamey G. Can complementary medicine be evidence based?. West J Med. 2000;173:4–5
  31. Clegg S. Ideal type. In:  Ritzer G editors. Blackwell encyclopedia of sociology. Oxford: Blackwell; 2007;p. 2201–2202
  32. Hollenberg D. Uncharted ground: patterns of professional interaction among complementary/alternative and biomedical practitioners in integrative health care settings. Soc Sci Med. 2006;62:731–744
  33. Hollenberg D. How do private cam therapies affect integrative health care settings in a publicly funded health care system?. Complement Integr Med. 2007;4:1–16
  34. Tovey P, Adams J. Primary care as intersecting social worlds. Soc Sci Med. 2001;52:695–706
  35. Giddens A. A reply to my critics. In:  Held D,  Thompson JB editor. Social theory and modern societies: Anthony Giddens and his critics. Cambridge: Cambridge University Press; 1989;p. 249–301
  36. Lukes S. Power: a radical view. 2nd ed.. London: Palgrave Macmillan; 2005;
  37. Foucault M. The birth of the clinic: an archaeology of medical perception. London: Routledge; 1973;
  38. Foucault M. Power/knowledge: selected interviews and other writings, 1972-1977. New York: Pantheon Books; 1980;
  39. Broom A. Reflections on the centrality of power in medical sociology: an empirical test and theoretical elaboration. Health Soc Rev. 2006;15:496–505
  40. Baer HA. Biomedicine and alternative healing systems in America: issues of class, race, ethnicity, and gender. Madison (Wis): The University of Wisconsin Press; 2001;
  41. Saks M. Orthodox and alternative medicine: politics, professionalization, and health care. London: Continuum; 2003;
  42. Kelner M, Wellman B, Welsh S, Boon H. How far can complementary and alternative medicine go? The case of chiropractic and homeopathy. Soc Sci Med. 2006;63:2617–2627
  43. Gray D. Deprofessionalising doctors? The independence of the British medical profession is under unprecedented attack. Br Med J. 2002;324:627–629
  44. Lewis J, Marjoribanks T, Pirotta M. Changing professions: general practitioners' perceptions of autonomy at the front line. J Sociol. 2003;39:44–61
  45. McKinlay JB, Marceau LD. The end of the golden age of doctoring. Int J Health Serv. 2002;32:379–416
  46. Haug MR. A re-examination of the hypothesis of physician deprofessionalization. Milbank Q. 1988;66:48–56
  47. Mizrachi N, Shuval JT. Between formal and enacted policy: changing the contours of boundaries. Soc Sci Med. 2005;60:1649–1660
  48. Shuval JT, Mizrachi N. Changing boundaries: modes of coexistence of alternative and biomedicine. Qual Health Res. 2004;14:675–690
  49. Shuval JT, Mizrachi N, Smetannikov E. Entering the well-guarded fortress: alternative practitioners in hospital settings. Soc Sci Med. 2002;55:1745–1755
  50. Theberge N. The integration of chiropractors into healthcare teams: a case study from sport medicine. Sociol Health Illn. 2008;30:19–34
  51. Broom A. Medical specialists' accounts of the impact of the internet on the doctor/patient relationship. Health (N. Y.). 2005;9:319–338
  52. Germov J. Medifraud, managerialism and the decline of medical autonomy. Aust N Z J Sociol. 1995;31:51–66
  53. Stevenson FA, Britten N, Barry CA, Bradley CP, Barber N. Self-treatment and its discussion in medical consultations: how is medical pluralism managed in practice?. Soc Sci Med. 2003;57:513–527
  54. Broom A, Tovey P. Therapeutic pluralism? Evidence, power and legitimacy in UK cancer services. Sociol Health Illn. 2007;29:551–569
  55. Broom A, Tovey P. Therapeutic pluralism: exploring the experiences of cancer patients and professionals. London: Routledge; 2008;
  56. Singer J, Fisher K. The impact of co-option on herbalism: a bifurcation in epistemology and practice. Health Sociol Rev. 2007;16:18–26
  57. Saks M. Medicine and complementary medicine: challenge and change. In:  Scambler G,  Higgs P editor. Modernity, medicine and health. London: Routledge; 1998;p. 198–215
  58. Baer H, Coulter I. Taking stock of integrative medicine: broadening biomedicine or co-option of complementary and alternative medicine?. Health Sociol Rev. 2008;17:331–341
  59. Cant S, Sharma U. New medical pluralism?: alternative medicine, doctors, patients and the state. London: UCL Press; 1999;
  60. Caronna CA, Zuckerman M, Zuckerman I. Medical pluralism in medical schools?: the presence (or absence) of complementary, alternative, and integrative medicine. In: ASA 2008 Medical Sociology Session/Roundtables. 2008;
  61. Kligler B, Maizes V, Schachter S, Park CM, Gaudet T, Benn R, et al. Core competencies in integrative medicine for medical school curricula: a proposal. Acad Med. 2004;79:521–531
  62. Nedrow AR, Heitkemper M, Frenkel M, Mann D, Wayne P, Hughes E. Collaborations between allopathic and complementary and alternative medicine health professionals: four initiatives. Acad Med. 2007;82:962–966
  63. Benjamin PJ, Phillips R, Warren D, et al. Response to a proposal for an integrative medicine curriculum. J Altern Compliment Med. 2007;13:1021–1033
  64. Tovey P, Easthope G, Adams J. The mainstreaming of complementary and alternative medicine: studies in social context. London: Routledge; 2004;
  65. Hirschkorn KA, Bourgeault IL. Structural constraints and opportunities for cam use and referral by physicians, nurses, and midwives. Health (N. Y.). 2008;12:193–213

PII: S0161-4754(09)00270-X

doi: 10.1016/j.jmpt.2009.10.006

Journal of Manipulative and Physiological Therapeutics
Volume 32, Issue 9 , Pages 792-798 , November 2009

Article Tools

* Image Usage & Resolution