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      • Record: found
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      Person-centred healthcare and medicine paradigm: it’s time to clarify

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          Abstract

          The person-centred healthcare and medicine paradigm is in need of a strong theoretical framework not only to explain what it is but to prevent dangerous confusions of terminology or reductive oversimplification of its true scope: for example, it may be integrated into biomedicine, whereas person-centred medicine and Traditional Systems and Complementary and Alternative Medicine (TCAM) actually stand in the position of interacting with the conventional health system. Emphasis on person-centred care is also in line with World Health Organization (WHO) policy and the International Declarations of Beijing and Alma Ata. Interaction of TCAM and person-centred approach to all forms of medicine will ensure variety of therapy in tackling the intrinsically complex and multifaceted issue of health and healing. It will also prevent inestimable traditional knowledge from being lost.

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          Collecting data on patient experience is not enough: they must be used to improve care.

          Louise Locock, Angela Coulter, J. Calabrese … (2013)
          Article 0 comments Cited 119 times – based on 0 reviews     Review now
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            Is US health really the best in the world?

            Barbara Starfield (2000)
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              Are sham acupuncture interventions more effective than (other) placebos? A re-analysis of data from the Cochrane review on placebo effects.

              Klaus Linde, Karin Meissner, Karin Niemann (2010)
              A recent Cochrane review on placebo interventions for all kinds of conditions found that 'physical placebos' (which included sham acupuncture) were associated with larger effects over no-treatment control groups than 'pharmacological placebos'. We re-analyzed the data from this review to investigate whether effects associated with sham acupuncture differed from those of other 'physical placebos'. All trials included in the Cochrane review as investigating 'physical placebos' were classified as investigating either (sham) acupuncture or other physical placebos. The latter group was further subclassified into groups of similar interventions. Data from the Cochrane review were re-entered into the RevMan 5 software for meta-analysis. The primary analysis was a random-effects analysis of trials reporting continuous outcomes of trials that used either sham acupuncture or other physical placebos. Out of a total of 61 trials which reported a continuous outcome measure, 19 compared sham acupuncture and 42 compared other physical placebos with a no-treatment control group. The trials re-analyzed were highly heterogeneous regarding patients, interventions and outcomes measured. The pooled standardized mean difference was -0.41 (95% confidence interval -0.56, -0.24) between sham acupuncture and no treatment and -0.26 (95% CI -0.37, -0.15) between other physical placebos and no treatment (p value for subgroup differences = 0.007). Significant differences were also observed between subgroups of other physical placebos. Due to the heterogeneity of the trials included and the indirect comparison our results must be interpreted with caution. Still, they suggest that sham acupuncture interventions might, on average, be associated with larger effects than pharmacological and other physical placebos. Copyright © 2010 S. Karger AG, Basel.
              Article 0 comments Cited 50 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Paolo Roberti di Sarsina: medicinacentratasullapersona@medicinacentratasullapersona.org
                Mariateresa Tassinari: mariateresa.tassinari@medicinacentratasullapersona.org
                Journal
                Journal ID (nlm-ta): EPMA J
                Journal ID (iso-abbrev): EPMA J
                Title: The EPMA Journal
                Publisher: BioMed Central (London )
                ISSN (Print): 1878-5077
                ISSN (Electronic): 1878-5085
                Publication date (Electronic): 16 May 2015
                Publication date PMC-release: 16 May 2015
                Publication date Collection: 2015
                Volume: 6
                Issue: 1
                Electronic Location Identifier: 11
                Affiliations
                [ ]Charity for Person Centered Medicine-Moral Entity, Bologna, Italy
                [ ]Observatory and Methods for Health, University of Milano-Bicocca, Milan, Italy
                Article
                Publisher ID: 33
                DOI: 10.1186/s13167-015-0033-3
                PMC ID: 4460744
                PubMed ID: 26060512
                SO-VID: 4d507343-1067-4a9f-a1c3-330ce93ac01e
                Copyright © © Roberti di Sarsina and Tassinari. 2015
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                Date received : 23 February 2015
                Date accepted : 23 April 2015
                Categories
                Subject: Review
                Custom metadata
                issue-copyright-statement © The Author(s) 2015

                ScienceOpen disciplines: Molecular medicine
                Keywords: person-centred healthcare and medicine paradigm,traditional complementary and alternative medicine,health policy
                Data availability:
                ScienceOpen disciplines: Molecular medicine
                Keywords: person-centred healthcare and medicine paradigm, traditional complementary and alternative medicine, health policy

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