A Study on Definition of Integrative Medicine and Related Research Analysis in Korea

통합의학의 정의 고찰 및 국내 관련 연구 분석

  • Lee, Taehyung (Department of Medical History, College of Oriental Medicine, Institute of Oriental Medicine, Kyung-Hee University) ;
  • Lee, Byungwook (Division of Humanities and Social Medicine, School of Korean Medicine, Pusan National University) ;
  • Kim, Namil (Department of Medical History, College of Oriental Medicine, Institute of Oriental Medicine, Kyung-Hee University)
  • 이태형 (경희대학교 한의과대학 의사학교실) ;
  • 이병욱 (부산대학교 한의학전문대학원 인문사회의학부) ;
  • 김남일 (경희대학교 한의과대학 의사학교실)
  • Received : 2010.11.23
  • Accepted : 2010.12.19
  • Published : 2010.12.30

Abstract

Objective: Interests in integrative medicine and CAM(Complementary and Alternative Medicine) are on the rise. However, the term 'integrative medicine' is often confused with the concept of CAM. This paper aims at clarifying the concept of integrative medicine. Methods: The definition, concept, and research methods used to explain integrative medicine have been inquired into. Also, the differences between the researches on integrative medicine and those on CAM have been studied. Moreover, domestic researches regarding integrative medicine have been analyzed. Results: The concept of integrative medicine was born in order to create a more patient-centered medicine by actively accommodating the medical system classified as CAM. The biggest difference that discriminates integrative medicine from CAM is the fact that integrative medicine does not depend solely on establishing its grounds through the process of RCT(Randomized Controlled Trial). Conclusion: Domestic researches regarding integrative medicine naturally leads to the concept of unification of medicine, but they do not concern the original meaning of integrative medicine. It is only after active discussions on the meaning, philosophical backgrounds, and research methods of integrative medicine become possible that a truly patient-oriented medicine will be realized.

Keywords

References

  1. 김정화, 이경원, 우리의 의학교육은 왜 변화하지 않는가?, 한국사회학, 2000;34(1):109-134.
  2. 변광호, 새로운 의료패러다임: 통합의학과 생활습관, 금요학술세미나, 2004;2004:129-141.
  3. 오희철, 손태용, 의과대학과 한의과 대학의 통합교육과정 개발 가능성에 관한 연구, 국제학술대회논문집, 1999;1:82-89.
  4. 이성재, 통합의학으로 가는 - 보완대체의학, 월례학술발표회, 2007;1:22-34.
  5. 전세일, 대체의학, 과학사상, 1999;28:163-187.
  6. 전세일, 현대의학과 대체의학, 과학사상, 2001;39:2-16.
  7. 정우열, 한의학과 대체의학 - 한의학자의 입장에서 본 대체의학 -, 과학사상, 2001;39:72-90.
  8. 최운정, 보완대체의학의 과학적 접근, 대한임상종양학회, 2009;5(2):41-46.
  9. Andrew Weil, The Significance of integrative Medicine for the Future of Medical Education, Am J Med., 2000 Apr 1;108(5):441-443 https://doi.org/10.1016/S0002-9343(00)00334-X
  10. Bob Leckridge, Ch. B., F. F. Hom, The Future of Complementary and Alternative Medicine-Models of Integration, J Altern Complement Med., 2004 Apr;10(2):413-416. https://doi.org/10.1089/107555304323062446
  11. Edzard Ernst, Disentangling Integrative Medicine, Mayo Clin Proc., 2004 Apr;79(4):565-6. https://doi.org/10.4065/79.4.565
  12. Gaudet TW. Integrative Medicine: The Evolution of a New Approach to Medicine and to Medical Education, Integrative Medicine, 1998;1(2):67-73. https://doi.org/10.1016/S1096-2190(98)00028-6
  13. Heather Boon, Marja Verhoef, Dennis O'Hara, Barb Findlay, From parallel practice to integrative health care: a conceptual framework, BMC Health Serv Res., 2004 Jul. 1;4(1):15. https://doi.org/10.1186/1472-6963-4-15
  14. Heather Boon, Marja Verhoef, Dennis O'Hara, Barb Findlay, Nadine Majid, Integrative Healthcare: Arriving at a Working Definition, Altern Ther Health Med., 2004 Sep-Oct;10(5):48-56.
  15. Heather Boon, Natasha Kachan, Integrative medicine: a tale of two clinics, BMC Complement Altern Med., 2008 Jun. 18;8:32. https://doi.org/10.1186/1472-6882-8-32
  16. Ian D. Coulter, Evidence Summaries and Synthesis: Necessary but Insufficient Approach for Determining Clinical Practice of Integrated Medicine?, Integr Cancer Ther., 2006 Dec;5(4):282-6. https://doi.org/10.1177/1534735406295564
  17. Iris R. Bell, Opher Caspi, Gary E. R. Schwartz, Kathryn L. Grant, Tracy W. Gaudet, David Rychener, Victoria Maizes, Andrew Weil, Integrative Medicine and Systemic Outcomes Research, Arch Intern Med., 2002 Jan. 28;162(2):133-40. https://doi.org/10.1001/archinte.162.2.133
  18. Iris R. Bell, Mary Koithan, Models for the Study of Whole Systems, Integr Cancer Ther., 2006 Dec;5(4):293-307. https://doi.org/10.1177/1534735406295293
  19. John Concato, Nirav Shah, Ralph I. Horwitz, Randomized, Controlled Trials, Observational Studies, and the Hierarchy of Research Designs, N Engl J Med., 2000 Jun;342(25):1887-92. https://doi.org/10.1056/NEJM200006223422507
  20. Kjell Benson, Arthur J. Hartz, A Comparison of Observational Studies and Randomized, Controlled Trials, N Engl J Med, 2000;342:1878-1886. https://doi.org/10.1056/NEJM200006223422506
  21. Marja J. Verhoef, Laura C. Vanderheyden, Vinjar Fonnebo, A Whole Systems Research Approach to Cancer Care: Why Do We need It and How Do We Get Started?, Integr Cancer Ther., 2006 Dec;5(4):287-92. https://doi.org/10.1177/1534735406295041
  22. Opher Caspi, Iris R. Bell, David Rychener, Tracy W. Gaudet, Andrew T. Weil, The Tower of Babel: Communication and Medicine, Arch Intern Med., 2000 Nov 27;160(21):3193-5. https://doi.org/10.1001/archinte.160.21.3193
  23. Opher Caspi, Lee Seehrest, Howard C. Pitluk, Carter L. Marshall, Iris R. Bell, Mark Nichter, On the definition of complementary, alternative, and integrative medicine societal mega-stereotypes vs. the patients' perspectives, Altern Ther Health Med., 2003 Nov-Dec;9(6):58-62.
  24. Tracy W. Gaudet, Integrative Medicine and the Search for the Best Practice of Medicine, Acad Med., 2002 Sep;77(9):861-863 https://doi.org/10.1097/00001888-200209000-00005
  25. Victoria Maizes, Craig Schneider, Iris Bell, Andrew Weil, Integrative Medical Education: Development and Implementation of a Comprehensive Curriculum at the University of Arizona, Academic Medicine, 2002 Sep.;77(9):851-860. https://doi.org/10.1097/00001888-200209000-00003
  26. Daniel Callahan 등, The Role of Complementary and Alternative Medicine, Washington, D.C.: Georgetown University Press, 2002.
  27. Abraham Flexner, Medical Education in The United States and Canada, Boston: The Merrymount Press, 1910.
  28. Hugh MacPherson 등, 한국한의학연구원 침구경락연구센터 역, 침 연구, 근거 기반 구축을 위한 전략, 서울: Elsvier Korea, 2009.
  29. the Consortium of Academic Health Centers for Integrative Medicine , (2010.12.14).
  30. Arizona Center for Integrative Medicine, "What is Integrative Medicine?", , (2010.12.14).