TAILIEUCHUNG - Health and Medical Economics: Applications to Integrative MedicineKenneth R. Pelletier, PhD, MD(hc)

Health-promoting activities usually contribute to the prevention of a variety of diseases as well as enhancing a positive feeling of health and vitality. They consist of nonmedical interventions, such as changes in lifestyle, nutrition, and the environment. Such activities may require structural improvements in society to enable the majority of people to take part in them. Structural improvements imply societal changes that make healthful choices easier. For example, dietary modification may be difficult unless a variety of wholesome, tasty and nutrient-rich foods are available in stores at a reasonable cost. Exercise will be more difficult if bicycling or. | Health and Medical Economics Applications to Integrative Medicine Kenneth R. Pelletier PhD MD hc Patricia M. Herman ND PhD R. Douglas Metz DC Craig F. Nelson DC Commissioned for the IOM Summit on Integrative Medicine and the Health of the Public February 2009 The responsibility for the content of this paper rests with the authors and does not necessarily represent the views or endorsement of the Institute of Medicine or its committees and convening bodies. The paper is one of several commissioned by the Institute of Medicine. Reflective of the varied range of issues and interpretations related to integrative medicine the papers developed represent a broad range of perspectives. We wish to acknowledge and thank John Weeks for his contribution to the planning and earlier versions of this white paper. 1 Pelletier Herman Metz Nelson ABSTRACT Cost-benefit analyses CBA of every aspect of health and medical care are a necessity to address both the clinical effectiveness and costeffectiveness of health and medical care for the purpose of allocating limited practitioner organizational governmental and monetary resources while maintaining the highest quality outcomes. In response there are an array of approaches that emphasize the full continuum of prevention restructuring primary care involvement of the workplace and communities and adoption of innovative strategies and interventions ranging from genomic assessments to complementary and alternative medicine CAM . Among these approaches is an Integrative Medicine IM model that is consistent with these national objectives and which uniquely and explicitly includes evidence-based global medical strategies in its definition. All of these strategies require rigorous appropriate state of the art medical economic analyses. Among the objectives of this paper are 1 Briefly consider the broad array of such innovative approaches to evaluating the possible economic implications of health care options 2 Introduce the concepts and models

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