alexa Pragmatic Model for Integrating Complementary and Alter
ISSN: 2167-1079

Primary Healthcare: Open Access
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Research Article

Pragmatic Model for Integrating Complementary and Alternative Medicine in Primary Care Management of Chronic Musculoskeletal Pain

Miek C Jong1-3*, Martine Busch3,4, Lucy PL van de Vijver1, Mats Jong2, Jolanda Fritsma5 and Ruth Seldenrijk6

1Department Nutrition & Health, Louis Bolk Institute, Driebergen, Netherlands

2Department of Nursing Science, Mid Sweden University, Sundsvall, Sweden

3National Information and Knowledge Centre for Integrative Medicine (NIKIM), Netherlands

4Van Praag Institute, Utrecht, Netherlands

5Zorgbelang Groningen, Groningen, Netherlands

6Patiënten Platform Complementaire Gezondheidszorg, Netherlands

*Corresponding Author:
Miek C. Jong
Department Healthcare & Nutrition, Louis Bolk Institute, Hoofdstraat 24
3972 LA Driebergen, Netherlands
Tel: +31 343 523 860
Fax: +31 343 515 611
Email: [email protected]

Received date: March 17, 2016; Accepted date: May 14, 2016; Published date: May 21, 2016

Citation: Jong MC, Busch M, van de Vijver LPL, Jong M, Fritsma J, et al. (2016) Pragmatic Model for Integrating Complementary and Alternative Medicine in Primary Care Management of Chronic Musculoskeletal Pain. Primary Health Care 6:224. doi:10.4172/2167-1079.1000224

Copyright: © 2016 Jong MC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Background: Integration of complementary and alternative medicine (CAM) into conventional care is driven by patients’ needs for holistic care. This study aimed to develop a model for integration of CAM into primary healthcare in close collaboration with patients suffering from chronic musculoskeletal pain (CMP). Methods: The study had a qualitative inductive approach following the principles of Grounded Theory, where data were collected and generated via several data sources and steps; individual and focus group interviews and meetings with patients, general practitioners (GPs), CAM practitioners, health insurers and other key informants. Results: Consensus was reached on a model in which shared decision making was introduced to facilitate discussions on CAM between patients and GPs. Guided by evidence and best-practices, GPs refer patients to one of five selected and reimbursed CAM therapies (acupuncture, homeopathy, naturopathy, osteopathy or Tai Chi) and respective practitioner within their integrative network. CAM practitioners report treatment outcome back to the GP who follows-up on the patient for further evaluation. Conclusions: In conclusion, it was feasible to develop a model for integration of CAM into primary healthcare management of CMP that was driven by patients’ needs and obtained consensus of all stakeholders. The model is the first in the Netherlands to provide for integrative health services in primary care. It needs to be tested in a study setting before further implementation is recommended.


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