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Spirituality and Health: The Art of Compassionate Medicine
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Spirituality and Health: The Art of Compassionate Medicine
Diệu Nương
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Although cost-effectiveness is one guiding rationale for deter- mining resource allocations for expanding (or restricting) access to CAM and TM, additional societal benefits and costs, such as effects on biodiversity, must also be considered. CAM and TM could provide a rationale for conserving species, but overharvesting of endangered species for medicinal purposes is also a concern. According to WHO, 85 percent of the world’s population (principally those in developing countries) depends on plants for medicine, and 25 percent of prescription drugs have an active ingredient derived from a flowering plant (Cox 2001). The possible extinction of medicinal plants is of concern not only to developing countries but also to industrial countries, as. | Clinical Perspectives in Complementary Medicine Series Editor Andrew B. Newberg MD Spirituality and Health The Art of Compassionate Medicine Christina M. Puchalski MD MS Discussions of spirituality and religion have long been considered inappropriate in the study and practice of medicine. That bias is beginning to change however as physicians begin to appreciate the importance of these issues to the health and well-being of their patients as well as the role of spirituality in their own lives. This article discusses issues of spirituality and religion as they relate to medical care. Recent initiatives to expand the coverage of spirituality in medical education are discussed and studies and surveys on the importance of incorporating spiritual discussions into medical care are reviewed. Some specific suggestions to help physicians broach the topic of spirituality in clinical practice are also provided. ADDRESSING SPIRITUALITY IN MEDICAL SCHOOL Interest among academic physicians regarding spirituality in medicine has grown tremendously over the past few years. In 1992 only 1 medical school had a formal course in spirituality and medicine which was an elective course. Today more than 70 medical schools in the United States offer courses on spirituality and medicine 1 2 and most such courses are required and integrated with the rest of the medical school curriculum. The Association of American Medical Colleges AAMC has co-sponsored with the National Institute for Healthcare Research 4 conferences on curricular development in spirituality and medicine. These conferences have been held annually since 1997. There is also a growing interest in professional retreats for physicians in this country to help them explore these issues further. In medical school courses on spirituality students learn to work with the many facets of spirituality and focus on the clinical integration of these themes into pregnancy and childbirth chronic pain psychiatric illness addiction and .
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