SECOND EDITION 2 Consumer Health and Integrative Medicine Holistic View of Complementary and Alternative Medicine Practices Linda Baily Synovitz, RN, PhD Professor Emeritus of Health Education, Southeastern Louisiana University Karl L. Larson, PhD, MCHES Associate Professor of Health Education, Gustavus Adolphus College 3 World Headquarters Jones & Bartlett Learning 5 Wall Street Burlington, MA 01803 978-443-5000 [email protected] www.jblearning.com Jones & Bartlett Learning books and products are available through most bookstores and online booksellers. To contact Jones & Bartlett Learning directly, call 800-832- 0034, fax 978-443-8000, or visit our website, www.jblearning.com. Substantial discounts on bulk quantities of Jones & Bartlett Learning publications are available to corporations, professional associations, and other qualified organizations. 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Parker Director of Rights & Media: Joanna Gallant Rights & Media Specialist: Merideth Tumasz Media Development Editor: Troy Liston Cover Image (Title Page, Part Opener): © ifong/Shutterstock; © lsarat/Shutterstock; © Yellowj/Shutterstock; © Africa Studio/Shutterstock Printing and Binding: Bang Printing Cover Printing: Bang Printing Library of Congress Cataloging-in-Publication Data Names: Synovitz, Linda Baily, author. | Larson, Karl L., author. Title: Consumer health and integrative medicine : holistic view of complementary and alternative medicine practices / Linda Baily Synovitz and Karl L. Larson. Other titles: Complementary and alternative medicine for health professionals Description: Burlington, MA : Jones & Bartlett Learning, [2018] | Preceded by: Complementary and alternative medicine for health professionals/Linda Baily Synovitz, Karl L. Larson. Burlington, Mass. : Jones & Bartlett Learning, c2013. | Includes bibliographical references and index. Identifiers: LCCN 2018013477 | ISBN 9781284144123 (pbk. : alk. paper) Subjects: MESH: Complementary Therapies | Consumer Health Information | Holistic Health | United States Classification: LCC R733 | NLM WB 890 | DDC 610–dc23 LC record available at https://lccn.loc.gov/2018013477 6048 5 Printed in the United States of America 22 21 20 19 18 10 9 8 7 6 5 4 3 2 1 6 I dedicate this text to my late husband, Robert J. Synovitz, who started me on the path to becoming a health educator and who supported me throughout my doctorate program and ensuing career. —Linda Bailey Synovitz I dedicate this book to my wife Kathy and our three wonderful kids, Danielle, Evan, and Brenden. —Karl L. Larson 7 Contents Preface Acknowledgments About the Authors Part 1 Understanding the Basics Chapter 1 Consumer Health, Conventional Medicine, and Complementary and Integrative Health Why Learn About Health Consumerism and CAM How Costly Is Chasing After Good Health? What Is the Meaning of Disease/Illness and Health? Current Terms and Definitions Regarding Conventional Medicine and Alternative Medicine What Does It Mean to Be a Health Consumer? What Is Consumer Advocacy? Conclusion Wrap-Up Chapter 2 Scientific Method What Are the Characteristics of Scientific Testing? What Are the Types of Research Designs? What Are the Types of Data Collected? What Is Evidence-Based Research? What Are the Steps in Scientific Research? Could You Apply What You Have Learned? Where Can We Find Valid, Reliable, and Evidence-Based Health Information? Conclusion Wrap-Up Chapter 3 Advertising Health Products Advertising in America What Is Direct-to-Consumer Marketing? How Can Marketing Influence My Decisions? What Else Can Affect My Health Purchasing Decisions? Who Makes Sure Advertisers Are Telling the Truth? How Do Advertisers Know Whom to Target? How Did the Infomercial Begin? What Are the Advertising Practices in the Field of Health Care? What Is the Cost and Effect of Direct-to-Consumer Advertising? How Should We Analyze Advertising? 8 Conclusion Wrap-Up Part 2 Conventional Medicine and Health Care Chapter 4 Cost of Health Care in the United States Is the Cost of Health Care Spiraling Out of Control? What Are the Reasons for Rising Healthcare Costs? What Are Our Major Healthcare Expenditures? How Can We Control Healthcare Costs? Conclusion Wrap-Up Chapter 5 Conventional Medical and Health Care Where Do We Begin? How Can I Prevent Illness in the First Place? What Medicines Are Available to Me Over the Counter? What Non-Medicine Options Do I Have? When Is the Right Time to Go to the Doctor? Who Provides the Care? Who Are the Orthodox or Conventional Physicians? What Is the Flexner Report? How Should I Choose or Fire a Physician? What Institutions Are Caring for the Sick? What Are Our Rights as Patients? What Is Medical Malpractice and How Has It Impacted Insurance Costs? The Informed Consumer: Applying the Concepts Learned to Your Daily Life Conclusion Wrap-Up Part 3 Complementary and Alternative Medicine and Health Care Chapter 6 CAM, Integrative Medicine and Health, and Early Pioneers Introduction What Is the Prevalence of CAM Use? How Much Money Has Been Spent on CAM? Why Do People Seek Alternative Forms of Medical Care? What Are the Barriers to CAM Use? What Is Integrative Medicine and Health Care? What Is the Organizational Structure of Integrated Medicine and Health? Who Were the Early Pioneers Promoting Integrative Medicine and Health? What Are the Historical Milestones of Integrative Medicine and Health? The White House Commission on Complementary and Alternative Medicine Policy How Do Practicing Physicians View CAM? What Changes Have Occurred in Insurance Coverage for CAM or Integrated 9 What Changes Have Occurred in Insurance Coverage for CAM or Integrated Health Care? What Is the Future of Integrative Medicine? What Should Consumers Keep in Mind When Using Alternative Modalities? The Informed Consumer: Applying the Concepts Learned to Your Daily Life Conclusion Wrap-Up Chapter 7 Complementary and Alternative Health Care: Historical Foundations of Holistic Healing Introduction What Is Healing and What Is the Healer’s Role? What Are the Key Historical Healing Modalities Impacting Current Healing Practices? Is CAM Scientifically Legitimate or Is It Quackery? Conclusion Wrap-Up Chapter 8 Alternative Medical Systems: Ayurveda and Its Practices What Is Ayurveda? What Are the Main Ayurveda Principles? What Types of Diagnostic Methods Are Used in Ayurveda? What Are the Major Ayurvedic Therapies? What Herbs or Plants Are Used in Ayurvedic Medicine? What Minerals and Metals Are Used in Ayurvedic Medicine? What Does the NCCIH Report About Ayurveda? What Is the National Institute of Ayurvedic Medicine? What Is the Training of an Ayurvedic Medicine Doctor or Practitioner? Conclusion Wrap-Up Chapter 9 Alternative Medical Systems: Traditional Chinese Medicine What Is Traditional Chinese Medicine? What Is the Theory of Qi (Chi)? What Is the Theory of Meridians? What Is the Theory of Yin and Yang? What Is the Theory of the Five Elements? What Are TCM Diagnostic Methods? What Are Acupuncture and Acupressure? What Is Chinese Herbal Medicine Therapy? What Is Chinese Massage Therapy? What Is Chinese Diet and Exercise Therapy? Conclusion Wrap-Up 10