Ra. Chez et Wb. Jonas, THE CHALLENGE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE, American journal of obstetrics and gynecology, 177(5), 1997, pp. 1156-1161
Complementary and alternative medicine can be defined as those medical
systems, practices, interventions, and applications that currently ar
e not part of the dominant or conventional medical system. There are m
ore than 300 different topics under the term complementary and alterna
tive medicine that can be divided into seven major categories on the b
asis of philosophy, approach to the patient, and orientation. Most pat
ients seeking care from complementary and alternative medicine provide
rs do so for the relief of signs and symptoms related to chronic illne
ss while they are under the care of a physician. Clinical data derived
from appropriately conducted clinical trials support the use and valu
e of complementary and alternative medicine for selected indications.
The challenge for both conventional medicine and complementary and alt
ernative medicine is to fulfill the role of patient advocate by engagi
ng in reciprocal open communication, facilitating the patient's inform
ed choice, avoiding harmful or useless practices, and implementing an
integrated evidence-based care plan.