Profile of a Profession: Naturopathic Practice - Center for the Health ...
Profile of a Profession: Naturopathic Practice - Center for the Health ...
Profile of a Profession: Naturopathic Practice - Center for the Health ...
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<strong>Pr<strong>of</strong>ile</strong> <strong>of</strong> a Pr<strong>of</strong>ession: <strong>Naturopathic</strong> <strong>Practice</strong><br />
Section E Proactive <strong>Practice</strong> Model and Viability <strong>of</strong> Pr<strong>of</strong>ession<br />
<strong>of</strong> <strong>Naturopathic</strong> Medicine<br />
What ef<strong>for</strong>ts has <strong>the</strong> pr<strong>of</strong>ession made to develop practice guidelines, treatment protocols<br />
and interpr<strong>of</strong>essional collaboration on clinical care? How are rates <strong>of</strong> patient satisfaction?<br />
How is <strong>the</strong> pr<strong>of</strong>ession developing new modalities? How accessible are members <strong>of</strong> <strong>the</strong><br />
pr<strong>of</strong>ession to <strong>the</strong> public? What groups and associations are working to promote <strong>the</strong> pr<strong>of</strong>ession? 8<br />
Guidelines and protocols<br />
<strong>Naturopathic</strong> medicine is in <strong>the</strong> process <strong>of</strong> developing clinical care practice guidelines and protocols. This is<br />
a new undertaking throughout health care, but many naturopathic physicians, like o<strong>the</strong>r health care pr<strong>of</strong>es-<br />
sionals, are committed to developing a consistent method <strong>for</strong> advancing such a science. While detailed clin-<br />
ical care guidelines are still in <strong>the</strong> development stages, naturopathic physicians can rely on less specific prac-<br />
tice guidelines developed by <strong>the</strong> pr<strong>of</strong>essional associations to guide daily practice (see appendices A and B).<br />
Although naturopathic physicians are trained to work collaboratively with o<strong>the</strong>r health care pr<strong>of</strong>es-<br />
sionals and to refer patients to o<strong>the</strong>r providers as appropriate, we did not identify any <strong>for</strong>mal documents<br />
regarding interpr<strong>of</strong>essional guidelines or protocols <strong>for</strong> clinical care.<br />
Patient satisfaction<br />
Limited research has been done to date on patient satisfaction, including cultural competence, <strong>of</strong> natur-<br />
opathic medical care. However, pilot data was ga<strong>the</strong>red regarding cost savings <strong>of</strong> naturopathic medical<br />
care from 135 patients at five separate participating naturopathic physician practices (Weeks, 1996b).<br />
A two-page survey was completed by each patient at <strong>the</strong> time <strong>of</strong> <strong>the</strong>ir visit to a naturopathic physician.<br />
The majority <strong>of</strong> patients felt that <strong>the</strong> care received by naturopathic physicians was cost effective <strong>for</strong><br />
<strong>the</strong>m. These points are summarized below:<br />
• 49% experienced lowered or discontinued use <strong>of</strong> conventional prescription medications<br />
• 16% were able to eliminate surgery or o<strong>the</strong>r invasive procedure<br />
8 For a complete list <strong>of</strong> questions, see Dower et al., Pr<strong>of</strong>iling <strong>the</strong> Pr<strong>of</strong>essions: A Model <strong>for</strong> Evaluating Emerging <strong>Health</strong><br />
Pr<strong>of</strong>essions. UCSF <strong>Center</strong> <strong>for</strong> <strong>the</strong> <strong>Health</strong> Pr<strong>of</strong>essions, 2001.<br />
Chapter One: <strong>Naturopathic</strong> Medicine 47