The Practice of Integrative Medicine: A Legal and Operational Guide

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Successfully Incorporate Integrative Medicine in a Wide Variety of Settings Practitioners, facilities, and researchers encounter repeated requests from patients regarding the use of complementary and integrative medicine (CIM) and there are few who do not know the benefits of its use. But the legal aspects of prescribing or denying CIM treatment are new and harder to navigate, requiring the guidance of lawyers, policy makers, and other practitioners. Based on interviews with over 20 health care providers and facilities who have successfully combined integrative medicine in their practices, this book outlines the pitfalls, legal road-blocks, and benefits of bringing complementary and integrative medicine into daily health care routines. Discover:
• What forces are driving the shift toward Integrative care
• The key legal issues governing individuals vs. institutions
• How established CIM institutions chose specific therapies, gained funding, and solved staffing issues
• The regulations for credentialing and how to comply
• Techniques for minimizing liability risks for institutions and individuals
• Strategies for effective informed consent
• Recommendations on dealing with the dietary supplement question

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Product Details

  • ISBN-13: 9780826103079
  • Publisher: Springer Publishing Company, Incorporated
  • Publication date: 11/17/2006
  • Edition description: ANN
  • Pages: 224
  • Sales rank: 587,238
  • Product dimensions: 6.20 (w) x 9.10 (h) x 0.70 (d)

Meet the Author

Michael H. Cohen, JD, MBA, is Assistant Clinical Professor of Medicine at Harvard Medical School and Assistant Professor at the Harvard School of Public Health. He has authored several books including Creative Writing for Lawyers (1990); Complementary and Alternative Medicine: Legal Boundaries and Regulatory Perspectives (1998); Beyond Complementary Medicine: Legal and Ethical Perspectives on Health Care and Human Evolution (2000); Future Medicine: Ethical Dilemmas, Regulatory Challenges, and Therapeutic Pathways to Health and Human Healing in Human Transformation (2003); and Healing at the Borderland of Medicine and Religion (2006.) He is also principal in the law offices of Michael H. Cohen, and served as consultant to the Institute of Medicine Committee on Complementary and Alternative Medicine Use by the American Public.

Mary Ruggie, PhD, is Professor of Public Policy at the Kennedy School of Government, Harvard University. She is the author of Marginal to Mainstream: Alternative Medicine in America (2004). She speaks widely on sociological issues concerning CAM therapies, and has published several scholarly books on comparative social policies and comparative health policy.

Marc S. Micozzi, MD, PhD, is a physician-anthropologist who has worked to create science-based tools for the health professions to be better informed and productively participate in the new fields of complementary and alternative (CAM) and integrative medicine. He was the founding editor-in-chief of the first U.S. journal on CAM, Journal of Complementary and Alternative Medicine: Research on Paradigm, Practice and Policy (1994). He organized and edited the first U.S. textbook, Fundamentals of Complementary and Alternative Medicine (1996), now in a third edition (2006). He is the editor of Complementary and Integrative Medicine in Cancer Care and Prevention:
Foundations and Evidence-Based Interventions
(Springer Publishing, 2006). He served a series editor for Medical Guides to Complementary and Alternative Medicine with eighteen titles in print on a broad range of therapies and therapeutic systems within the scope of CAM. In 1999, he edited Current Complementary Therapies, focusing on contemporary innovations and controversies, and Physician's Guide to Complementary and Alternative Medicine.

He has organized and chaired continuing education conferences on the theory, science, and practice of CAM numerous times, co-chairing with former Surgeon General C. Everett Koop in 1996 and with Dr. Dean Ornish in 1998.

In 2002, he became Founding Director of the Policy Institute for Integrative Medicine in Washington, DC, working to educate policy makers, the health professions, and the general public about needs and opportunities for integrative medicine to benefit all Americans. From 2003-2005, he accepted an interim appointment as Executive Director of the Center for Integrative Medicine at Thomas Jefferson University in Philadelphia. He is presently a Senior Fellow of the Health Studies Collegium, and serves as an Adjunct Professor at the University of Pennsylvania and on the adjunct faculty at Georgetown University School of Medicine.

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Table of Contents


  1. Issues in Integrative Medicine: Use and Availability of CAM
  2. A Changing Health Care Market: Forces Shaping the Shift
  3. Assessing the Landscape: Key Legal and Institutional Forces
  4. Starting Up and Growing: Overcoming Hurdles and Developing Sustainability
  5. Getting through the Door: Staffing and Credentialing Complementary Providers
  6. Staying Afloat: Minimizing Potential Liability Exposure
  7. Empowering Patients: Effective Informed Consent
  8. The Supplements Question: Dealing with Dietary Supplements
  9. Integrative Medicine for Pharmacy: Dietary Supplements in Practice
  10. Future Health Care: Navigating Ongoing Institutional Politics



A. Interview Questions (Policies and Procedures)

B. Centers Interviewed

C. Clinic Characteristics

D. Guidelines for Dietary Supplements

E. Resources



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