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Acupuncture:Effective and Recommended but More Implementation Needed

Chinese Medicine and Culture 2024年第1期7卷 86-93页

作者： mel hopper koppelman Evidence Based Acupuncture Middletown 02842the United States of America

Acupuncture enjoys a robust evidence base for dozens of clinical conditions and decades of research exploring its mechanisms of action. It has over 9,000 positive recommendations from official government and clinical guidelines. However, it still remains relatively inaccessible in the United States, Europe and elsewhere, especially compared to the strength of evidence-based recommendations for its use. Acupuncture would benefit from robust implementation strategies, utilizing insights and approaches from implementation science. The clinical use of Botox for migraine suffered from weaker evidence of effectiveness and greater evidence of harm, but using a streamlined and robust implementation strategy, Allergan was able to achieve widespread implementation from when it began its efforts around 2010. Such a systematic approach that identifies and overcomes barriers to implementation for acupuncture would benefit millions of people who currently are offered less effective and more invasive treatments, contrary to the recommendations of clinical guidelines.

关键词： Acupuncture Implementation science Accessibility Emergency use Migraine

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Acupuncture's Role in Solving the Opioid Epidemic: Evidence, Cost-Effectiveness, and Care Availability for Acupuncture as a Primary, Non-Pharmacologic Method for Pain Relief and Management-White Paper 2017

引用

Journal of Integrative Medicine 2017年第6期15卷 411-425页

作者： arthur yin fan david w.miller bonnie bolash matthew bauer john mcdonald sarah faggert hongjian he yong ming li amy matecki lindy camardella mel hopper koppelman jennifer a.m.stone lindsay meade john pang the american tcm association ViennaVA 22182USA the american society of acupuncturists ChicagoIL 60618USA the joint acupuncture opioid task force La VerneCA 91750USA pacific college of oriental medicine ChicagoIL 60601USA the acupuncture now foundation CA 91750USA the acupuncture evidence project ProvidenceRI 02860USA the acupuncture society of virginia ViennaVA 22182USA the national federation of chinese tcm organizations New YorkNY 11501USA the american alliance for professional acupuncture safety GreenwichCT 06878USA the american traditional chinese medicine society New YorkNY 11501USA highland hospital alameda health systemOaklandCA 94602USA indiana university school of medicine IndianapolisIN 46202USA university of california san diego school of medicineSan DiegoCA 92093USA

The United States （U.S.） is facing a national opioid epidemic, and medical systems are in need of non- pharmacologic strategies that can be employed to decrease the public＇s opioid dependence. Acupuncture has emerged as a powerful, evidence-based, safe, cost-effective, and available treatment modality suitable to meeting this need. Acupuncture has been shown to be effective for the management of numerous types of pain conditions, and mechanisms of action for acupuncture have been described and are understandable from biomedical, physiologic perspectives. Further, acupuncture＇s cost-effectiveness can dramatically decrease health care expenditures, both from the standpoint of treating acute pain and through avoiding addiction to opioids that requires costly care, destroys quality of life, and can lead to fatal overdose. Numerous federal regulatory agencies have advised or mandated that healthcare systems and providers offer non-pharmacologic treatment options for pain. Acupuncture stands out as the most evidence-based, immediately available choice to fulfil these calls. Acupuncture can safely, easily, and cost-effectively be incorporated into hospital settings as diverse as the emergency department, labor and delivery suites, andneonatal intensive care units to treat a variety of commonly seen pain conditions. Acupuncture is already being successfully and meaningfully utilized by the Veterans Administration and various branches of the U.S. Military, in some studies demonstrably decreasing the volume of opioids prescribed when included in care.

关键词： acupuncture opioid epidemic pain opiate dependency effectiveness safety cost-effectiveness mechanism United States

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