Hospitals and Healthcare Systems

Clinical Review and gatekeeping in Hospitals and Healthcare Systems

It is a healthcare reform that has stimulated a renewed interest in clinical trial issues and their associated issues. This has been stimulated by the May 23, 2006 decision by the US FDA to allow a clinical study to continue funding without the need for further modifications to the design of the study after its completion. The move was triggered by the possibility that the original design of the study, which led to the selection of patients who were supposed to receive the drug in question, might not turn out to be the best way to proceed.

The ongoing difficulty in looking for ways to make the transition from a primary care provider to a specialist who would take care of the specific clinical needs of the patient is sometimes unnecessarily complicated by consideration of whether a general or specialist role is involved. The difficulty is that there is no clear demarcation line between roles that are taken on in a primary care setting versus those that require specialist arises. Moreover, there is some indirect knowledge that the primary care physician may possess, which may complicate matters further.

In addition to difficulty finding an inter sideline provider, the success of a proposed study also needs to be assessed for the risk of this practice spreading. The 2012 results from the Viana Kaiser Permanente Clinic in California are a good example of the problems faced by many integrative medicine clinics and medical centers. The clinic’s surgeon general stated in an article published by the California chapter of the American Society of Clinical Oncology that “There is no doubt that Integrative medicine is increasing in popularity as a result of its benefits for cancer patients. The new cancer clinics being created show that it is possible to combine care for cancer patients with conventional cancer treatments… There is also growing support for a research program that could provide high-quality, inexpensive, and high-scope alternative treatments for cancer and related diseases.”

Moreover, we need to assess the possibility that patients who undergo this type of medical care also enjoy benefits that are not available to the non-gainful litigants in conventional medicine. vaulting from conventional medicine to alternative medicine poses many risks, especially given the fact that the potential for conferring harm is present. gatekeeping is necessary to keep patients from being shocked by claims and counter-intuitive results. In conventional medicine, oftentimes it is only minor ailments that are brought forth, such as a traffic ticket. Minor adjustments can be made if the burden is light and the benefits are clear. For these and all future cases, please consult with an Integrative Medicine doctor to learn more about how we can safely and successfully guide you toward achieving your health goals.