lifestyle medicine

March 10, 2019

Integrative Health, The Medical Industry, and White Walkers: Regarding Berwick’s Reflections on 10 Years of the Triple Aim

Spoiler alert. The title of a recent column marking the 10th anniversary of Triple Aim efforts to move medical payment and delivery from volume toward value makes no bones about the effort’s shortcomings. This report card from the Triple Aim’s top cheer-leader is meaningful to the high touch, human-intensive movement for integrative health and medicine for one important reason: the field’s potential uptake is pegged to advance of the values orientation. Success is more broadly meaningful because the values-based war against the forces in the industry that causally associate it with 250,000 medical deaths each year – effectively medicine’s white walkers in Game of Thrones terms – is the bullseye point of reference on what is at stake.
February 6, 2019

Heart Month: Mimi Guarneri, MD on the State of Integrative Cardiology

It was astonishing two decades ago when word emerged that medical device industry giant Medtronic – famed for its pacemakers – had made $1-million grants for cardiologists at heart centers across the country to explore complementary therapies. One seeded the creation of a center at Scripps led by interventional cardiologist Mimi Guarneri, MD. Guarneri would go on to be awarded the Bravewell Award, become the founding president of the Academy of Integrative Health and Medicine (AIHM) and most recently be presenting her Live Better Now program for PBS. I checked in with her early this “heart month” of February to get a sense of the state of integrative cardiology.
November 22, 2018

Group Visits Spotlight: Acupuncture Access/Income Up at Integrative Center & Call for Papers

From 30,000 feet – where I sit – it’s easy to proclaim all the reasons why group visits are a terrific fit for the values and practice of integrative health and medicine. Docere. What better format than groups? Adults learn better interactively. Groups are mediums for taking power in oneself and changing lifestyle. Now a presentation through the Academic Consortium for Integrative Medicine and Health (“the Consortium”) offers data on how group visits both expanded access and increased revenues in integrative health services. Meantime, peer-reviewed journal JACM has announced that it is developing an entire Special Focused Issue on Innovation in Group-Delivered Services.
June 29, 2018

Harvard’s Beth Frates, MD: Applying Prochaska’s Change Model to Advance Lifestyle Medicine in Institutions

Beth Frates, MD recalls her first effort, ten years ago, to give students at Harvard Medical School more grounding in lifestyle medicine: “I met with my Dean and explained how I would bring [the material] to them. He was all enthusiastic. He told me he loved what I was doing. Then he said: ‘We can’t possibly do this right now.’” Frates’ excitement cycled high then hit the cellar.