Medical Audit

Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

OBJECTIVES: Morbidity in Traditional Chinese Medicine (TCM) research is an emerging field. Few studies have been published, and there is a lack of international standards for data collection and reporting. Based on the experience of developing a computerized system for patient data collection at the University of Technology, Sydney, (UTS) Acupuncture Clinic (Sydney, Australia), and reporting results from that database, a start can be made toward developing guidelines for reporting similar results from TCM clinical audits.

Author(s): 
Meier, Peter C.
Rogers, Carole
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

OBJECTIVES: Morbidity in Traditional Chinese Medicine (TCM) research is an emerging field. Few studies have been published, and there is a lack of international standards for data collection and reporting. Based on the experience of developing a computerized system for patient data collection at the University of Technology, Sydney, (UTS) Acupuncture Clinic (Sydney, Australia), and reporting results from that database, a start can be made toward developing guidelines for reporting similar results from TCM clinical audits.

Author(s): 
Meier, Peter C.
Rogers, Carole
Publication Title: 
The American Journal of Gastroenterology

OBJECTIVES: Hypnotherapy has been shown to be effective in the treatment of irritable bowel syndrome in a number of previous research studies. This has led to the establishment of the first unit in the United Kingdom staffed by six therapists that provides this treatment as a clinical service. This study presents an audit on the first 250 unselected patients treated, and these large numbers have also allowed analysis of data in terms of a variety of other factors, such as gender and bowel habit type, that might affect outcome.

Author(s): 
Gonsalkorale, Wendy M.
Houghton, Lesley A.
Whorwell, Peter J.
Publication Title: 
Malaria Journal

BACKGROUND: Nigeria's national standard has recently moved to artemisinin combination treatments for malaria. As clinicians in the private sector are responsible for attending a large proportion of the population ill with malaria, this study compared prescribing in the private and public sector in one State in Nigeria prior to promoting ACTs. OBJECTIVE: To assess prescribing for uncomplicated malaria in government and private health facilities in Cross River State. METHOD: Audit of 665 patient records at six private and seven government health facilities in 2003.

Author(s): 
Meremikwu, Martin
Okomo, Uduak
Nwachukwu, Chukwuemeka
Oyo-Ita, Angela
Eke-Njoku, John
Okebe, Joseph
Oyo-Ita, Esu
Garner, Paul
Publication Title: 
Malaria Journal

BACKGROUND: The case management of febrile children in hospitals' and health centres' pre-roll out of the new WHO policy on parasitological diagnosis was assessed. The delivery of artemisinin combination therapy (ACT) at these two levels of the health system was compared. METHODS: Structured observations and exit interviews of 1,222 febrile children attending five hospitals and 861 attending ten health centres were conducted in six districts of the Brong Ahafo Region of Ghana. Effectiveness of delivery of case management of malaria was assessed.

Author(s): 
Webster, Jayne
Baiden, Frank
Bawah, Justina
Bruce, Jane
Tivura, Mathilda
Delmini, Rupert
Amenga-Etego, Seeba
Chandramohan, Daniel
Owusu-Agyei, Seth
Publication Title: 
Complementary Therapies in Clinical Practice

A retrospective audit was carried out on 58 patients with chronic health problems who were referred by 22 general practitioners (GPs) for acupuncture, aromatherapy, homeopathy, massage and osteopathy, or a combination. Costs of GP consultations, prescriptions, secondary care referrals, and diagnostic tests from records of 33 of these patients were compared pre (24 months), during (mean 4.3 months) and post (mean 5.7 months) complementary medicine (CM) treatment.

Author(s): 
Robinson, Nicola
Donaldson, Julie
Watt, Hilary
Publication Title: 
The National Medical Journal of India

BACKGROUND: Complementary and alternative medicine (CAM) enjoys widespread popularity in chronic illnesses such as rheumatic diseases. Rheumatoid arthritis (RA) is the commonest inflammatory joint disease seen in clinical practice. No systematic study on the use of CAM by patients with RA is available from northern India. METHODS: We evaluated the prevalence and usage characteristics of CAM in Indian patients with RA using a questionnaire at a tertiary care centre in northern India. RESULTS: Of the 102 patients with RA included in the study, 39% reported current CAM use.

Author(s): 
Zaman, Tarique
Agarwal, Shikhar
Handa, Rohini
Publication Title: 
The National Medical Journal of India

BACKGROUND: Complementary and alternative medicine (CAM) enjoys widespread popularity in chronic illnesses such as rheumatic diseases. Rheumatoid arthritis (RA) is the commonest inflammatory joint disease seen in clinical practice. No systematic study on the use of CAM by patients with RA is available from northern India. METHODS: We evaluated the prevalence and usage characteristics of CAM in Indian patients with RA using a questionnaire at a tertiary care centre in northern India. RESULTS: Of the 102 patients with RA included in the study, 39% reported current CAM use.

Author(s): 
Zaman, Tarique
Agarwal, Shikhar
Handa, Rohini
Publication Title: 
Nursing Times
Author(s): 
Groom, P.
Publication Title: 
International Journal of Palliative Nursing

Complementary therapies are being accessed increasingly by cancer patients. The aims of this audit were to investigate the impact of reflexology on the quality of life of 20 cancer patients, to determine their satisfaction with the service provided and to investigate the availability of this therapy within Scottish hospices. The audit findings suggest that the clients were satisfied with the service received. Respondents noted that their quality of life was improved through a reduction in physical and emotional symptoms.

Author(s): 
Milligan, Mary
Fanning, Maureen
Hunter, Sheena
Tadjali, Miriam
Stevens, Elaine

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