Naturopathy as a model of prevention-oriented, patient-centered primary care: A disruptive innovation in health care

Bradley, R; Harnett, J; Cooley, K; Mcintyre, E; Goldenberg, J; Adams, J

Naturopathy as a model of prevention-oriented, patient-centered primary care: A disruptive innovation in health care

Bradley, R Harnett, J Cooley, K Mcintyre, E

Goldenberg, J

Adams, J

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Publication Type:: Journal Article
Citation:: Medicina (Lithuania), 2019, 55 (9)
Issue Date:: 2019-09-01

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Field	Value	Language
dc.contributor.author	Bradley, R	en_US
dc.contributor.author	Harnett, J	en_US
dc.contributor.author	Cooley, K	en_US
dc.contributor.author	Mcintyre, E https://orcid.org/0000-0002-3970-9979	en_US
dc.contributor.author	Goldenberg, J https://orcid.org/0000-0003-2572-3929	en_US
dc.contributor.author	Adams, J https://orcid.org/0000-0002-9901-5717	en_US
dc.date.available	2019-09-10	en_US
dc.date.issued	2019-09-01	en_US
dc.identifier.citation	Medicina (Lithuania), 2019, 55 (9)	en_US
dc.identifier.issn	1010-660X	en_US
dc.identifier.uri	http://hdl.handle.net/10453/136164
dc.description.abstract	© 2019 by the authors. Licensee MDPI, Basel, Switzerland. Background and Objective: The concept of a “disruptive innovation,” recently extended to health care, refers to an emerging technology that represents a new market force combined with a new value system, that eventually displaces some, or all, of the current leading “stakeholders, products and strategic alliances.” Naturopathy is a distinct system of traditional and complementary medicine recognized by theWorld Health Organization (WHO), emerging as a model of primary care. The objective here is to describe Naturopathy in the context of the criteria for a disruptive innovation. Methods: An evidence synthesis was conducted to evaluate Naturopathy as a potentially disruptive technology according to the defining criteria established by leading economists and health technology experts: (1) The innovation must cure disease; (2) must transform the way medicine is practiced; or (3) have an impact that could be disruptive or sustaining, depending on how it is integrated into the current healthcare marketplace. Results: The fact that Naturopathy de-emphasizes prescription drug and surgical interventions in favor of nonpharmacological health promotion and self-care could disrupt the present economic model that fuels health care costs. The patient-centered orientation of Naturopathy, combined with an emphasis on preventive behaviors and popular complementary and integrative health services like natural products, mind and body therapies, and other therapies not widely represented in current primary care models increase the likelihood for disruption. Conclusions: Because of its patient-centered approach and emphasis on prevention, naturopathy may disrupt or remain a durable presence in healthcare delivery depending on policymaker decisions.	en_US
dc.relation.ispartof	Medicina (Lithuania)	en_US
dc.relation.isbasedon	10.3390/medicina55090603	en_US
dc.subject.classification	General & Internal Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Naturopathy	en_US
dc.subject.mesh	Health Promotion	en_US
dc.subject.mesh	Organizational Innovation	en_US
dc.subject.mesh	Patient-Centered Care	en_US
dc.subject.mesh	United States	en_US
dc.title	Naturopathy as a model of prevention-oriented, patient-centered primary care: A disruptive innovation in health care	en_US
dc.type	Journal Article
utslib.citation.volume	9	en_US
utslib.citation.volume	55	en_US
utslib.for	1104 Complementary and Alternative Medicine	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/DVC (Teaching and Learning)
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	open_access
pubs.issue	9	en_US
pubs.publication-status	Published	en_US
pubs.volume	55	en_US

Abstract:

© 2019 by the authors. Licensee MDPI, Basel, Switzerland. Background and Objective: The concept of a “disruptive innovation,” recently extended to health care, refers to an emerging technology that represents a new market force combined with a new value system, that eventually displaces some, or all, of the current leading “stakeholders, products and strategic alliances.” Naturopathy is a distinct system of traditional and complementary medicine recognized by theWorld Health Organization (WHO), emerging as a model of primary care. The objective here is to describe Naturopathy in the context of the criteria for a disruptive innovation. Methods: An evidence synthesis was conducted to evaluate Naturopathy as a potentially disruptive technology according to the defining criteria established by leading economists and health technology experts: (1) The innovation must cure disease; (2) must transform the way medicine is practiced; or (3) have an impact that could be disruptive or sustaining, depending on how it is integrated into the current healthcare marketplace. Results: The fact that Naturopathy de-emphasizes prescription drug and surgical interventions in favor of nonpharmacological health promotion and self-care could disrupt the present economic model that fuels health care costs. The patient-centered orientation of Naturopathy, combined with an emphasis on preventive behaviors and popular complementary and integrative health services like natural products, mind and body therapies, and other therapies not widely represented in current primary care models increase the likelihood for disruption. Conclusions: Because of its patient-centered approach and emphasis on prevention, naturopathy may disrupt or remain a durable presence in healthcare delivery depending on policymaker decisions.

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http://hdl.handle.net/10453/136164