Darshan Shankar Advisor Institute of TransDisciplinary Health Sciences and Technology IHST A State private University Does India have a truly modern healthcare program The answer is no ID: 552708
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Slide1
Conceptual frame work for new models of Integrative Healthcare
Darshan
Shankar
Advisor
Institute of Trans-Disciplinary Health Sciences and Technology (IHST)
A State (private) University
Slide2
Does India have a truly modern healthcare program
The answer is no.
We have imported the western health sciences, technology and delivery models in healthcare. This strategy alone is incomplete for an Indian modernization process.
After 65 years of adoption we have certainly benefited in surgery, emergency care, management of infection in new emerging healthcare technologies in a number of fields including stem-cells.
E
ffective management of chronic diseases, universal coverage in primary healthcare and substantial strategies for wellness, have not been achieved.Slide3
What constitutes modernity
Modern is what works.
The
experience of modernity in Europe clearly reveals
that it
is natural for a large part of modernity to be derived from one’s own roots.
Open minded to
learn from
others is progressive.
It is
suicidal to destroy our own
roots
.Slide4
Are
Ayurveda, Siddha,
Swa-rigpa
,
Unani
and Yoga
modern and contemporary ?
Evidence
primarily from growing size of clinical practice,
reveals that
traditional healthcare
is increasingly serving
healthcare needs in rural and urban India and even globally.
In the last decade there is
also new
evidence (limited by the extent of bold support)
emerging from basic and clinical research that points to promise of ISM
contributing
to new
game changing
paradigms in both medicine and life
sciences.Slide5
What should be our vision for 21
st
century
healthcare
in India
A modern
21
st
century
healthcare model for India
must be
an
evolving
framework of
Ayurveda, Siddha,
Swa-rigpa
,
Unani
and Yoga
integrated with
modern bio-medical sciences and technology.
This
vision needs to be supported by three
initiatives.
Research initiatives in both basic sciences and clinical studies to discover foundational relationships.
Educational initiatives
in medical schools to develop trans-disciplinary
content in all medical disciplines.
c)
Integrative
clinical establishments at the primary, secondary
and
tertiary levels.Slide6
The
complexity of building an Indian model of Integrative healthcare
Complexity arises because Indian health sciences and western bio-medical sciences have different perspective on nature and the human body.
We therefore have to reconcile the foundational theories of Indian
Shastras
and modern science
.
-
Panch
mahabuth
siddhant
and
tridosh
vichar
with modern chemistry and biology: (it can be done, example
ayugenomics
)
-Logical
systems of
Nyaya
and
vaisheka
with
aristolean
logic (not attempted)
-Systemic
theories of health and diseases of Ayurveda with structural theories of
western
bio medical sciences (beginning to happen example, management of RA, interpretation of
rasayana
,
pathogenesis,
prakrti
and gut micro flora,
aam
and cellular degeneration)
-New
design for comparative studies both in experimental and clinical pharmacology (beginning to happen example
ayurvedic
biology
)
-Innovative
statistical methods going beyond conventional RCTs Slide7
The
challenge of bridging
In simplistic terms the challenge of developing Integrative models to bridge
Shastra
and Science, lies in exploring the relationship between the whole and the part
.
Between the systemic theory of Ayurveda and the structural theory of science.
They
are not
equivalent
but yet they
can be correlated.
Therefore
the key advice in this creative journey is to explore the relationship without reducing holistic concepts, strategies of Ayurveda to the reductionist concepts of
science.Slide8
Examples of misconceptions
Prakrti
type is not equal to
geno
type even though there is a
correlation
.
Med-
hara
action is not
confined to,
cholesterol lowering
activity,
but they correlate.
The
pathogenesis of malaria is not the same as that of
visham
jwara
but they correlate.
We
should therefore be looking for several modes of action for Ayurveda Malaria strategy and not only for anti-parasitical
drugs.Slide9
Positive developments
In clinical context Integrative hospitals are beginning to appear in the country (example several colleges of ISM,
AVP
CBE, I-AIM Bangalore,
Medanta
New Delhi and several other smaller initiatives in many states).
In educational context although in UK and US all medical schools have introduced modules on CAM, this has not happened in India in the allopathic
stream.Slide10
The future of healthcare
Indeed
“epistemologically informed”
Integrative models of healthcare is the direction for modernization of India’s healthcare in 21
st
century
.