Bodeker, Wellness, Spas DR GERARD

8/8/2019 Bodeker, Wellness, Spas DR GERARD

1/36

Introducing Wellness

in to Spas - Global TrendsGerard Bodeker

University of Oxford Medical School, UK

&Mailman School of Public Health, Columbia University, New York

Chair, Global Initiative For Traditional Systems

(GIFTS) of Health, Oxford, UK

www.giftsofhealth.org


2/36

Use of complementary medicine

providers in Britain

The Oxford Healthy Life Survey (HLS III) -

used UK-SF36

8,889: representative of local population for

age, sex and social class

Women outnumbered 2:1 in their use of CP

services.

One in four people (25%) who use CP's do so

for lifestyle reasons (under 45 age group).


3/36

CULTURALCREATI VESIn each generation a small group of people

termed cultural creatives by sociologists take

risks, new steps, innovate, and explore theboundaries of what they want in life.

They then build this into their everyday lives.

Studies have found that the eccentric views and

lifestyle choices of these cultural creativesbecome the norm for the subsequent generation.

Cultural creatives are, in fact, the trail blazers for

societys growth.


4/36

Complementary rather than alternative

Oxford research: 95.4% use CM and

NHS. Only 4.6% use CM alone.

In Stanford study, over 95% use CM in

addition to conventional medicine.

Fewer than 5% use CM on its own.

Very much a case of integrated

medicine - yet integrated largely by theconsumer rather than by the healthcare

system.


5/36


6/36

.

WHO Global Atlas

of

Traditional, Complementary

& Alternative Medicine


7/36

.


8/36

WHO Global Atlas of Traditional &Complementary Medicine is designed to

record, analyze and map the status of policyin this sector around the world.


9/36

.


10/36

.

.


11/36

.


12/36

.


13/36

Women as Majority TCA

MU

sersWomen account for over 60% of all prescriptionsindividually, and 75-80% of all healthcare purchases,because they tend to be caretakers for their families.

In use of TCAM practitioners, women in industrialised

countries outnumber men by 2:1.Research at Oxford found that with certain medicalconditions this was higher e.g. chronic skinconditions, 71% of women use complementarymedicine compared with 29% of men.

US research on cancer: women use supplements andmind-body approaches 5 times more than men.

No formal studies on trends in Asia, but it is likelythat these will be similar.


14/36


15/36

.


16/36

.


17/36

OVERVIEW

From WHO Global Atlas, we can see that the

majority of the worlds population uses TCAM

on a regular basis:

they pay out of pocket

women significantly outnumber men in the use ofTCAM & each uses TCAM differently preventionis favoured with a lifestyle approach to health and

well beingAsian traditional health systems are globalising

governments are focussing on regulation ofpractice, training, product quality & safety


18/36

Integrative medicine, Wellness & Spas

A Price Waterhouse Coopers study in 2003 foundspas to be the fastest growing section of the US

leisure industry, growing at a rate of 20% p.a.Spas - the highest revenue generator of the leisureindustries: bigger than box office and theme parkrevenues.

Within the spa industry, medical spas ormedispas are the fastest growing sector.They are also a new front line of integrativemedicine development


19/36

.


20/36

MedispasA medical spa is a facility whose medical programis run under the supervision of a licensedhealthcare professional, according to TheInternational Medical Spa Association.

Industry wide recognition of the need to focus onwellness - need to shift from a technology-drivenindustry to one that focuses on wellness and

preventive health.

Medical Spa Society: Two things are needed -- aphysician on premises actively involved in thepatient's care and a level of care that will stand up

to conventional scrutiny by accepted standards


21/36

MedispasA medical spa is a facility whose medical program is run

under the supervision of a licensed healthcare professional,

according to The International Medical Spa Association.

Industry wide recognition of the need to focus on wellness -need to shift from a technology-driven industry to one that

focuses on wellness and preventive health.

Medical Spa Society: Two things are needed -- a physician

on premises actively involved in the patient's care and alevel of care that will stand up to conventional scrutiny by

accepted standards

In US, often minor cosmetic procedures offered

dermabrasion, botox, liposuction etc.


22/36

International Medical Spa Association: Code ofEthics

A member of the Medical Spa Association and staff will provide competent care;delivered with respect for its clients' dignity and rights.

A member of the Medical Spa Association and staff will provide only thosetreatments, products, and services that are safe, effective and of the highestquality.

A member of the Medical Spa Association and staff will uphold the higheststandards of professionalism,be honest in all professional interactions, and shallnot engage in fraudulent, deceptive, or unethical practices.

A member of the Medical Spa Association and staff will make a commitment toon-going education, to the application of that knowledge towards improvingservices and treatments, and to making the most accurate information availableto its clients and the public as a whole.

A member of the Medical Spa Association and staff will respect the rights of itsclients and staff to confidentiality and privacy.

A member of the Medical Spa Association and staff will adhere to the laws, rulesand regulations governing the provision of treatments and services as required bythe state in which it operates.

A member of the Medical Spa Association and staff will respect and value the

community in which it operates and look for opportunities to actively support andimprove the health and well being of that community.


23/36

Integrative care/medispa:difference in name or substance?

Although not a spa, Memorial Sloan-

Kettering Cancer Center in New York, anoff-site Integrated Medicine Center, has

been offering yoga, Reiki, medical massage,

and herbal remedies since 1999.They also emphasize the non-clinical

appearance of their spa centre.


24/36

.

Evidence base

in

Asian-themed spas


25/36

S Medical Spa Bangkok

.


26/36

S Medical Spa, BangkokDr Pakpilai Thavisin, founder director - dermatologistS Medical Spa is a leading & award winning medical spa inAsia. Offers integrated healthcare service, combining

Eastern traditional healing and spa therapies plus themodern Western medical science.

Classic Spa programmes: spa and relaxation, vitality,beauty, figure, holistic, andpurification

Three new programmes:1. office syndrome: neck, shoulder and back pain as well as

headaches due to working at a computer

2. speedy facial treatment: treatment during lunch break/after work

3. stress management and sleep medicine: meditationprogram tohelp people suffering from stress and insomnia


27/36

The Raj Ayurvedic Spa

Iowa, USA

.


28/36

.The Raj, a New York Times & Conde Naste bestdestination spa, is an Ayurvedic spa in Iowa.

The Raj guests are advised:

Lipophilic toxicants (man-made toxins), such as PCBs,DDEs, DDT and other chemicals and pesticides tend to

accumulate in our fat tissues. They have been associated

with hormone disruption, immune system suppression,

reproductive disorders, cancer, and other diseases

(www.theraj.com)


29/36

. Drawing on published research, clients atThe Raj are informed that the Ayurvedic

programs offered are capable of dislodging

lipophilic and other toxins from the tissuesand reducing their concentration in the

body.

Is this more detail than consumers want?The Raj has a high percentage of repeat

guests.


30/36

Meditation, Yoga

&

metabolic syndrome

.


31/36

Metabolic SyndromeAbdominal obesity (excessive fat tissue in and around theabdomen)

Atherogenic dyslipidemia (blood fat disorders high

triglycerides, low HDL cholesterol and high LDLcholesterol that foster plaque build-ups in artery walls)

Elevated blood pressure

Insulin resistance or glucose intolerance (the body cant

properly use insulin or blood sugar)Prothrombotic state (e.g., high fibrinogen or plasminogenactivator inhibitor1 in the blood)

Proinflammatory state (e.g., elevated C-reactive protein in

the blood)


32/36

TM & Metabolic Syndrome

Randomized, placebo-controlled clinical

trial of 16 weeksTM or active control treatment (health

education), matched for frequency and time,

at an academic medical center

103 subjects with stable Cardiovascular

Heart Disease


33/36


34/36

YOGAIn the US a review of studies suggest that yoga

may reduce many insulin resistant syndrome related

risk factors for CVD,may improve clinical outcomes

may aid in the management of CVD

(Innes et al 2005).

Yoga reduces age related deterioration incardiovascular functions (Bharshankar et al 2003).


35/36

Spas,

CulturalCreatives & the Future

Evidence base for TCAM

Best practice, CPE & professionalism

Wellness

Environmental & social responsibility

Democratization

Future of healthcare


36/36

.

THANK YOU

www.giftsofhealth.org

Bodeker, Wellness, Spas DR GERARD

Documents

Transcript of Bodeker, Wellness, Spas DR GERARD