Download - 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
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
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).
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
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.
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
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.
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
5/36
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
6/36
.
WHO Global Atlas
of
Traditional, Complementary
& Alternative Medicine
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
7/36
.
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
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.
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
9/36
.
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
10/36
.
.
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
11/36
.
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
12/36
.
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
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.
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
14/36
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
15/36
.
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
16/36
.
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
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
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
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
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
19/36
.
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
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
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
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.
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
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.
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
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.
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
24/36
.
Evidence base
in
Asian-themed spas
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
25/36
S Medical Spa Bangkok
.
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
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
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
27/36
The Raj Ayurvedic Spa
Iowa, USA
.
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
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)
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
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.
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
30/36
Meditation, Yoga
&
metabolic syndrome
.
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
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)
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
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
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
33/36
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
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).
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
35/36
Spas,
CulturalCreatives & the Future
Evidence base for TCAM
Best practice, CPE & professionalism
Wellness
Environmental & social responsibility
Democratization
Future of healthcare
-
8/8/2019 Bodeker, Wellness, Spas DR GERARD
36/36
.
THANK YOU
www.giftsofhealth.org