Evidence map›Paper›PMID 27028029›Full record

ArticleAcademic medicine : journal of the Association of American Medical Colleges2016

Establishing an Integrative Medicine Program Within an Academic Health Center: Essential Considerations.

David M Eisenberg, Ted J Kaptchuk, Diana E Post, Andrea L Hrbek, Bonnie B O'Connor, Kamila Osypiuk, Peter M Wayne, Julie E Buring, Donald B Levy

Registry-linked trialAbstract read
In one paragraph

Article in Academic medicine : journal of the Association of American Medical Colleges, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04457947 (Exploring an Aromatherapy Intervention in an Acute Care Setting), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04457947 unknown statusnot on this mapstarted 2020, after this paper: background citation

Exploring an Aromatherapy Intervention in an Acute Care Setting

TypeobservationalSponsorMassachusetts General HospitalRan2020 to 2021Enrolled40ConditionsPregnant Women, Surgical Patients
3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Clinical Hypnosis for Chronic Pain in Outpatient Integrative Medicine: An Implementation and Training Model.Journal of alternative and complementary medicine (New York, N.Y.) · 2020
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Establishing an integrative oncology service in the Australian healthcare setting-the Chris O'Brien Lifehouse Hospital experience.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Article
  11. Article
  12. Cost-Effectiveness of a Team-Based Integrative Medicine Approach to the Treatment of Back Pain.Journal of alternative and complementary medicine (New York, N.Y.) · 2019
    Observational
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

David M EisenbergD.M. Eisenberg is adjunct associate professor, Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts. T.J. Kaptchuk is professor of medicine, Harvard Medical School, and director, Program in Placebo Studies & Therapeutic Encounter, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, Massachusetts. D.E. Post is assistant professor of medicine, Harvard Medical School, Boston, Massachusetts. A.L. Hrbek is administrator, Division of Preventive Medicine, Brigham and Women's Hospital, Boston, Massachusetts. B.B. O'Connor is professor emerita of clinical pediatrics, Alpert Medical School, Brown University, Providence, Rhode Island. K. Osypiuk is research assistant, Osher Center for Integrative Medicine, Harvard Medical School and Brigham and Women's Hospital, Boston, Massachusetts. P.M. Wayne is assistant professor of medicine, Harvard Medical School, and director of research, Osher Center for Integrative Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts. J.E. Buring is professor of medicine, Harvard Medical School, Brigham and Women's Hospital, Division of Preventive Medicine, Boston, Massachusetts. D.B. Levy is medical director, Osher Center for Integrative Medicine, Harvard Medical School and Brigham and Women's Hospital, Boston, Massachusetts.
Ted J Kaptchuk
Diana E Post
Andrea L Hrbek
Bonnie B O'Connor
Kamila Osypiuk
Peter M Wayne
Julie E Buring
Donald B Levy

Funding

Use and Effectiveness of a Model Integrative Care Clinic in an Academic HospitalR01AT005065 · NCCIH · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E., WAYNE, PETER MICHAEL · 2010 to 2014
$3.1M
Model of Integrative Care In An Academic Health CenterR01AT000905 · NCCIH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI EISENBERG, DAVID M · 2001 to 2004
$1.9M
Mentoring and Research in Placebo Studies, Asian Medicine, and CAMK24AT004095 · NCCIH · HARVARD MEDICAL SCHOOL · PI KAPTCHUK, TED · 2007 to 2016
$1.4M
NCCIH NIH HHS K24 AT004095NCCIH NIH HHS R01 AT000905NCCIH NIH HHS R01 AT005065
6 · The paper itself

Abstract

Integrative medicine (IM) refers to the combination of conventional and "complementary" medical services (e.g., chiropractic, acupuncture, massage, mindfulness training). More than half of all medical schools in the United States and Canada have programs in IM, and more than 30 academic health centers currently deliver multidisciplinary IM care. What remains unclear, however, is the ideal delivery model (or models) whereby individuals can responsibly access IM care safely, effectively, and reproducibly in a coordinated and cost-effective way.Current models of IM across existing clinical centers vary tremendously in their organizational settings, principal clinical focus, and services provided; practitioner team composition and training; incorporation of research activities and educational programs; and administrative organization (e.g., reporting structure, use of medical records, scope of clinical practice) and financial strategies (i.e., specific business plans and models for sustainability).In this article, the authors address these important strategic issues by sharing lessons learned from the design and implementation of an IM facility within an academic teaching hospital, the Brigham and Women's Hospital at Harvard Medical School; and review alternative options based on information about IM centers across the United States.The authors conclude that there is currently no consensus as to how integrative care models should be optimally organized, implemented, replicated, assessed, and funded. The time may be right for prospective research in "best practices" across emerging models of IM care nationally in an effort to standardize, refine, and replicate them in preparation for rigorous cost-effectiveness evaluations.

Indexed as

Interprofessional RelationsAcademic Medical CentersEducation, MedicalHumansIntegrative MedicineProspective StudiesUnited States

Identifiers

PMID27028029
PMCPMC5007186

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.