ArticleBMJ open2016
Referrals to integrative medicine in a tertiary hospital: findings from electronic health record data and qualitative interviews.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 24 citations in OpenAlex.
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- Longitudinal effects of inpatient music therapy dosage on pain intensity and opioid utilization among patients with hematologic or oncologic conditions: a retrospective cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
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- All-in-One Protocol: A Comprehensive Sedation Approach for Multi-Procedural Aesthetic Dermatology.Journal of cosmetic dermatology · 2025Article
- Complementary and Integrative Health Information in the literature: its lexicon and named entity recognition.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Effectiveness of Medical Music Therapy Practice: Integrative Research Using the Electronic Health Record: Rationale, Design, and Population Characteristics.Journal of integrative and complementary medicine · 2024Article
- Virtual reality for management of cancer pain: Study rationale and design.Contemporary clinical trials communications · 2022Article
- Experiences of Nonpharmacologic Providers Implementing the Oregon Back Pain Policy Expanding Services for Medicaid Recipients: A Focus Group Study.Journal of alternative and complementary medicine (New York, N.Y.) · 2021Observational
- Adaptations to Acupuncture and Pain Counseling Implementation in a Multisite Pragmatic Randomized Clinical Trial.Journal of alternative and complementary medicine (New York, N.Y.) · 2021Article
- Significant Pain Reduction in Hospitalized Patients Receiving Integrative Medicine Interventions by Clinical Population and Accounting for Pain Medication.Journal of alternative and complementary medicine (New York, N.Y.) · 2021Article
- Informing the model of care for an academic integrative healthcare centre: a qualitative study exploring healthcare consumer perspectives.BMC complementary medicine and therapies · 2020Article
- Clinical Hypnosis for Chronic Pain in Outpatient Integrative Medicine: An Implementation and Training Model.Journal of alternative and complementary medicine (New York, N.Y.) · 2020Article
- Cost analysis in a Traditional, Complementary and Integrative Medicine unit in Brazil.Revista de saude publica · 2020Article
- Cost Savings from Reducing Pain Through the Delivery of Integrative Medicine Program to Hospitalized Patients.Journal of alternative and complementary medicine (New York, N.Y.) · 2018Article
- The relationship between depression, anxiety, and pain interference with therapy referral and utilization among patients with hand conditions.Journal of hand therapy : official journal of the American Society of Hand TherapistsArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo examine patterns of, and decision-making processes, informing referrals for inpatient access to integrative medicine (IM) services at a large, acute care hospital.
designRetrospective electronic health record review and structured qualitative interviews.
settingA 630-bed tertiary care hospital with an IM service available to inpatients.
participantsIM referrals of all inpatients aged ≥18 years between July 2012 and December 2014 were identified using the hospital's electronic health record. Fifteen physicians, 15 nurses and 7 administrators were interviewed to better understand roles and perspectives in referring patients for IM services.
resultsIn the study hospital, primary sources of referrals for IM services were the orthopaedic and neuroscience/spine service lines. While the largest absolute number of IM referrals was made for patients with lengths of stay of 3 days or fewer, a disproportionate number of total IM referrals was made for patients with long lengths of stay (≥10 days), compared with a smaller percentage of patients in the hospital with lengths of stay ≥10 days. Physicians and nurses were more likely to refer patients who displayed strong symptoms (eg, pain and anxiety) and/or did not respond to conventional therapies. IM referrals were predominantly nurse-initiated. A built-in delay in the time from referral initiation to service delivery discouraged referrals of some patients.
conclusionsConventional providers refer patients for IM services when these services are available in a tertiary hospital. Referral patterns are influenced by patient characteristics, operational features and provider perspectives. Nurses play a key role in the referral process. Overcoming cultural and knowledge differences between conventional and IM providers is likely to be a continuing challenge to providing IM in inpatient settings.
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