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

David M Eisenberg1, Ted J Kaptchuk, Diana E Post

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Academic Medicine : Journal of the Association of American Medical Colleges
|March 31, 2016
PubMed
Summary

Integrative medicine (IM) delivery models vary widely, lacking standardization for safe, effective, and cost-efficient patient access. Further research is needed to establish best practices for optimal organization and funding of IM care.

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Area of Science:

  • Integrative Medicine
  • Healthcare Delivery Models
  • Academic Medical Centers

Background:

  • Integrative medicine (IM) combines conventional and complementary therapies.
  • Over half of US and Canadian medical schools offer IM programs.
  • More than 30 academic health centers provide multidisciplinary IM care.

Purpose of the Study:

  • To address the lack of clarity on ideal integrative medicine delivery models.
  • To share lessons learned from implementing an IM facility at Brigham and Women's Hospital.
  • To review alternative IM center models across the United States.

Main Methods:

  • Case study of an academic teaching hospital's IM facility.
  • Review of existing integrative medicine centers nationwide.
  • Analysis of organizational, clinical, and financial strategies.

Main Results:

  • Significant variation exists in IM center organization, services, staffing, and financial models.
  • No consensus has been reached on optimal methods for organizing, implementing, or assessing IM care.
  • Current models differ in scope of practice, research integration, and administrative structures.

Conclusions:

  • There is no established consensus on the optimal organization, implementation, assessment, or funding of integrative medicine care models.
  • The current landscape of IM care delivery is highly variable.
  • Prospective research into best practices is recommended to standardize and refine IM models for future cost-effectiveness evaluations.