Hospital-based integrative medicine : : a case study of the barriers and factors facilitating the creation of a center / / Ian D. Coulter ... [et al.].

• Superior document: Rand Corporation monograph series
• Author: Rand Corporation.
• TeilnehmendeR: Coulter, Ian D., 1945-; Rand Corporation.; National Center for Complementary and Alternative Medicine (U.S.)
• Year of Publication: 2008
• Language: English
• Series: Rand Corporation monograph series.
• Physical Description: 1 online resource (193 p.)
• Notes: "Supported by the National Center for Complementary and Alternative Medicine."; "MG-591-NCCAM"--P. [4] of cover.

Current integrative medicine practices in hospital settings involve some form of partnership between complementary and alternative medicine and biomedicine. This five-year study adopted a longitudinal methodology to track the establishment of a single hospital-based Integrative Medicine Center. Using extensive qualitative interview data, the project staff conducted a stakeholder analysis of all participants involved in the establishment and continuation of the Integrative Medicine Center and collected data from hospital documents, patient files, patient questionnaires and provider questionnair

Table of Contents

Cover; Preface; Contents; Figures; Tables; Summary; Acknowledgments; Chapter One - Introduction; Definition of Integrative Medicine; Institutional Integration; Consumer-Driven Integration; Sociocultural Factors that Contribute to CAM and IM Use; Changing Medical Attitudes Toward CAM and IM; Case Study of an Integrative Center; Study Aims; Organization of the Report; Chapter Two - The Study; Introduction; Stakeholder Analysis; Social Network Analysis; Study Design; Chapter Three - Creation and Development; Initial Impetus; The Board of Directors' Role; The Task Force; Developing the Model

Changing the ModelSummary; Chapter Four - Implementation and Operation; Introduction; Incorporating the Center; Financial Incentives for Incorporation; Marketing the Center; Research and Training Efforts; Evidence-Based Practice and CAM/IM; Competition and Referrals; The IM Center in Operation: A Profile; IM Center Patients; Health Care Choices; Summary; Chapter Five - The Demise of the Center; Financial Mission: "Stop the Bleeding"; Restructure; Contributing Factors to Closure; Summary; Chapter Six - Evaluation; Legal Issues; Chapter Seven - Conclusions: Facilitators and Barriers

Facilitators of IntegrationBarriers to Integration; Conclusion; Lessons for Future Centers; Appendix A - Expert Panel; Appendix B - Brief Time Line; References