Are health services research methods a match for CAM?
Are health services research methods a match for CAM?
复制标题
DOI：
--
复制
发表时间：
2006-05
影响因子：
1.5
通讯作者：
P. Herman;Karen D'Huyvetter;M. J. Mohler
中科院分区：
文献类型：
--
作者：
P. Herman;Karen D'Huyvetter;M. J. Mohler
许多补充和替代医学（CAM）的研究人员认为，需要一套新的研究方法来研究CAM。卫生服务研究（HSR）被列为国家补充和替代医学中心2005-2009年战略计划的一个新的研究目标。HSR是否为CAM的研究需求提供解决方案？本文介绍了HSR的概述，已发表在CAM的HSR研究的总结，并讨论了什么HSR可能提供CAM和CAM的什么研究可能提供传统的HSR。讨论我们的文献检索，这是在亚利桑那大学进行，发现84发表CAM HSR研究。搜索结果（主要是对CAM用户或提供商的调查以及经济成果研究）与可能使用HSR研究的主题广度的比较表明，该领域的研究尚未发挥其潜力。需要做更多的工作，包括研究患者、提供者和系统之间的互动，以及以患者为中心的结果研究。确定并讨论了CAM可以从HSR中受益的几个领域。这些研究包括支持CAM和传统医学的整合，CAM疗法的保险范围，开发实践指南，以及CAM疗法和整个医疗系统的有效性和成本效益研究。对CAM的研究，尤其是关注患者对CAM的吸引力的研究，也可能有助于扩展传统HSR的主题和方法。HSR方法可以解决CAM的许多方法学挑战，并改善所有护理系统（传统和CAM）的临床、以患者为中心和经济结局。
BACKGROUND Many complementary and alternative medicine (CAM) researchers believe that a new set of research methods is needed to study CAM. Health services research (HSR) is listed as a new research goal in the National Center for Complementary and Alternative Medicine 2005-2009 strategic plan. Does HSR offer solutions to the research needs of CAM? This article presents an overview of HSR, a summary of the HSR studies that have been published in CAM, and discussions of what HSR might offer CAM and what studies of CAM might offer conventional HSR. DISCUSSION Our literature search, which was performed at the University of Arizona, found 84 published CAM HSR studies. A comparison of the search results-mostly surveys of CAM users or providers and economic outcome studies-with the breadth of topics that may be studied using HSR, showed that research in this field has not reached its potential. More work, including studies of interactions between patient, provider, and the system as well as patient-centered outcomes studies, is needed. Several areas in which CAM could benefit from HSR were identified and discussed. These included studies supporting the integration of CAM and conventional medicine, insurance coverage for CAM therapies, the development practice guidelines, and studies of the effectiveness and cost-effectiveness of CAM therapies and whole medical systems. The study of CAM, especially studies focusing on patients' attraction to CAM, may also help expand the topics and methods of conventional HSR. SUMMARY HSR methods may address many of CAM's methodological challenges and improve clinical, patient-centered, and economic outcomes across all systems of care-both conventional and CAM.