Case Study of Hosp Based Center for Integrative Medicine

描述(由申请者提供)：尽管认可度越来越高 公众对CAM的使用，越来越希望将这些 主流医学的实践，以及越来越多的 试图做到这一点的综合医学，没有现存的身体 确定障碍和促进因素的研究， 整合。研究小组将进行一个单一中心的案例研究 位于内科医院内的综合医学。这项研究将使用这两种方法 利益相关者分析和系统分析与定性法相结合 焦点小组和访谈，以丰富地描述CAM和 主流医疗服务提供者和患者都在努力应对提供 综合服务。利益相关者包括在 中心在医院，内科医生在医院。中的CAM提供商 当地社区、当地社区的医生和病人。 收集的定性数据将得到以下定量数据的补充 病人档案和结构化面谈。然后，这些数据将用于：(I) 记录组织、财务、态度和后勤因素 这些措施要么成为向患者提供综合护理的障碍，要么 促进整合(在遇到障碍的情况下，研究如何最好地 克服它们)；和(2)提供一个上下文框架，在其中进行解释 我们对调查数据和记录进行的量化分析得出的结果。 我们对一体化护理网络系统的研究进行了探讨 恒定的流量和关键的变化在中心和 在医院里。正因为如此，这项研究将重复许多关键问题 线人访谈，以及四年期间的一些焦点小组。任何 因此，变化将成为案例研究分析的一部分。一个详细的案例 研究中，采用定性和定量相结合的研究方法，将产生丰富的 描述可以促进未来更广泛的量化研究 中西医结合组织模式的范围。

DESCRIPTION (Provided by applicant): Although there is increasing recognition of the use of CAM to the public, an increasing desire to integrate such practices with mainstream medicine, and an increasing number of centers of integrative medicine attempting to do this, there is no existing body of research that identifies the barriers to, and factors facilitating, integration. The research team will conduct a case study of a single center of integrative medicine located within a medical hospital. The study will use both stakeholder analysis and system analysis combined with the qualitative method of focus groups and interviewing to yield a rich description of how CAM and mainstream providers, and patients, grapple with the challenge of providing integrative services. The stakeholders include CAM providers practicing in the Center in the hospital, medical physicians in the hospital. CAM providers in the local community, medical physicians in the local community, and patients. The qualitative data collected will be complemented by quantitative data from patient files and structured interviews. The data will then be used to: (I) document the organizational, financial, attitudinal, and logistical factors that act either as barriers to providing integrated care to patients, or act to facilitate integration (and in the case of barriers to examine how best to overcome them); and (2) provide a contextual framework in which to interpret findings from our quantitative analyses of survey data and records. We approach the study of the network system of integrated care knowing it is in constant flux and that key changes are envisioned in both in the Center and within the hospital. Because of that, the study will repeat many of the key informant interviews, and some of the focus groups over a four-year period. Any changes will therefore form part of the case study analysis. A detailed case study, using qualitative and quantitative research methods will yield a rich description that can facilitate future quantitative studies over a broader range of organizational models of integrative medicine.