Comagine Health, Portland, OR, USA.
Department of Family Medicine, Oregon Health and Science University, Portland, OR, USA.
J Integr Complement Med. 2023 Jan;29(1):55-60. doi: 10.1089/jicm.2022.0600. Epub 2022 Sep 26.
To increase understanding of referral processes from primary care to integrative and complementary medicine (ICM) under an Oregon Medicaid policy that restricted opioids and expanded access to ICM for back pain patients. Four asynchronous online focus groups with 48 medical clinicians were conducted. Themes were constructed using thematic analysis. Three themes were constructed related to the clinician's experience: (1) high patient receptivity to ICM, (2) difficulty finding ICM providers who accept Medicaid beneficiaries, and (3) uncertainty of the effectiveness of ICM among clinicians. Findings suggest that health systems expanding access to ICM for Medicaid beneficiaries may benefit from establishing and supporting linkages between clinicians and ICM providers, especially in rural areas.
为了增进对俄勒冈州医疗补助计划（该计划限制阿片类药物的使用并扩大了对背痛患者使用整合与补充医学的机会）下从初级保健向整合与补充医学（ICM）转诊过程的理解。对 48 名医疗临床医生进行了 4 次异步在线焦点小组讨论。使用主题分析构建主题。构建了与临床医生的经验相关的三个主题：（1）患者对 ICM 的高度接受度，（2）难以找到接受医疗补助受益人的 ICM 提供者，以及（3）临床医生对 ICM 有效性的不确定性。研究结果表明，为医疗补助受益人大幅扩大 ICM 服务的卫生系统可能受益于建立和支持临床医生与 ICM 提供者之间的联系，特别是在农村地区。
