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The Current Research Status of Complementary and Integrative Medicine in Practice-Based Research Networks: A Systematic Review

개원의중심연구망에서 수행된 보완통합의학 관련 연구 현황: 체계적 문헌고찰

  • Won, Jiyoon (Department of Korean Medical Science, Graduate School, Kyung Hee University) ;
  • Han, Gajin (JINRESEARCH) ;
  • Kim, Yejin (College of Korean Medicine, Kyung Hee University) ;
  • Park, Jae Rang (College of Korean Medicine, Dongguk University) ;
  • Noh, Eunyoung (Department of Medical Science of Meridian, Graduate School, Kyung Hee University) ;
  • Ji, Yu-jin (Department of Medical Science of Meridian, Graduate School, Kyung Hee University) ;
  • Adams, Jon (Australian Research Centre in Complementary and Integrative Medicine, Faculty of Health, University of Technology Sydney) ;
  • Lee, Hyangsook (Department of Korean Medical Science, Graduate School, Kyung Hee University)
  • 원지윤 (경희대학교 대학원 기초한의과학과) ;
  • 한가진 (진리서치) ;
  • 김예진 (경희대학교 한의과대학) ;
  • 박재량 (동국대학교 한의과대학) ;
  • 노은영 (경희대학교 대학원 경락의과학과) ;
  • 지유진 (경희대학교 대학원 경락의과학과) ;
  • 아담스 존 (시드니 공과대학교 호주보완통합의학연구센터) ;
  • 이향숙 (경희대학교 대학원 기초한의과학과)
  • Received : 2020.10.30
  • Accepted : 2020.11.22
  • Published : 2020.12.27

Abstract

Objectives : Practice-Based Research Networks (PBRNs), collaborations of practitioners and academic researchers, have provided platforms for conducting research to address clinical questions generated from daily routine care. This review aimed to critically analyse articles from PBRNs that are related to complementary and integrative medicine (CIM) and to suggest future directions for a PBRN which is appropriate for Korean Medicine (KM). Methods : PubMed, PBRN registries in Agency for Healthcare Research and Quality and relevant PBRN websites were searched up to November 2019 for research articles from PBRNs that focused on CIM regardless of study design. Methodological quality of the included studies was assessed. The included studies were read in full, classified and summarised according to their topics. Results : A total of 51 articles published from 1998 through 2020 were included in this review. They were categorised into three principal themes based on research questions and findings: health services research (embracing researches examining characteristics of patients and CIM practitioners/practices, and communication between patients and practitioners); effectiveness and safety of CIM practices/interventions; and feasibility studies of instruments and interventions in PBRN settings. The study designs varied including surveys (n=30), prospective observational studies (n=6), 2ndary analyses of existing studies (n=7), protocols (n=7), retrospective chart review (n=1) and qualitative study (n=1). Quality of the included studies greatly varied. Conclusions : PBRNs can serve as a feasible platform for conducting practice-relevant research on KM and CIM. Considering growing demands on evidence-base for routine practice of KM amid various stakeholders, a PBRN in KM community and further researches nested within PBRN designs are warranted.

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