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개원의중심연구망에서 수행된 보완통합의학 관련 연구 현황: 체계적 문헌고찰

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

경락경혈학회지 2020년 37권 4호 p.209 ~ 230
원지윤, 한가진, 김예진, 박재량, 노은영, 지유진, 아담스 존, 이향숙,
소속 상세정보
원지윤 ( Won Ji-Yoon ) - Kyung Hee University Graduate School Department of Korean Medical Science
한가진 ( Han Ga-Jin ) - JINRESEARCH
김예진 ( Kim Ye-Jin ) - Kyung Hee University College of Korean Medicine
박재량 ( Park Jae-Rang ) - Dongguk University College of Korean Medicine
노은영 ( Noh Eun-Young ) - Kyung Hee University Graduate School College of Korean Medicine Department of Medical Science of Meridian
지유진 ( Ji Yu-jin ) - Kyung Hee University Graduate School College of Korean Medicine Department of Medical Science of Meridian
아담스 존 ( Adams Jon ) - University of Technology Sydney Faculty of Health Australian Research Centre in Complementary and Integrative Medicine
이향숙 ( Lee Hyang-Sook ) - Kyung Hee University Graduate School Department of Korean Medical Science

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.

키워드

practice-based research network; Korean Medicine; complementary and integrative medicine; systematic review

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