263775 Integrative Health Care Practice Patterns, Policies, and Procedures: A Survey Among International Members of the Society for Integrative Oncology (SIO)

Monday, October 29, 2012 : 4:30 PM - 4:45 PM

Deborah Ndao, MPH , Integrative Therapies Program, Columbia University Medical Center, New York, NY
Anne Doherty-Gilman, MPH , Leonard P. Zakim Ctr for Integrative Therapies, Dana-Farber Cancer Institute, Boston, MA
Elena Ladas, MS, RD , Division of Pediatric Oncology/Hematology/Stem Cell Transplantation, Columbia University Medical Center, Center for Comprehensive Wellness, New York, NY
Heather Greenlee, ND, PhD , Department of Epidemiology, Mailman School of Public Health, Columbia University Medical Center, New York, NY
Judith Jacobson, DrPH, MBA , Department of Epidemiology, Mailman School of Public Health, Columbia University Medical Center, New York, NY
Kara Kelly, MD , Division of Pediatric Oncology, Columbia University Medical Center, New York, NY
Background: Integrative health care facilities, including those that provide integrative oncology services, have proliferated in recent years. Little is known about the institutional settings, traditional/complementary and alternative medicine (TCAM) modalities, practitioners, treatment styles, and patterns of professional interaction of such facilities. Methods: Institutional review board approval was obtained for an online survey of members of the Society for Integrative Oncology (SIO) via surveymonkey.com. The survey URL was disseminated to the SIO membership email list. Results: Of 779 SIO members emailed, 177 (22.7%) responded. Most respondents were female (59.9%), White (81.4%), and affiliated with a hospital or cancer center (75.7%), institution offering integrative therapies (83.5%), or employed by a Joint Commission-accredited institution (59.1%). Although 61.0% referred patients outside their institution for acupuncture, 61.9% were required to document outside referrals. 37.3% did not know their institution's inpatient dietary supplement policy; 39.6% documented supplement use in the hospital chart. Among institutions offering integrative therapies, 71.3% of physicians, 63.8% of acupuncturists, and 60.0% of nutritionists were required to chart; TCAM practitioners filed notes in outpatient charts (83.1%), inpatient charts (60.2%), or separate service charts (21.7%). Almost all institutions (94.6%) required TCAM practitioners to have a valid state license; 71.6% required credentialing certification, and 59.5% documentation of malpractice insurance. Conclusion: SIO member respondents reported widely varying TCAM practice patterns, and had limited knowledge of institutional policies and procedures regarding TCAM. Guidelines for communication, documentation, and care may improve integration of TCAM with conventional care at SIO members' institutions.

Learning Areas:
Chronic disease management and prevention
Other professions or practice related to public health
Provision of health care to the public
Public health or related laws, regulations, standards, or guidelines
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy

Learning Objectives:
Identify integrative oncology current practice, policies, and procedures. Describe biomedical and TCAM practitioners’ patient care, communication, and coordination practice patterns.

Keywords: Policy/Policy Development, Health Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have had many years of experience integrating complementary therapies in a conventional setting. I also hold an MPH.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.