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. 2021 Aug 25:10:21649561211042574.
doi: 10.1177/21649561211042574. eCollection 2021.

Incorporating Acupuncture Into American Healthcare: Initiating a Discussion on Implementation Science, the Status of the Field, and Stakeholder Considerations

David W Miller  1 , Eric J Roseen  2 , Jennifer A M Stone  3 , Paula Gardiner  4 , Juli Olson  5 , Shellie Rosen  6 , Peter Wayne  7 , Robert Davis  8 , Remy Coeytaux  9 ; PCORI-SAR Stakeholder Group
Affiliations

Incorporating Acupuncture Into American Healthcare: Initiating a Discussion on Implementation Science, the Status of the Field, and Stakeholder Considerations

David W Miller et al. Glob Adv Health Med. .

Abstract

Introduction: The field of implementation science is the study of methods that promote the uptake of evidence-based interventions into healthcare policy and practice. While acupuncture has gained significant traction in the American healthcare landscape, its journey has been somewhat haphazard and non-linear.

Methods: In June 2019, a group of thirty diverse stakeholders was convened by the Society for Acupuncture Research with the support of a Patient Centered Outcomes Research Institute, Eugene Washington Engagement Award. This group of stakeholders represented a diverse mix of patients, providers, academicians, researchers, funders, allied health professionals, insurers, association leaders, certification experts, and military program developers. The collective engaged in discussion that explored acupuncture's status in healthcare, including reflections on its safety, effectiveness, best practices, and the actual implementation of acupuncture as seen from diverse stakeholder viewpoints.

Objectives: A primary goal was to consider how to utilize knowledge from the field of implementation science more systematically and intentionally to disseminate information about acupuncture and its research base, through application of methods known to implementation science. The group also considered novel challenges that acupuncture may present to known implementation processes.

Findings: This article summarizes the initial findings of this in-person meeting of stakeholders and the ongoing discussion among the subject matter experts who authored this report. The goal of this report is to catalyze greater conversation about how the field of implementation science might intersect with practice, access, research, and policymaking pertaining to acupuncture. Core concepts of implementation science and its relationship to acupuncture are introduced, and the case for acupuncture as an Evidence Based Practice (EBP) is established. The status of the field and current environment of acupuncture is examined, and the perspectives of four stakeholder groups--patients, two types of professional practitioners, and researchers--are explored in more detail.

Keywords: acupuncture; acupuncture research; implementation and dissemination; stakeholders.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Stakeholder Groups.
Figure 2.
Figure 2.
A conceptual framework of access to health care.
See this image and copyright information in PMC

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References

    1. Budd EL, Ying X, Stamatakis KA, et al.. Developing a survey tool to assess implementation of evidence-based chronic disease prevention in public health settings across four countries. Front Public Health. 2019; 7:152. - PMC - PubMed
    1. Northridge ME, Shelley D, Rundall TG, Brownson RC.Editorial: methods and applications in implementation science. Front Public Health. 2019; 7:213. - PMC - PubMed
    1. Kligler B, Nielsen A, Kohrherr C, et al.. Acupuncture therapy in a group setting for chronic pain [published correction appears in Pain Med. 2017 Sep 1;18(9):1830]. Pain Med. 2018;19(2):393–403. - PubMed
    1. Nilsen P.Making sense of implementation theories, models and frameworks. Implement Sci. 2015; 10:53. - PMC - PubMed
    1. Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC.Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009; 4:50. - PMC - PubMed

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