{"id":"https://openalex.org/W4297239386","doi":"https://doi.org/10.1089/jicm.2022.0600","title":"Clinician Perspectives on Referring Medicaid Back Pain Patients to Integrative and Complementary Medicine: A Qualitative Study","display_name":"Clinician Perspectives on Referring Medicaid Back Pain Patients to Integrative and Complementary Medicine: A Qualitative Study","publication_year":2022,"publication_date":"2022-09-26","ids":{"openalex":"https://openalex.org/W4297239386","doi":"https://doi.org/10.1089/jicm.2022.0600","pmid":"https://pubmed.ncbi.nlm.nih.gov/36154196","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10623460"},"language":"en","primary_location":{"id":"doi:10.1089/jicm.2022.0600","doi":"https://doi.org/10.1089/jicm.2022.0600","is_oa":false,"landing_page_url":"https://doi.org/10.1089/jicm.2022.0600","pdf_url":null,"source":{"id":"https://openalex.org/S4210171987","display_name":"Journal of Integrative and Complementary Medicine","issn_l":"2768-3605","issn":["2768-3605","2768-3613"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","medline","poland-20","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Integrative and Complementary Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10623460/pdf/jicm.2022.0600.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5088373301","display_name":"Kate LaForge","orcid":"https://orcid.org/0000-0002-0402-3301","observed_orcids":["https://orcid.org/0000-0002-0402-3301"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Kate LaForge","raw_affiliation_strings":["Comagine Health, Portland, OR, USA"],"raw_orcid":"https://orcid.org/0000-0002-0402-3301","affiliations":[{"raw_affiliation_string":"Comagine Health, Portland, OR, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009074913","display_name":"Mary Tod Gray","orcid":"https://orcid.org/0000-0001-5841-4095","observed_orcids":["https://orcid.org/0000-0001-5841-4095"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mary Gray","raw_affiliation_strings":["Comagine Health, Portland, OR, USA"],"raw_orcid":"https://orcid.org/0000-0001-5841-4095","affiliations":[{"raw_affiliation_string":"Comagine Health, Portland, OR, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101868960","display_name":"Catherine J. Livingston","orcid":"https://orcid.org/0000-0002-6190-6565","observed_orcids":["https://orcid.org/0000-0002-6190-6565"]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Catherine J. Livingston","raw_affiliation_strings":["Department of Family Medicine, Oregon Health and Science University, Portland, OR, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family Medicine, Oregon Health and Science University, Portland, OR, USA","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088099632","display_name":"Gillian J. Leichtling","orcid":"https://orcid.org/0000-0003-4936-1379","observed_orcids":["https://orcid.org/0000-0003-4936-1379","https://orcid.org/0000-0003-3851-5758"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gillian Leichtling","raw_affiliation_strings":["Comagine Health, Portland, OR, USA"],"raw_orcid":"https://orcid.org/0000-0003-4936-1379","affiliations":[{"raw_affiliation_string":"Comagine Health, Portland, OR, USA","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5023374725","display_name":"Esther K. Choo","orcid":"https://orcid.org/0000-0001-8847-5745","observed_orcids":["https://orcid.org/0000-0001-8847-5745"]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Esther K. Choo","raw_affiliation_strings":["Department of Emergency Medicine, Center for Policy and Research in Emergency Medicine, Oregon Health and Science University, Portland, OR, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Center for Policy and Research in Emergency Medicine, Oregon Health and Science University, Portland, OR, USA","institution_ids":["https://openalex.org/I165690674"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5088373301"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.9853,"has_fulltext":true,"cited_by_count":6,"citation_normalized_percentile":{"value":0.71036197,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"29","issue":"1","first_page":"55","last_page":"60"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10902","display_name":"Complementary and Alternative Medicine Studies","score":0.9398999810218811,"subfield":{"id":"https://openalex.org/subfields/2707","display_name":"Complementary and alternative medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10902","display_name":"Complementary and Alternative Medicine Studies","score":0.9398999810218811,"subfield":{"id":"https://openalex.org/subfields/2707","display_name":"Complementary and alternative medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.023499999195337296,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10576","display_name":"Opioid Use Disorder Treatment","score":0.008700000122189522,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/complementary-and-integrative-medicine","display_name":"complementary and integrative medicine","score":0.9440000057220459},{"id":"https://openalex.org/keywords/back-pain","display_name":"back pain","score":0.9380000233650208},{"id":"https://openalex.org/keywords/medicaid","display_name":"Medicaid","score":0.9700000286102295},{"id":"https://openalex.org/keywords/referral-patterns","display_name":"referral patterns","score":0.5830000042915344},{"id":"https://openalex.org/keywords/clinician-perspectives","display_name":"clinician perspectives","score":0.800000011920929},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.5099999904632568},{"id":"https://openalex.org/keywords/rural-health-care","display_name":"rural health care","score":0.6079999804496765},{"id":"https://openalex.org/keywords/patient-receptivity","display_name":"patient receptivity","score":0.8009999990463257}],"concepts":[{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.7558966279029846},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.6482945680618286},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.591999888420105},{"id":"https://openalex.org/C2778587949","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Integrative medicine","level":3,"score":0.5685678720474243},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.5420764684677124},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.5170943737030029},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.4947004020214081},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4838601350784302},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.42585331201553345},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.4201467037200928},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4114186763763428},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3325478732585907},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.0},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000529","descriptor_name":"Complementary Therapies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001416","descriptor_name":"Back Pain","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D001416","descriptor_name":"Back Pain","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008484","descriptor_name":"Medicaid","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D009922","descriptor_name":"Oregon","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1089/jicm.2022.0600","doi":"https://doi.org/10.1089/jicm.2022.0600","is_oa":false,"landing_page_url":"https://doi.org/10.1089/jicm.2022.0600","pdf_url":null,"source":{"id":"https://openalex.org/S4210171987","display_name":"Journal of Integrative and Complementary Medicine","issn_l":"2768-3605","issn":["2768-3605","2768-3613"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","medline","poland-20","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Integrative and Complementary Medicine","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10623460","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10623460","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10623460/pdf/jicm.2022.0600.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Integr Complement Med","raw_type":"Text"},{"id":"pmid:36154196","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/36154196","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of integrative and complementary medicine","raw_type":"Journal Article"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:10623460","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10623460","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10623460/pdf/jicm.2022.0600.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Integr Complement Med","raw_type":"Text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9537000060081482,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G2837058871","display_name":"Implementation, Outcomes, and Cost of a Novel Medicaid Policy to Reduce Opioids for Back Pain","funder_award_id":"R01DA044284","funder_id":"https://openalex.org/F4320337347","funder_display_name":"National Institute on Drug Abuse"},{"id":"https://openalex.org/G8367343469","display_name":null,"funder_award_id":"1 R01 DA047323-01A1","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337347","display_name":"National Institute on Drug Abuse","ror":"https://ror.org/00fq5cm18"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4297239386.pdf","grobid_xml":"https://content.openalex.org/works/W4297239386.grobid-xml"},"referenced_works_count":20,"referenced_works":["https://openalex.org/W1596726679","https://openalex.org/W1938988291","https://openalex.org/W1965999023","https://openalex.org/W2100222983","https://openalex.org/W2113595049","https://openalex.org/W2163719966","https://openalex.org/W2262202883","https://openalex.org/W2325481913","https://openalex.org/W2412061043","https://openalex.org/W2443964634","https://openalex.org/W2921534030","https://openalex.org/W2980551061","https://openalex.org/W2990403123","https://openalex.org/W3021352763","https://openalex.org/W3120110318","https://openalex.org/W3126319275","https://openalex.org/W3176982174","https://openalex.org/W3182506677","https://openalex.org/W4200527767","https://openalex.org/W4206182236"],"related_works":["https://openalex.org/W4307583785","https://openalex.org/W4400412235","https://openalex.org/W1965908733","https://openalex.org/W2475481763","https://openalex.org/W2287692472","https://openalex.org/W2064388527","https://openalex.org/W3120110318","https://openalex.org/W1996667268","https://openalex.org/W3182506677","https://openalex.org/W4411728414"],"abstract_inverted_index":{"Objective:":[0],"To":[1],"increase":[2],"understanding":[3],"of":[4,79,82],"referral":[5],"processes":[6],"from":[7,101],"primary":[8],"care":[9],"to":[10,27,57,65,94],"integrative":[11],"and":[12,24,76,103,108],"complementary":[13],"medicine":[14],"(ICM)":[15],"under":[16],"an":[17],"Oregon":[18],"Medicaid":[19,74,97],"policy":[20],"that":[21,89],"restricted":[22],"opioids":[23],"expanded":[25],"access":[26,93],"ICM":[28,70,83,95,109],"for":[29,96],"back":[30],"pain":[31],"patients.":[32],"Methods:":[33],"Four":[34],"asynchronous":[35],"online":[36],"focus":[37],"groups":[38],"with":[39],"48":[40],"medical":[41],"clinicians":[42,107],"were":[43,46,54],"conducted.":[44],"Themes":[45],"constructed":[47,55],"using":[48],"thematic":[49],"analysis.":[50],"Results:":[51],"Three":[52],"themes":[53],"related":[56],"the":[58,80],"clinician's":[59],"experience:":[60],"(1)":[61],"high":[62],"patient":[63],"receptivity":[64],"ICM,":[66],"(2)":[67],"difficulty":[68],"finding":[69],"providers":[71],"who":[72],"accept":[73],"beneficiaries,":[75],"(3)":[77],"uncertainty":[78],"effectiveness":[81],"among":[84],"clinicians.":[85],"Conclusions:":[86],"Findings":[87],"suggest":[88],"health":[90],"systems":[91],"expanding":[92],"beneficiaries":[98],"may":[99],"benefit":[100],"establishing":[102],"supporting":[104],"linkages":[105],"between":[106],"providers,":[110],"especially":[111],"in":[112],"rural":[113],"areas.":[114]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":3}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2022-09-28T00:00:00"}