Integrative healthcare: arriving at a working definition.
Bibliographic record
Abstract
A variety of integrative healthcare programs and clinics have been initiated both in Canada and the United States. Many different terms (eg, integrative medicine, integrated medicine, multidisciplinary care, integrative health care) are used to describe these initiatives. The diversity of terminology and absence of a shared conceptual framework makes it difficult to assess when integration is actually happening. The objective of this paper was to explore current efforts to conceptualize integrative healthcare and to identify its components. A qualitative content analysis of articles identified in an extensive literature review resulted in the identification of four key components of integrative care: philosophy/values, structure, process and outcomes. These were used to guide the development of a definition of integrative healthcare that should be seen as an "ideal type" or goal toward which practitioners and health systems could strive.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.030 | 0.023 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.012 | 0.009 |
| Science and technology studies | 0.006 | 0.029 |
| Scholarly communication | 0.016 | 0.024 |
| Open science | 0.004 | 0.013 |
| Research integrity | 0.008 | 0.010 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".