Window of Opportunity

are emerging: (1) Hospital-based centers, (2) Practitioner coalitions and networks, (3) Coordinated practitioner teams. At least six hospitals in the Bay area have announced plans to open complementary care centers. This trend appears to be generated as much by an economic motive to get on the bandwagon of public interest in, and self-pay utilization of, alternative therapies as it is by thought about the possible efficacy of alternative therapies. The leaders of these projects have highly varied knowledge of, or experience in, alternative therapies and their effective use. The tendency, as mentioned above, is to select certain &dquo;adjunct&dquo; practices that do not directly challenge conventional physicians, i.e., acupuncture for pain management, relaxation therapies for surgery and/or cancer patients, massage and body work for injury and/or chronic pain, etc. Alternative practitioners are usually referred these patients as a last resort or after conventional physicians have been unable to make progress.

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