Abstract
BACKGROUND: Complementary and integrative health (CIH) services enhance physiological and psychological wellbeing, while potentially reducing medical costs. Despite these benefits, use of inpatient CIH services remains poorly characterized, impeding efforts to develop equitable and effective healthcare. OBJECTIVE: This retrospective case-control study examined characteristics of patients likely to receive CIH referrals and consults. METHOD: Electronic health records were analyzed from patients hospitalized at a large metropolitan academic medical center from September 2022 to February 2024. RESULTS: Referred patients (n = 3491) were less frequently male, Asian American, non-English-speaking, and more medically complex compared to non-referred patients (n = 6982, P values <0.001). Among those referred, 72% received at least one CIH consult, with lower odds of completing a consult for male patients. CONCLUSION: Disparities underscore the need for equitable CIH services access in healthcare systems. Future research will test how to broaden services to male patients, those with non-English language preference, and less medical complexity, to ensure greater benefit from holistic healthcare.