这篇教育文章探讨了开放科学实践与传统,互补,和综合医学(TCIM),阐明开放科学对发展的潜在好处和挑战,传播,并实施基于证据的TCIM。我们强调医学科学向开放和协作实践的转型转变,强调开放科学在TCIM研究中的应用有限,尽管它越来越被患者接受。我们定义了开放的科学实践,并讨论了适用于TCIM的实践,包括:研究登记;报告指南;数据,代码和材料共享;预印;出版开放存取;和再现性/复制研究。我们探索开放科学在TCIM中的好处,跨越提高研究质量,公众信任度提高,加速创新,加强循证决策。我们也承认数据隐私问题等挑战,资源有限,以及对文化变革的抵制。我们提出了克服这些挑战的策略,包括道德准则,教育计划,资金宣传,跨学科对话,和病人的参与。展望未来,我们设想TCIM中开放科学的成熟,制定TCIM特定的开放科学实践指南,数据共享平台的进步,在TCIM研究中整合开放数据和人工智能,以及政策和监管背景下的变化。我们预见未来TCIM的开放科学会带来更好的证据基础,明智的决策,跨学科合作,以及对医疗保健和研究方法的变革性影响,强调开放科学和TCIM之间有希望的整体协同作用,基于证据的医疗保健解决方案。
This educational article explores the convergence of open science practices and traditional, complementary, and integrative medicine (TCIM), shedding light on the potential benefits and challenges of open science for the development, dissemination, and implementation of evidence-based TCIM. We emphasize the transformative shift in medical science towards open and collaborative practices, highlighting the limited application of open science in TCIM research despite its growing acceptance among patients. We define open science practices and discuss those that are applicable to TCIM, including: study registration; reporting guidelines; data, code and material sharing; preprinting; publishing open access; and reproducibility/replication studies. We explore the benefits of open science in TCIM, spanning improved research quality, increased public trust, accelerated innovation, and enhanced evidence-based decision-making. We also acknowledge challenges such as data privacy concerns, limited resources, and resistance to cultural change. We propose strategies to overcome these challenges, including ethical guidelines, education programs, funding advocacy, interdisciplinary dialogue, and patient engagement. Looking to the future, we envision the maturation of open science in TCIM, the development of TCIM-specific guidelines for open science practices, advancements in data sharing platforms, the integration of open data and artificial intelligence in TCIM research, and changes in the context of policy and regulation. We foresee a future where open science in TCIM leads to a better evidence base, informed decision-making, interdisciplinary collaboration, and transformative impacts on healthcare and research methodologies, highlighting the promising synergy between open science and TCIM for holistic, evidence-based healthcare solutions.