{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T06:04:41Z","timestamp":1789452281727,"version":"build-2803163510"},"reference-count":36,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Firefighters, as essential workers, face substantial barriers to healthcare access due to shift work, unpredictable schedules, and physically demanding duties. Workplace-based healthcare delivery models have emerged as a potential strategy to address these access gaps, yet real-world evidence remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study evaluated a workplace-based visiting healthcare program implemented at fire stations in Seoul, Korea, between September 2023 and February 2024. A retrospective chart review assessed changes in pain intensity among firefighters receiving integrative care, including acupuncture and Chuna manual therapy, while a cross-sectional survey examined user satisfaction, perceived need, and acceptability of the program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty firefighters were included in the clinical evaluation, showing significant reductions in pain intensity (Numeric Pain Rating Scale, median [IQR]: 4.0 [4.0\u20136.0] to 2.0 [1.0\u20132.0]; Wilcoxon signed-rank test,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), with 97.5% achieving the minimal clinically important difference. The intervention was well-tolerated, with only minor and transient adverse events reported. Survey responses from 133 participants indicated high satisfaction (median 4 out of 5 for all items) and strong willingness to recommend the service (88.0%). Most respondents recognized the need for such services (92.0%) and supported their integration into institutional healthcare systems (84.0%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Workplace-based integrative care may represent a feasible and acceptable model to improve healthcare access among shift-based essential workers. These findings provide real-world evidence supporting workplace-based healthcare delivery models for shift-based essential workers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1880013","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T05:33:25Z","timestamp":1789450405000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Workplace-based integrative care for firefighters: real-world evidence from a visiting healthcare program"],"prefix":"10.3389","volume":"14","author":[{"given":"Inae","family":"Youn","sequence":"first","affiliation":[{"name":"Department of Acupuncture and Moxibustion, National Medical Center","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jisu","family":"Ha","sequence":"additional","affiliation":[{"name":"Department of Acupuncture and Moxibustion, National Medical Center","place":["Seoul, Republic of Korea"]},{"name":"Department of Clinical Korean Medicine, Graduate School, Kyung Hee University","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunjoong","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Clinical Korean Medicine, Graduate School, Kyung Hee University","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohyeon","family":"Ryu","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine of Korean Medicine, National Medical Center","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juchul","family":"Kim","sequence":"additional","affiliation":[{"name":"Research Institute of Korean Medicine Policy, The Association of Korean Medicine","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji Hun","family":"Wi","sequence":"additional","affiliation":[{"name":"Seoul Korean Medicine Association","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Kyun","family":"Ko","sequence":"additional","affiliation":[{"name":"Seoul Korean Medicine Association","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung-Youl","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry, College of Korean Medicine, Gachon University","place":["Seongnam, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Unho","family":"Yang","sequence":"additional","affiliation":[{"name":"Seoul Korean Medicine Association","place":["Seoul, Republic of Korea"]},{"name":"Department of Korean Medicine, Graduate School, Kyung Hee University","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jungtae","family":"Leem","sequence":"additional","affiliation":[{"name":"Department of Il-won Integrated Medicine, Wonkwang University Korean Medicine Hospital","place":["Iksan, Republic of Korea"]},{"name":"Research Center of Traditional Korean Medicine, College of Korean Medicine, Wonkwang University","place":["Iksan, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1546","DOI":"10.3346\/jkms.2016.31.10.1546","article-title":"Characteristics of workplace injuries among nineteen thousand Korean firefighters","volume":"31","author":"Yoon","year":"2016","journal-title":"J Korean Med Sci"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1186\/2052-4374-25-9","article-title":"Relationship between occupational stress and work-related 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