WHO global research priorities for traditional, complementary, and integrative (TCI) medicine: an international consensus and comparisons with LLMs

Authors

Sangyoung Ahn, National Institute for Korean Medicine Development
Jiali Zhou, Zhejiang University School of Public Health
Denan Jiang, Zhejiang University
Steven Kerr, Edinburgh Medical School
Yajie Zhu, Hangzhou Normal University
Peige Song, Zhejiang University School of Public Health
Igor Rudan, Edinburgh Medical School
Richard Hammerschlag, Nova Institute
Nicole Skoetz, Uniklinik Köln
Shriram Savrikar, Pharmacopeia Commission of India
Harry H.S. Fong, University of Illinois at Chicago
Li Shaoping, University of Macau
Pravit Akarasereenont, Mahidol University
Holger Cramer, Eberhard Karls Universität Tübingen
Sabah J. Salih, University of Al-Ameed
Mei Wang, Universiteit Leiden
Caroline Smith, Western Sydney University
Stefano Masiero, Università degli Studi di Padova
Miek Jong, UiT Norges Arktiske Universitet
Elanchezhiyan Devarajan, Morarji Desai National Institute of Yoga
John Hughes, University College London Hospitals NHS Foundation Trust
William Tsang, Hong Kong Metropolitan University
Lam Fu Chong, Health Bureau of Macau
Chen Xin, University of Macau
Wang Chun Ming, University of Macau
Zheng Li, Macau University of Science and Technology
Wu Qibiao, Macau University of Science and Technology
Li Ting, Macau University of Science and Technology
Yang Lu, University Hospital
Jennifer A.M. Stone, Indiana University
Christian Kessler, Vivantes Netzwerk für Gesundheit
Jeremy Ng, Eberhard Karls Universität Tübingen
Tammy J. Sajdyk, Indiana University
Alicia Catabay, De La Salle Medical and Health Sciences Institute

Publication Date

1-2025

Document Type

Article

Publication Title

Journal of Global Health

Abstract

Background Traditional, complementary, and integrative (TCI) medicine is an essential component of health systems worldwide, especially in low- and middle-income countries. Despite its widespread use, existing research on the safety, efficacy, and integration of TCI medicine within conventional healthcare systems is fragmented. This fragmentation highlights the urgent need for a clearly defined global research agenda to guide future studies, secure funding, and inform governance in this field. Methods The Traditional, Complementary, and Integrative Medicine Unit at the World Health Organization Headquarters in Geneva, Switzerland coordinated an international research priority-setting exercise using the Child Health and Nutrition Research Initiative (CHNRI) method between June and December 2023. We invited a purposive sample of 120 experts from established academic networks to participate; 53 experts (44.16% response rate) contributed, and 34 of them scored 157 unique research ideas according to five CHNRI criteria: feasibility, effectiveness, deliverability, equity, and potential for disease burden reduction. Additionally, we performed a comparative analysis by generating research priorities using large language models (LLMs), including ChatGPT-4o, Claude 3.5, and Grok 3, and these outputs were compared with the expert-derived priorities. Results Top-ranked research priorities focused on chronic disease management (e.g. diabetes, dyslipidemia), geriatric safety (e.g. herb-drug interactions), mental health (e.g. resilience and mood disorders), and integration of TCI into health systems. Priorities varied by income setting. Comparison with LLM-generated lists showed thematic overlap in efficacy and safety but divergence in focus, with LLMs emphasising research capacity, policy, and systems-level priorities. Conclusions We established a global, expert-informed research agenda to guide the future direction of TCI medicine and ensure alignment with public health needs. The comparison with LLMs highlights the complementary potential of artificial intelligence in research governance and agenda-setting.

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