Our house has a large double sided fireplace right in the middle of it. It has a vent above the doors on either side to circulate the hot air, which is not all that effective. I wondered if it would help to have air forced across the firebox and decided to try an experiment. I rigged up a window fan to blow air into the vent in one room.
It actually does help. It makes the living room, on the other side, nice and toasty.
I have seen many in New England. One was open to a living room on one side and a study on the other.
This makes a lot more sense. In the house I saw one in the fireplace was smack in the middle of a large living room.