Ekins-Daukes Suzie, Helms Peter J, Taylor Michael W, Simpson Colin R, McLay James S
Department of Medicine and Therapeutics, The University of Aberdeen, Polwarth Buildings, Foresterhill, Aberdeen, AB25 2ZD.
Br J Clin Pharmacol. 2005 Jun;59(6):743-9. doi: 10.1111/j.1365-2125.2004.02213.x.
To investigate the extent of homoeopathic prescribing in primary care for childhood diseases and assess GP attitudes towards the use of homoeopathy in children.
Homoeopathic prescribing in primary care was assessed in 167 865 children aged 0-16 years for the year 1999-2000. Computerized prescribing data were retrieved from 161 representative general practices in Scotland. Medical attitudes towards homoeopathic prescribing to children were also assessed via a questionnaire survey.
During the year 1999-2000 22% (36) of general practices prescribed homoeopathic medicines to 190 (1.1/1000 registered) children. The majority of such prescriptions were issued to children under 1 year of age (8.0/1000 registered children). The most frequently prescribed medicines were for common self-limiting infantile conditions such as colic, cuts and bruises, and teething. A total of 259 completed questionnaires were returned by GPs, giving a response rate of 75%. GPs who frequently prescribed homoeopathic medicines to children (more than 1 per month) were more likely to claim an interest in homoeopathy, have had a formal training and keep up to date in the discipline, and refer on to a homoeopath (P < 0.001 for all variables) than those GPs who prescribed less than once a month or never. The majority of GPs who prescribed homoeopathic medicines did so when conventional treatments had apparently failed (76%), while 94% also perceived homoeopathy to be safe. Frequent prescribers reported a more positive attitude towards homoeopathic medicines than those who prescribed less frequently. Non-prescribers reported a lack of proven efficacy and lack of training as the main reasons for not prescribing homoeopathic medicines (55% and 79%, respectively). However non-prescribers from within homoeopathic prescribing practices reported a more favourable attitude in general towards homoeopathy and less resistance towards prescribing in the future than non-prescribers from practices where none of the partners practiced homoeopathy.
In primary care paediatric prescribing of homoeopathic medicines most commonly occurs for self-limiting conditions in infants less than 1 year of age. Although the current level of homoeopathic prescribing is low, the widespread use in the community suggests that at least some knowledge of the main indications for homoeopathy and the preparations used would be of benefit to registered medical practitioners.
调查初级医疗中顺势疗法用于治疗儿童疾病的程度，并评估全科医生对在儿童中使用顺势疗法的态度。
对1999 - 2000年期间167865名0至16岁儿童的初级医疗顺势疗法处方情况进行评估。从苏格兰161家具有代表性的全科诊所检索计算机化的处方数据。还通过问卷调查评估了医生对儿童顺势疗法处方的态度。
在1999 - 2000年期间，22%（36家）的全科诊所为190名儿童（每1000名注册儿童中有1.1名）开具了顺势疗法药物。此类处方大多开给1岁以下儿童（每1000名注册儿童中有8.0名）。最常开具的药物用于常见的自限性婴儿病症，如腹绞痛、割伤和擦伤以及出牙。全科医生共返回259份完整问卷，回复率为75%。与每月开具顺势疗法药物少于一次或从不开具的全科医生相比，经常为儿童开具顺势疗法药物（每月超过1次）的全科医生更有可能声称对顺势疗法感兴趣、接受过正规培训并了解该学科的最新情况，以及会转诊给顺势疗法医生（所有变量的P值均<0.001）。大多数开具顺势疗法药物的全科医生是在常规治疗显然无效时这样做的（76%），而94%的医生也认为顺势疗法是安全的。经常开处方的医生对顺势疗法药物的态度比不常开处方的医生更积极。不开具处方的医生报告称，缺乏已证实的疗效和缺乏培训是不开具顺势疗法药物的主要原因（分别为55%和79%）。然而，来自开具顺势疗法处方诊所的不开具处方的医生总体上对顺势疗法的态度更积极，对未来开具处方的抵触也比来自没有合伙人从事顺势疗法的诊所的不开具处方的医生少。
在初级医疗中，顺势疗法药物在儿科的处方最常见于1岁以下婴儿的自限性病症。尽管目前顺势疗法的处方水平较低，但在社区中的广泛使用表明，至少了解一些顺势疗法的主要适应证和所用制剂的知识对注册医生会有帮助。
