Caspi Opher, Holexa Joshua
The Recanati Center for Medicine and Research, Rabin Medical Center, The Tel-Aviv University, Petah Tikva 49100, Israel.
Complement Ther Med. 2005 Jun;13(2):123-30. doi: 10.1016/j.ctim.2005.03.004.
To examine whether U.S.-based professional complementary and alternative medicine (CAM) organizations have explicit informed consent policies.
Phone survey conducted in July-August 2003.
Data were obtained from 37 out of a total of 39 eligible and accessible organizations representing 19 commonly used provider-administered CAM techniques (95% response rate.) Only 21 organizations (57%) had any informed consent policy and standards, whilst only six (16%) mandate their clinician members to routinely obtain an informed consent.
We found no consistent standards with respect to the practice of informed consent across a broad range of CAM practices. CAM information that is not communicated appropriately or is otherwise unavailable to patients during the decision-making process may increase the potential for healthcare oversights and adversity.
探讨美国的专业补充和替代医学（CAM）组织是否有明确的知情同意政策。
2003年7月至8月进行的电话调查。
在总共39个符合条件且可联系的组织中，有37个组织提供了数据，这些组织代表了19种常用的由提供者实施的CAM技术（回复率为95%）。只有21个组织（57%）有任何知情同意政策和标准，而只有6个组织（16%）要求其临床医生成员常规获取知情同意。
我们发现在广泛的CAM实践中，关于知情同意的做法没有一致的标准。在决策过程中，如果CAM信息没有得到适当传达或以其他方式患者无法获得，可能会增加医疗疏忽和不良后果的可能性。
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