Fountain-Polley Simon, Kawai Grace, Goldstein Amanda, Ninan Titus
Department of General Paediatrics, Birmingham Heartlands Hospital, Bordesley Green East, Birmingham, B9 5SS, UK.
BMC Complement Altern Med. 2007 Nov 29;7:38. doi: 10.1186/1472-6882-7-38.
Complementary and alternative medicines are increasingly used by the general population. A survey was conducted to ascertain the knowledge of Complementary and Alternative Medicines (CAMs) amongst paediatric physicians, and whether seniority increases the likelihood of its use being considered in consultations, or of families discussing it.
Anonymous survey of general paediatric doctors in a large inner-city district general hospital (DGH) and tertiary children's centre (TC) using a questionnaire. Statistical analysis was calculated using Minitab.
43/49 (88%) questionnaires were returned correctly. 13 (30%, CI 17 - 46%) doctors had personally used CAMs. 24 (56%, CI 40 - 71%) of their families had used CAMs. 13 (30%, CI 17 - 46%) had received formal CAMs education. 21 (49%, CI 40 - 71%) could name a total of 5 types of CAMs. Consultants were significantly more likely to ask about CAM use than middle-grades and juniors (p < 0.05, CI 48 - 93%, 35 - 90%, 8 - 33% respectively) and have had a clinical encounter where they felt it was significant. 32 (74%, CI 59 - 86%) of the clinicians had been asked about CAMs. 33 (77%, CI 61 - 88%) of doctors had successful CAM use reported to them, and 20 (47%, CI 31 - 62%) had failure of CAMs reported to them.
CAM use is relatively common in paediatric doctors and their families. They have received little formal CAMs education. Consultants were more likely than juniors to ask about CAM use and have had a clinical encounter where it played a significant part. Around half of all doctors irrespective of grade have been asked about CAMs in a clinical encounter.
普通民众越来越多地使用补充和替代医学。开展了一项调查，以确定儿科医生对补充和替代医学（CAMs）的了解情况，以及资历的提升是否会增加在会诊中考虑使用CAMs的可能性，或者家庭讨论CAMs的可能性。
使用问卷对一家大型市中心区综合医院（DGH）和三级儿童中心（TC）的普通儿科医生进行匿名调查。使用Minitab进行统计分析。
49份问卷中有43份（88%）正确返回。13名（30%，置信区间17 - 46%）医生个人使用过CAMs。他们的家人中有24名（56%，置信区间40 - 71%）使用过CAMs。13名（30%，置信区间17 - 46%）接受过正规的CAMs教育。21名（49%，置信区间40 - 71%）总共能说出5种CAMs。与中级和初级医生相比，顾问医生询问CAMs使用情况的可能性显著更高（p < 0.05，置信区间分别为48 - 93%、35 - 90%、8 - 33%），并且有过他们认为其具有重要意义的临床经历。32名（74%，置信区间59 - 86%）临床医生被询问过CAMs。33名（77%，置信区间61 - 88%）医生收到过CAMs使用成功的报告，20名（47%，置信区间31 - 62%）收到过CAMs使用失败的报告。
CAMs在儿科医生及其家庭中使用相对普遍。他们接受的正规CAMs教育很少。与初级医生相比，顾问医生更有可能询问CAMs的使用情况，并且有过其在临床中发挥重要作用的经历。无论级别如何，大约一半的医生在临床会诊中被询问过CAMs。
