Clalit Health Services, 6 Hashahaf St, Haifa 35013, Israel.
Pediatrics. 2011 Jan;127(1):e84-95. doi: 10.1542/peds.2010-1286. Epub 2010 Dec 27.
In this study, we explored parents' perspectives toward complementary and alternative medicine (CAM) use by their children and its impact on parent-doctor and doctor-CAM-practitioner communication.
We designed a 2-arm study of parents who approached either conventional primary care or CAM clinics with their children to consult physicians or practitioners regarding their child's health.
A total of 599 parents responded to our questionnaire (319 in 5 conventional clinics [83.9% response rate] and 280 in 21 CAM clinics [71.2% response rate]). Parents in conventional clinics reported less use of CAM by their children within the previous year (35.3% vs 73.7%; P < .0001) but used more traditional and homemade remedies (46.4% vs 12.7%; P < .0001). Both parent groups largely supported informing their child's physician regarding CAM use and expected the physician to initiate a CAM-related conversation and to refer their child to a CAM practitioner. The 2 groups' respondents largely supported communication between the child's physician and the CAM practitioner by the use of a referral/medical letter. Compared with respondents in CAM clinics, parents in conventional clinics were more supportive of CAM integration in a pediatric primary care setting and envisioned a more dominant role of physicians regarding CAM referral and a significant role of physicians in providing CAM.
Parents who are referred to conventional and CAM clinics express distinctive attitudes toward CAM integration in pediatric care. Parents perceive physician-CAM practitioner communication as highly important and instrumental in promoting their children's health and safety.
本研究旨在探讨父母对儿童补充和替代医学（CAM）的看法及其对父母-医生和医生-CAM 从业者沟通的影响。
我们设计了一项 2 臂研究，其中父母带着孩子到常规初级保健或 CAM 诊所就诊，向医生或从业者咨询孩子的健康问题。
共有 599 名父母回答了我们的问卷（5 家常规诊所 319 名[83.9%的回复率]和 21 家 CAM 诊所 280 名[71.2%的回复率]）。常规诊所的父母报告其孩子在过去一年中使用 CAM 的比例较低（35.3%比 73.7%；P<0.0001），但使用传统和家庭自制疗法的比例较高（46.4%比 12.7%；P<0.0001）。两个父母群体都强烈支持向孩子的医生报告 CAM 使用情况，并期望医生发起与 CAM 相关的对话，并将孩子转介给 CAM 从业者。两个群体的受访者都强烈支持通过转介/医疗信函在孩子的医生和 CAM 从业者之间进行沟通。与 CAM 诊所的受访者相比，常规诊所的父母更支持将 CAM 融入儿科初级保健，并设想医生在 CAM 转介方面发挥更主导的作用，以及医生在提供 CAM 方面发挥重要作用。
被转介到常规和 CAM 诊所的父母对儿科护理中 CAM 的整合表现出不同的态度。父母认为医生-CAM 从业者沟通对于促进孩子的健康和安全非常重要。
