Osgoode Hall Law School, York University, Toronto, Ontario, Canada.
Pediatrics. 2011 Nov;128 Suppl 4:S193-9. doi: 10.1542/peds.2010-2720I.
Patients and families increasingly press hospitals to facilitate provision of complementary and alternative medicine (CAM) therapies and products. At the same time, a growing number of hospitals and health care facilities have taken steps to integrate CAM and conventional care. In this article we consider institutional responsibilities when patients/parents use or are considering CAM. We (1) review hospitals' responsibilities to patients and parents, (2) explain how these principles apply in the case of CAM practitioners and products, (3) address institutional responsibilities for different models of service delivery, and (4) highlight issues that should be addressed when developing institutional policies to govern CAM use and propose ways to do so.
患者及其家属越来越多地向医院施压，要求提供补充和替代医学（CAM）疗法和产品。与此同时，越来越多的医院和医疗保健机构已经采取措施将 CAM 与常规护理相结合。在本文中，我们考虑了当患者/家长使用或考虑使用 CAM 时机构所应承担的责任。我们（1）审查了医院对患者和家长的责任，（2）解释了这些原则如何适用于 CAM 从业者和产品的情况，（3）解决了不同服务模式提供方式下的机构责任问题，（4）强调了在制定机构政策来管理 CAM 使用时应解决的问题，并提出了一些解决方法。
