Osgoode Hall Law School, York University, Toronto, Ontario, Canada.
Pediatrics. 2011 Nov;128 Suppl 4:S200-5. doi: 10.1542/peds.2010-2720J.
In this article we explain (1) the standard of care that health care providers must meet and (2) how these principles apply to complementary and alternative medicine practitioners. The scenario describes a 14-year-old boy who is experiencing back pain and whose chiropractor performed spinal manipulation but did not recognize or take steps to rule out serious underlying disease-in this case, testicular cancer--either initially or when the patient's condition continued to deteriorate despite treatment. We use chiropractic care for a patient with a sore back as an example, because back pain is such a common problem and chiropracty is a common treatment chosen by both adult and pediatric patients. The scenario illustrates the responsibilities that complementary and alternative medicine practitioners owe patients/parents, the potential for liability when deficient care harms patients, and the importance of ample formal pediatric training for practitioners who treat pediatric patients.
在本文中，我们将解释（1）医疗保健提供者必须满足的护理标准，以及（2）这些原则如何适用于补充和替代医学从业者。该场景描述了一名 14 岁男孩，他正在经历背痛，他的脊椎按摩师进行了脊椎按摩，但没有识别或采取措施排除严重的潜在疾病 - 在这种情况下，是睾丸癌 - 无论是最初还是当患者的病情尽管经过治疗仍继续恶化时。我们以一位患有背痛的患者为例，使用脊椎按摩治疗，因为背痛是如此常见的问题，脊椎按摩是成人和儿科患者都选择的常见治疗方法。该场景说明了补充和替代医学从业者对患者/家长所负有的责任、护理不足对患者造成伤害时的潜在责任，以及为治疗儿科患者的从业者提供充分的正规儿科培训的重要性。
