Department Healthcare and Nutrition, Louis Bolk Institute, Driebergen, The Netherlands.
BMC Complement Altern Med. 2012 Jan 16;12:4. doi: 10.1186/1472-6882-12-4.
Integrative Medicine (IM) is an emerging field in paediatrics, especially in the USA. The purpose of the present study was to assess the attitudes and beliefs of Youth Health Care (YHC) physicians in the Netherlands toward IM in paediatrics.
In October 2010, a link to an anonymous, self-reporting, 30-item web-based questionnaire was mailed to all members of the Dutch Organisation of YHC physicians. The questionnaire included questions on familiarity with IM, attitudes towards Integrative Paediatrics (IP), use and knowledge of Complementary and Alternative Medicine (CAM), demographic and practice characteristics.
A total of 276 YHC physicians (response rate of 27%) responded to the survey. Of the respondents, 52% was familiar with IM and 56% had used some kind of CAM therapy during the past 2 years, of which self-medicated herbal and/or homeopathic remedies (61%) and supplements (50%) were most frequently mentioned. Most of the YHC physicians (62%) seldom asked parents of clients about CAM use. One third of the YHC physicians recommended CAM to their clients. In general, about 50% or more of the respondents had little knowledge of CAM therapies. Predictors for a positive attitude towards IP were familiarity with IM, own CAM use, asking their clients about CAM use and practising one or more forms of CAM therapy. Logistic regression analysis showed that the following factors were associated with a higher recommendation to CAM therapies: own CAM use (odds ratio (OR) = 3.8; 95% confidence interval (CI) = 2.1-6.9, p = 0.001) and practising CAM (OR 4.4; 95% CI = 1.6-11.7, p = 0.003).
In general Dutch YHC physicians have a relative positive attitude towards IP; more than half of the respondents used one or more forms of CAM and one third recommended CAM therapies. However, the majority of YHC physicians did not ask their clients about CAM use and seemed to have a lack of knowledge regarding CAM.
整合医学（IM）是儿科学中的一个新兴领域，特别是在美国。本研究的目的是评估荷兰青少年保健（YHC）医生对儿科整合医学的态度和信念。
2010 年 10 月，向荷兰青少年保健医生组织的所有成员发送了一个链接，链接指向一个匿名的、自我报告的、包含 30 个项目的基于网络的问卷。问卷包括对整合医学的熟悉程度、对整合儿科学（IP）的态度、在过去 2 年中使用和了解补充和替代医学（CAM）的情况、人口统计学和实践特征等问题。
共有 276 名 YHC 医生（回应率为 27%）对调查做出了回应。在回答者中，52%的人熟悉 IM，56%的人在过去 2 年中使用过某种 CAM 疗法，其中自我药疗的草药和/或顺势疗法（61%）和补充剂（50%）最常被提及。大多数 YHC 医生（62%）很少向客户的父母询问 CAM 的使用情况。三分之一的 YHC 医生向他们的客户推荐了 CAM。总的来说，大约 50%或更多的受访者对 CAM 疗法知之甚少。对 IP 持积极态度的预测因素包括对 IM 的熟悉程度、自身 CAM 的使用、向客户询问 CAM 的使用情况以及实施一种或多种 CAM 疗法。逻辑回归分析表明，以下因素与推荐 CAM 疗法的可能性更高有关：自身 CAM 的使用（优势比（OR）=3.8；95%置信区间（CI）=2.1-6.9，p=0.001）和实施 CAM（OR=4.4；95%CI=1.6-11.7，p=0.003）。
总的来说，荷兰 YHC 医生对 IP 持相对积极的态度；超过一半的受访者使用了一种或多种形式的 CAM，三分之一的人推荐了 CAM 疗法。然而，大多数 YHC 医生没有向客户询问 CAM 的使用情况，而且似乎对 CAM 缺乏了解。
