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拓宽儿童健康视野 - 关于拉丁美洲儿童综合医学中心的定性研究。

Broadening the horizon for children's health - A qualitative study on the Centro Latino-Americano de Medicina Integrativa Pediátrica.

机构信息

Department of Pediatric Oncology/Hematology, Otto-Heubner Centre for Pediatric and Adolescent Medicine (OHC), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Berlin, Germany.

Universidade de São Paulo, Faculdade de Medicina, Departamento de Pediatria, Instituto de Tratamento do Câncer Infatil (ITACI), São Paulo, São Paulo, Brazil.

出版信息

Complement Ther Med. 2021 May;58:102681. doi: 10.1016/j.ctim.2021.102681. Epub 2021 Feb 13.

Abstract

OBJECTIVES

The aim of this article is to analyze the recently established structure of the unit for pediatric integrative medicine (Portuguese: Unidade de Pediatria Integrativa, UPI), its aims and activities at the Children and Adolescent's Institute and the Institute for the Treatment of Childhood Cancer of the Medical Faculty of the University of São Paulo. To give a complete overview, opinions and views of stakeholders were reflected in the analysis.

DESIGN

An ethnographic approach was chosen to provide an overview of the work of UPI through semi-structured qualitative interviews and participant observation. Observational notes, informal conversations and informational material complemented the collected data. The analysis of the transcribed interviews focused on specific questions regarding the unique role of pediatric integrative medicine in a conventional hospital setting and a perspective for the future.

RESULTS

The UPI is making use of Complementary and Integrative Medicine based on three major pillars - treatment, research and teaching. The unit is a pioneer for the field of Integrative Medicine in Latin America. Its goal is to improve the health and treatment of children using the methods of Integrative Medicine by generating positive outcomes in patient care and evidence-based research. Further expansion of the activities is planned for the future to promote the exchange and further dissemination of pediatric integrative medicine based on stringent research.

CONCLUSIONS

UPI is a novelty on the Latin-American continent and has the potential to contribute significantly to the acceptance and expansion of integrative models by introducing complementary methods in conventional medicine.

摘要

目的

本文旨在分析新成立的儿科整合医学单元(葡萄牙语:Unidade de Pediatria Integrativa,UPI)的结构、目标和在圣保罗大学医学院儿童和青少年研究所及儿童癌症治疗研究所的活动。为了全面了解情况,分析中反映了利益相关者的意见和观点。

设计

采用民族志方法,通过半结构化定性访谈和参与观察,全面了解 UPI 的工作。观察记录、非正式对话和信息材料补充了收集的数据。对转录访谈的分析侧重于有关儿科整合医学在常规医院环境中的独特作用的具体问题以及对未来的展望。

结果

UPI 正在基于三大支柱——治疗、研究和教学——利用补充和整合医学。该单位是拉丁美洲整合医学领域的先驱。其目标是通过在患者护理和基于证据的研究中产生积极成果,利用整合医学的方法来改善儿童的健康和治疗效果。未来计划进一步扩大活动范围,以促进严格基于研究的儿科整合医学的交流和进一步传播。

结论

UPI 是拉丁美洲大陆的新生事物,有可能通过在常规医学中引入补充方法,为整合模式的接受和扩展做出重大贡献。

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