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整体儿科调查:德国医院的家长报告称对补充和整合医学有较高需求,并愿意自费接受治疗。

Integrative pediatrics survey: Parents report high demand and willingness to self-pay for complementary and integrative medicine in German hospitals.

机构信息

Department of Internal and Integrative Medicine, Evang. Kliniken Essen-Mitte, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany; National Centre for Naturopathic Medicine, Southern Cross University, Lismore Campus, Australia.

Department of Internal and Integrative Medicine, Evang. Kliniken Essen-Mitte, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany.

出版信息

Complement Ther Med. 2021 Aug;60:102757. doi: 10.1016/j.ctim.2021.102757. Epub 2021 Jul 8.

DOI:10.1016/j.ctim.2021.102757
PMID:34246995
Abstract

BACKGROUND

In Germany, there is hardly any institutionalization of pediatric complementary and integrative medicine (CIM) present, which is one reason why the statutory health insurance companies usually do not cover the costs. Which in turn serves as an obstacle for integrating CIM into routine pediatric care. Within the present study, we assessed existing demand for CIM methods in parents of children in clinical primary care and whether the parents would be willing to cover the costs privately.

METHODS

Parents who visited the Pediatric Department of the Elisabeth Hospital, Essen, Germany and the Children's Hospital St. Marien, Landshut, Germany with their children in 2015 and 2016 were asked to take part in a paper-pencil survey. Both outpatients and inpatients were interviewed.

RESULTS

1323 parents took part in the survey. 40 % of them stated that they already use CIM for their children. Homeopathy was the most frequently mentioned with almost 60 %, followed by osteopathy and phytotherapy. More than 80 % of the participants endorsed the expansion of the CIM offers in respective hospitals. Homeopathy was the method most desired by the parents, followed by osteopathy, phytotherapy and massage therapies. The majority (88 %) of the parents stated that they would like to take advantage of an extended range of services, including extra services that they would have to pay privately for.

CONCLUSION

Many parents are already using CIM for their children and are looking forward to CIM being incorporated in clinical primary care. They would also be willing to bear the costs themselves if the therapy in question is not covered by their insurance. pay for the costs themselves if the therapy is not covered by their insurance.

摘要

背景

在德国,几乎没有对儿科补充和整合医学(CIM)进行制度化,这也是法定健康保险公司通常不承担费用的原因之一。这反过来又成为将 CIM 纳入常规儿科护理的障碍。在本研究中,我们评估了临床初级保健中儿童父母对 CIM 方法的现有需求,以及父母是否愿意自费支付费用。

方法

2015 年和 2016 年,在德国埃森的伊丽莎白医院和德国兰茨胡特的圣玛丽儿童医院就诊的儿童的父母被邀请参加纸质问卷调查。我们对门诊和住院患者进行了访谈。

结果

共有 1323 名父母参与了调查。其中 40%的父母表示已经为孩子使用 CIM。顺势疗法的提及率最高,接近 60%,其次是整骨疗法和植物疗法。超过 80%的参与者支持扩大各自医院的 CIM 服务。顺势疗法是父母最希望采用的方法,其次是整骨疗法、植物疗法和按摩疗法。大多数(88%)父母表示愿意利用更广泛的服务,包括他们需要自费的额外服务。

结论

许多父母已经在为孩子使用 CIM,并期待 CIM 能被纳入临床初级保健。如果所涉及的治疗不在他们的保险范围内,他们也愿意自己支付费用。

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