Consultations for holistic pediatric services for inpatients and outpatient oncology patients at a children's hospital.

作者: Kathi J. Kemper , Wendy L. Wornham

DOI: 10.1001/ARCHPEDI.155.4.449

关键词:

摘要: Background: As demand increases for complemen- tary and alternative medical care, pediatric institutions face the need to answer patients' clinicians' ques- tions about integrating these therapies in hospital set- tings. ing symptoms such as nausea, pain, insomnia, or agita- tion (n=50). The most common questions specific had do with herbs (n=41) dietary supple- ments (n=42), but there were also frequent diet nutrition (n=33) mind-body thera- pies guided imagery biofeedback (n=28) massage (n =2 5). Approximately 0.3 full-time equiva- lents of physician time was required provide clinical consultations, $7315 collected $26638 billed services. Conclusions: complementary medicine consulta- service primarily consulted by oncology patients requesting assistance pain symptom management. Patients various pies, particularly supplements. Addi- tional research is necessary determine cost- effectiveness an integrated approach without access reliable community resources therapies.

参考文章(27)
Smoker B, Neher Jo, Anson O, Borkan J, Referrals for alternative therapies. Journal of Family Practice. ,vol. 39, pp. 545- ,(1994)
Charles B. Berde, Ellen S. Highfield, Kathi J. Kemper, Anne C C Lee, Survey of acupuncturists: practice characteristics and pediatric care. Western Journal of Medicine. ,vol. 171, pp. 153- 157 ,(1999)
M J Verhoef, L R Sutherland, Alternative medicine and general practitioners. Opinions and behaviour. Canadian Family Physician. ,vol. 41, pp. 1005- 1011 ,(1995)
Peter N. Malleson, Marguerite Mahy, Peter J. Roberts-Thomson, Taunton R. Southwood, Unconventional Remedies Used for Patients With Juvenile Arthritis Pediatrics. ,vol. 85, pp. 150- 154 ,(1990)
B M Berman, S M Hartnoll, L Lao, B K Singh, K S Ferentz, B B Singh, Physicians' Attitudes Toward Complementary Or Alternative Medicine: A Regional Survey Journal of The American Board of Family Practice. ,vol. 8, pp. 361- 366 ,(1995) , 10.3122/JABFM.8.5.361
Lee M Pachter, Michelle M Cloutier, Bruce A Bernstein, Ethnomedical (Folk) Remedies for Childhood Asthma in a Mainland Puerto Rican Community Archives of Pediatrics & Adolescent Medicine. ,vol. 149, pp. 982- 988 ,(1995) , 10.1001/ARCHPEDI.1995.02170220048007
Mary Ann Burg, Shae Graham Kosch, Allen H Neims, Eleanor Palo Stoller, PERSONAL USE OF ALTERNATIVE MEDICINE THERAPIES BY HEALTH SCIENCE CENTER FACULTY JAMA. ,vol. 280, pp. 1563- 1563 ,(1998) , 10.1001/JAMA.280.18.1563
Anne CC Lee, Dawn H. Li, Kathi J. Kemper, Chiropractic care for children. JAMA Pediatrics. ,vol. 154, pp. 401- 407 ,(2000) , 10.1001/ARCHPEDI.154.4.401
P. Gardiner, K. J. Kemper, Herbs in Pediatric and Adolescent Medicine Pediatrics in Review. ,vol. 21, pp. 44- 57 ,(2000) , 10.1542/PIR.21-2-44
Anju Sikand, Marilyn Laken, Pediatricians' Experience With and Attitudes Toward Complementary/Alternative Medicine Archives of Pediatrics & Adolescent Medicine. ,vol. 152, pp. 1059- 1064 ,(1998) , 10.1001/ARCHPEDI.152.11.1059