Pediatric integrative medicine: pediatrics' newest subspecialty?
Pediatric integrative medicine: pediatrics' newest subspecialty?
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DOI：
10.1186/1471-2431-12-123
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发表时间：
2012-08-15
期刊：
影响因子：
2.4
通讯作者：
Kemper, Kathi J.
中科院分区：
文献类型：
--
作者：
Vohra, Sunita;Surette, Soleil;Kemper, Kathi J.
背景：整合医学被定义为以关系为中心的护理，关注整个人，以证据为依据，并利用所有适当的治疗方法、医疗保健专业人员和学科来实现最佳的健康和康复，包括基于证据的补充和替代医学。儿科综合医学（PIM）在儿科领域开发并推广了这种方法。我们进行了一项调查，以识别和描述北美学术儿童医院内的 PIM 项目。确定了美国和加拿大学术 PIM 计划成长和发展的主要障碍和机遇。方法：通过电子邮件确定学术 PIM 计划，如果它们具有教育、临床和研究活动，则有资格纳入其中。项目负责人就其临床、研究、教育和运营方面进行了电话采访。结果：纳入了 16 个项目。大多数（75%）计划提供住院和门诊服务。七个项目的 FTE 临床人员少于 1 人。补充和替代医学 (CAM) 提供者的资格认证在不同项目以及住院和门诊服务之间存在很大差异。几乎所有（94%）项目都为住院医师提供儿科和/或家庭医学方面的教育机会。五分之一 (20%) 的教育课程对医学生来说是强制性的。研究涉及一系列主题，但一半的项目报告缺乏研究资金和/或时间。 31% 的项目依赖按服务收费的收入。结论：儿科综合医学正在成为一个新的亚专业，以更好地帮助解决 21 世纪患者的问题。
Background: Integrative medicine is defined as relationship-centered care that focuses on the whole person, is informed by evidence, and makes use of all appropriate therapeutic approaches, healthcare professionals and disciplines to achieve optimal health and healing, including evidence-based complementary and alternative medicine. Pediatric integrative medicine (PIM) develops and promotes this approach within the field of pediatrics. We conducted a survey to identify and describe PIM programs within academic children's hospitals across North America. Key barriers and opportunities were identified for the growth and development of academic PIM initiatives in the US and Canada.Methods: Academic PIM programs were identified by email and eligible for inclusion if they had each of educational, clinical, and research activities. Program directors were interviewed by telephone regarding their clinical, research, educational, and operational aspects.Results: Sixteen programs were included. Most (75%) programs provided both inpatient and outpatient services. Seven programs operated with less than 1 FTE clinical personnel. Credentialing of complementary and alternative medicine (CAM) providers varied substantially across the programs and between inpatient and outpatient services. Almost all (94%) programs offered educational opportunities for residents in pediatrics and/or family medicine. One fifth (20%) of the educational programs were mandatory for medical students. Research was conducted in a range of topics, but half of the programs reported lack of research funding and/or time. Thirty-one percent of the programs relied on fee-for-service income.Conclusions: Pediatric integrative medicine is emerging as a new subspecialty to better help address 21st century patient concerns.