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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Complementary therapies in pediatrics: a legal perspective.
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Complementary therapies in pediatrics: a legal perspective.

机译：儿科辅助疗法：法律观点。

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Increasing use of complementary and alternative medicine (CAM) therapies such as chiropractic, massage therapy, and herbal medicine, raises questions about the clinically appropriate use of CAM in pediatrics. Nonjudicious use of CAM therapies may cause either direct harm or, by creating an unwarranted financial and emotional burden, indirect harm. When advising patients concerning CAM therapies, pediatricians face 2 major legal risks: medical malpractice and professional discipline. Pediatricians can incorporate these considerations into advising and clinical decision-making about CAM therapies to address the best interest of the pediatric patient while helping to manage potential liability risk. This article provides a suggested framework, including asking the following questions: (1) Do parents elect to abandon effective care when the child's condition is serious or life-threatening? (2) Will use of the CAM therapy otherwise divert the child from imminently necessary conventional treatment? (3) Are the CAM therapies selected known to be unsafe and/or ineffective? (4) Have the proper parties consented to the use of the CAM therapy? (5) Is the risk-benefit ratio of the proposed CAM therapy acceptable to a reasonable, similarly situated clinician, and does the therapy have at least minority acceptance or support in the medical literature? Such an approach ideally can help guide the pediatrician toward clinical conduct that is clinically responsible, ethically appropriate, and legally defensible.
机译：越来越多地使用诸如脊椎按摩疗法，按摩疗法和草药之类的辅助和替代医学（CAM）疗法，引起了对CAM在儿科临床上适当使用的质疑。非明智地使用CAM疗法可能会造成直接伤害，或者通过造成不必要的经济和情感负担而造成间接伤害。在为患者提供有关CAM治疗的建议时，儿科医生面临2个主要的法律风险：医疗事故和专业纪律。儿科医生可以将这些考虑因素纳入有关CAM治疗的建议和临床决策中，以解决儿科患者的最大利益，同时帮助管理潜在的责任风险。本文提供了一个建议的框架，其中包括提出以下问题：（1）当孩子的病情严重或有生命危险时，父母是否选择放弃有效的照料？ （2）使用CAM疗法会否使儿童脱离迫在眉睫的常规治疗方法？ （3）是否知道所选的CAM治疗不安全和/或无效？ （4）适当的当事人是否同意使用CAM治疗？ （5）拟议的CAM疗法的风险收益比是否被合理的，位置相似的临床医生所接受，并且该疗法在医学文献中是否至少有少数人接受或支持？理想地，这种方法可以帮助指导儿科医生朝临床上负责的，在伦理上适当的和在法律上可辩护的临床行为。

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