Implementierung von Phytotherapie in eine Akutklinik für Kinder- und Jugendmedizin

Abstract

ZusammenfassungKomplementäre Therapien in der Pädiatrie können eine sinnvolle Ergänzung zur konventionellen Medizin darstellen. Aufgrund der hohen Nutzung und Nachfrage pflanzlicher Arzneimittel unter Kindern und Jugendlichen ist die Implementierung von Phytotherapie in den klinischen Alltag einer Akutklinik für Kinder- und Jugendmedizin ein sinnvoller Schritt im Hinblick einer integrativen Pädiatrie. Wir stellen den Implementierungsprozess von Phytotherapie samt seiner Hindernisse an einem konkreten Beispiel dar. Hierbei wird deutlich, dass vor allem mangelndes Wissen und die Abhängigkeit von einzelnen Experten die Nachhaltigkeit der Implementierung stark beeinträchtigen können. Hierfür müssen Lösungsansätze gefunden werden, an denen möglichst viele Akteure aus Ärzteschaft, Pflege, Forschung und Industrie gemeinsam beteiligt sind.

Do patients of integrative anthroposophic pediatric inpatient departments differ? Comparative analysis to all pediatric inpatients in Germany considering demographic and clinical characteristics

“…In western countries, integrative healthcare approaches have mostly emerged from primary care and, depending on the underlying healthcare system, found their way into secondary and tertiary patient care. In Europe, this has led to specialized hospitals and departments delivering integrative approaches with specializations in natural medicine, homeopathy, anthroposophic medicine or Traditional Chinese medicine [4–11]. In the United States integrative treatment approaches are fostered by the National Center for Complementary and Integrative Health (NCCIH) and have led to the formation of the Consortium of Academic Health Centers for Integrative Medicine [12] which currently includes more than 50 programs and centers.…”

“…The clinical use of integrative approaches in pediatrics has increased in the past two decades [2, 4, 6, 13–21]. Integrative medicine is used in children in the US [15, 17, 22–25], Canada [26] and in Europe [4, 6–9, 27, 28]. Integrative medicine for children is provided in private practices, outpatient wards, as well as inpatient wards [8].…”

“…Two recent publications by Eckert et al [6] and Anheyer et al [4] describe the successful implementation of integrative pediatrics at pediatric hospitals in Germany (St Marien, Landshut, Elisabeth hospital Essen) for inpatient and outpatient services. Modalities applied are TCM, relaxation, hypnosis, reflexology, compresses and poultices, aromatherapy, homeopathy, yoga and herbal medicine as well as phytotherapeutic approaches [4]. Optional single-remedy-homeopathy is being integrated into routine pediatric service at the Dr. von Hauner’s Children’s University hospital in Munich [40, 41].…”

“…Until today, most of the available information on pediatric inpatients using integrative medicine is based on qualitative analyses [4, 6], while systematic quantitative analyses of patient characteristics and diagnosis parameters are lacking. Considering the growing demand for integrative approaches and the increasing number of institutions offering and implementing integrative medicine for children [17], it is relevant from a public health perspective to investigate which kind of patients make use of integrative approaches in Germany.…”

Comparative analysis of resource utilization in integrative anthroposophic and all German pediatric inpatient departments

“…During the last 20 years, the implementation of integrative approaches for children has grown [2,[5][6][7][8][9][10][11][12][13][14][15] worldwide: IM is used in pediatrics in the USA [9,11,[16][17][18][19], in Canada [20] and in Europe [5,8,[21][22][23][24][25] in private practices, outpatient-and inpatient-departments [23]. Current literature suggests that 30-50% of parents of children with acute or chronic diseases use IM for their children [26][27][28][29], while it seems to be used more frequently for children with chronic diseases in the US [16,[30][31][32][33][34][35].…”