Paediatric homoeopathy in general practice: where, when and why?

Aims To investigate the extent of homoeopathic prescribing in primary care for childhood diseases and assess GP attitudes towards the use of homoeopathy in children. Methods Homoeopathic prescribing in primary care was assessed in 167 865 children aged 0–16 years for the year 1999–2000. Computerized...

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Veröffentlicht in:British journal of clinical pharmacology 2005-06, Vol.59 (6), p.743-749
Hauptverfasser: Ekins‐Daukes, Suzie, Helms, Peter J., Taylor, Michael W., Simpson, Colin R., McLay, James S.
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container_issue 6
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creator Ekins‐Daukes, Suzie
Helms, Peter J.
Taylor, Michael W.
Simpson, Colin R.
McLay, James S.
description Aims To investigate the extent of homoeopathic prescribing in primary care for childhood diseases and assess GP attitudes towards the use of homoeopathy in children. Methods Homoeopathic prescribing in primary care was assessed in 167 865 children aged 0–16 years for the year 1999–2000. Computerized prescribing data were retrieved from 161 representative general practices in Scotland. Medical attitudes towards homoeopathic prescribing to children were also assessed via a questionnaire survey. Results During the year 1999–2000 22% (36) of general practices prescribed homoeopathic medicines to 190 (1.1/1000 registered) children. The majority of such prescriptions were issued to children under 1 year of age (8.0/1000 registered children). The most frequently prescribed medicines were for common self‐limiting infantile conditions such as colic, cuts and bruises, and teething. A total of 259 completed questionnaires were returned by GPs, giving a response rate of 75%. GPs who frequently prescribed homoeopathic medicines to children (more than 1 per month) were more likely to claim an interest in homoeopathy, have had a formal training and keep up to date in the discipline, and refer on to a homoeopath (P 
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Methods Homoeopathic prescribing in primary care was assessed in 167 865 children aged 0–16 years for the year 1999–2000. Computerized prescribing data were retrieved from 161 representative general practices in Scotland. Medical attitudes towards homoeopathic prescribing to children were also assessed via a questionnaire survey. Results During the year 1999–2000 22% (36) of general practices prescribed homoeopathic medicines to 190 (1.1/1000 registered) children. The majority of such prescriptions were issued to children under 1 year of age (8.0/1000 registered children). The most frequently prescribed medicines were for common self‐limiting infantile conditions such as colic, cuts and bruises, and teething. A total of 259 completed questionnaires were returned by GPs, giving a response rate of 75%. GPs who frequently prescribed homoeopathic medicines to children (more than 1 per month) were more likely to claim an interest in homoeopathy, have had a formal training and keep up to date in the discipline, and refer on to a homoeopath (P &lt; 0.001 for all variables) than those GPs who prescribed less than once a month or never. The majority of GPs who prescribed homoeopathic medicines did so when conventional treatments had apparently failed (76%), while 94% also perceived homoeopathy to be safe. Frequent prescribers reported a more positive attitude towards homoeopathic medicines than those who prescribed less frequently. Non‐prescribers reported a lack of proven efficacy and lack of training as the main reasons for not prescribing homoeopathic medicines (55% and 79%, respectively). However non‐prescribers from within homoeopathic prescribing practices reported a more favourable attitude in general towards homoeopathy and less resistance towards prescribing in the future than non‐prescribers from practices where none of the partners practiced homoeopathy. Conclusions In primary care paediatric prescribing of homoeopathic medicines most commonly occurs for self‐limiting conditions in infants less than 1 year of age. Although the current level of homoeopathic prescribing is low, the widespread use in the community suggests that at least some knowledge of the main indications for homoeopathy and the preparations used would be of benefit to registered medical practitioners.</description><identifier>ISSN: 0306-5251</identifier><identifier>EISSN: 1365-2125</identifier><identifier>DOI: 10.1111/j.1365-2125.2004.02213.x</identifier><identifier>PMID: 15948942</identifier><identifier>CODEN: BCPHBM</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adolescent ; Age Factors ; attitude ; Attitude of Health Personnel ; Biological and medical sciences ; Child ; Child, Preschool ; Drug Prescriptions - statistics &amp; numerical data ; Education, Medical, Continuing ; Family Practice - statistics &amp; numerical data ; Health Care Surveys ; Health Services Research ; Homeopathy - education ; Homeopathy - statistics &amp; numerical data ; homoeopathy ; Humans ; Infant ; Infant, Newborn ; Medical sciences ; Original ; Pharmacology. 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Methods Homoeopathic prescribing in primary care was assessed in 167 865 children aged 0–16 years for the year 1999–2000. Computerized prescribing data were retrieved from 161 representative general practices in Scotland. Medical attitudes towards homoeopathic prescribing to children were also assessed via a questionnaire survey. Results During the year 1999–2000 22% (36) of general practices prescribed homoeopathic medicines to 190 (1.1/1000 registered) children. The majority of such prescriptions were issued to children under 1 year of age (8.0/1000 registered children). The most frequently prescribed medicines were for common self‐limiting infantile conditions such as colic, cuts and bruises, and teething. A total of 259 completed questionnaires were returned by GPs, giving a response rate of 75%. GPs who frequently prescribed homoeopathic medicines to children (more than 1 per month) were more likely to claim an interest in homoeopathy, have had a formal training and keep up to date in the discipline, and refer on to a homoeopath (P &lt; 0.001 for all variables) than those GPs who prescribed less than once a month or never. The majority of GPs who prescribed homoeopathic medicines did so when conventional treatments had apparently failed (76%), while 94% also perceived homoeopathy to be safe. Frequent prescribers reported a more positive attitude towards homoeopathic medicines than those who prescribed less frequently. Non‐prescribers reported a lack of proven efficacy and lack of training as the main reasons for not prescribing homoeopathic medicines (55% and 79%, respectively). However non‐prescribers from within homoeopathic prescribing practices reported a more favourable attitude in general towards homoeopathy and less resistance towards prescribing in the future than non‐prescribers from practices where none of the partners practiced homoeopathy. Conclusions In primary care paediatric prescribing of homoeopathic medicines most commonly occurs for self‐limiting conditions in infants less than 1 year of age. Although the current level of homoeopathic prescribing is low, the widespread use in the community suggests that at least some knowledge of the main indications for homoeopathy and the preparations used would be of benefit to registered medical practitioners.</description><subject>Adolescent</subject><subject>Age Factors</subject><subject>attitude</subject><subject>Attitude of Health Personnel</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Drug Prescriptions - statistics &amp; numerical data</subject><subject>Education, Medical, Continuing</subject><subject>Family Practice - statistics &amp; numerical data</subject><subject>Health Care Surveys</subject><subject>Health Services Research</subject><subject>Homeopathy - education</subject><subject>Homeopathy - statistics &amp; numerical data</subject><subject>homoeopathy</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Medical sciences</subject><subject>Original</subject><subject>Pharmacology. Drug treatments</subject><subject>Physicians, Family - psychology</subject><subject>Practice Patterns, Physicians' - statistics &amp; numerical data</subject><subject>primary health care</subject><subject>Scotland</subject><issn>0306-5251</issn><issn>1365-2125</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1P3DAQhq0KVJaPv1DlUk4k-CN2HKSWwqqllZDgAGdr7ExYr7LJ1s4W9t-TsCugN3yZkeaZ8auHkITRjA3vdJ4xoWTKGZcZpzTPKOdMZE-fyOR1sEMmVFCVSi7ZHtmPcU4pE0zJz2SPyTLXZc4n5MctYOWhD94ls27RYbeEfrZOfJs8YIsBmmQZwPXe4VnyOMOAJ2NpE2iroVmfH5LdGpqIR9t6QO5__byb_k6vb67-TC-uUycpF6kohKSqtFBDwW1eMwE1WqYLpzkvkSMKoDW1rigLxoWltpJSW1ClErKyXByQ75u7y5VdYOWw7YdwZhn8AsLadODN_5PWz8xD988wrXOtiuHA8fZA6P6uMPZm4aPDpoEWu1U0qig5H1IOoN6ALnQxBqxfP2HUjPrN3IyWzWjZjPrNi37zNKx-eR_ybXHrewC-bgGIDpo6QOt8fOOU1kKzMey3DffoG1x_OIC5nN6OnXgGdHagwg</recordid><startdate>200506</startdate><enddate>200506</enddate><creator>Ekins‐Daukes, Suzie</creator><creator>Helms, Peter J.</creator><creator>Taylor, Michael W.</creator><creator>Simpson, Colin R.</creator><creator>McLay, James S.</creator><general>Blackwell Science Ltd</general><general>Blackwell Science</general><general>Blackwell Science Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200506</creationdate><title>Paediatric homoeopathy in general practice: where, when and why?</title><author>Ekins‐Daukes, Suzie ; Helms, Peter J. ; Taylor, Michael W. ; Simpson, Colin R. ; McLay, James S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5023-3735069bafa72b4f13afeb187c8229e2ee3a0f0bc797123b0bd558ba69635db23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Age Factors</topic><topic>attitude</topic><topic>Attitude of Health Personnel</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Drug Prescriptions - statistics &amp; numerical data</topic><topic>Education, Medical, Continuing</topic><topic>Family Practice - statistics &amp; numerical data</topic><topic>Health Care Surveys</topic><topic>Health Services Research</topic><topic>Homeopathy - education</topic><topic>Homeopathy - statistics &amp; numerical data</topic><topic>homoeopathy</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Medical sciences</topic><topic>Original</topic><topic>Pharmacology. Drug treatments</topic><topic>Physicians, Family - psychology</topic><topic>Practice Patterns, Physicians' - statistics &amp; numerical data</topic><topic>primary health care</topic><topic>Scotland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ekins‐Daukes, Suzie</creatorcontrib><creatorcontrib>Helms, Peter J.</creatorcontrib><creatorcontrib>Taylor, Michael W.</creatorcontrib><creatorcontrib>Simpson, Colin R.</creatorcontrib><creatorcontrib>McLay, James S.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of clinical pharmacology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ekins‐Daukes, Suzie</au><au>Helms, Peter J.</au><au>Taylor, Michael W.</au><au>Simpson, Colin R.</au><au>McLay, James S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Paediatric homoeopathy in general practice: where, when and why?</atitle><jtitle>British journal of clinical pharmacology</jtitle><addtitle>Br J Clin Pharmacol</addtitle><date>2005-06</date><risdate>2005</risdate><volume>59</volume><issue>6</issue><spage>743</spage><epage>749</epage><pages>743-749</pages><issn>0306-5251</issn><eissn>1365-2125</eissn><coden>BCPHBM</coden><abstract>Aims To investigate the extent of homoeopathic prescribing in primary care for childhood diseases and assess GP attitudes towards the use of homoeopathy in children. Methods Homoeopathic prescribing in primary care was assessed in 167 865 children aged 0–16 years for the year 1999–2000. Computerized prescribing data were retrieved from 161 representative general practices in Scotland. Medical attitudes towards homoeopathic prescribing to children were also assessed via a questionnaire survey. Results During the year 1999–2000 22% (36) of general practices prescribed homoeopathic medicines to 190 (1.1/1000 registered) children. The majority of such prescriptions were issued to children under 1 year of age (8.0/1000 registered children). The most frequently prescribed medicines were for common self‐limiting infantile conditions such as colic, cuts and bruises, and teething. A total of 259 completed questionnaires were returned by GPs, giving a response rate of 75%. GPs who frequently prescribed homoeopathic medicines to children (more than 1 per month) were more likely to claim an interest in homoeopathy, have had a formal training and keep up to date in the discipline, and refer on to a homoeopath (P &lt; 0.001 for all variables) than those GPs who prescribed less than once a month or never. The majority of GPs who prescribed homoeopathic medicines did so when conventional treatments had apparently failed (76%), while 94% also perceived homoeopathy to be safe. Frequent prescribers reported a more positive attitude towards homoeopathic medicines than those who prescribed less frequently. Non‐prescribers reported a lack of proven efficacy and lack of training as the main reasons for not prescribing homoeopathic medicines (55% and 79%, respectively). However non‐prescribers from within homoeopathic prescribing practices reported a more favourable attitude in general towards homoeopathy and less resistance towards prescribing in the future than non‐prescribers from practices where none of the partners practiced homoeopathy. Conclusions In primary care paediatric prescribing of homoeopathic medicines most commonly occurs for self‐limiting conditions in infants less than 1 year of age. Although the current level of homoeopathic prescribing is low, the widespread use in the community suggests that at least some knowledge of the main indications for homoeopathy and the preparations used would be of benefit to registered medical practitioners.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>15948942</pmid><doi>10.1111/j.1365-2125.2004.02213.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Wiley Online Library Free Content; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adolescent
Age Factors
attitude
Attitude of Health Personnel
Biological and medical sciences
Child
Child, Preschool
Drug Prescriptions - statistics & numerical data
Education, Medical, Continuing
Family Practice - statistics & numerical data
Health Care Surveys
Health Services Research
Homeopathy - education
Homeopathy - statistics & numerical data
homoeopathy
Humans
Infant
Infant, Newborn
Medical sciences
Original
Pharmacology. Drug treatments
Physicians, Family - psychology
Practice Patterns, Physicians' - statistics & numerical data
primary health care
Scotland
title Paediatric homoeopathy in general practice: where, when and why?
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