Acceptance, satisfaction and cost of an integrative anthroposophic program for pediatric respiratory diseases in a Swiss teaching hospital: An implementation report

dc.contributor.authorvon Schoen-Angerer, Tido
dc.contributor.authorVagedes, Jan
dc.contributor.authorSchneider, Romy
dc.contributor.authorVlach, Livia
dc.contributor.authorPharisa, Cosette
dc.contributor.authorKleeb, Simon
dc.contributor.authorWildhaber, Johannes
dc.contributor.authorHuber, Benedikt M.
dc.date.accessioned2024-05-23T18:57:10Z
dc.date.available2024-05-23T18:57:10Z
dc.date.digitized2024-03-17 00:14:50
dc.date.issued2018
dc.description.abstract<p class="" style="white-space:pre-wrap;">For the pilot phase of an integrative pediatric program, we defined inpatient treatment algorithms for bronchiolitis, asthma and pneumonia, using medications and nursing techniques from anthroposophic medicine (AM). Parents could choose AM treatment as add-on to conventional care.</p><h3 style="white-space:pre-wrap;">Material and methods</h3><p class="" style="white-space:pre-wrap;">To evaluate the 18-month pilot phase, parents of AM users were asked to complete the Client Satisfaction Questionnaire (CSQ-8) and a questionnaire on the AM treatment. Staff feedback was obtained through an open-ended questionnaire. Economic data for project set-up, medications and insurance <a href="https://www.sciencedirect.com/topics/nursing-and-health-professions/reimbursement" title="Learn more about reimbursements from ScienceDirect's AI-generated Topic Pages">reimbursements</a> were collected.</p><h3 style="white-space:pre-wrap;">Results</h3><p class="" style="white-space:pre-wrap;">A total of 351 children with bronchiolitis, asthma and pneumonia were hospitalized. Of these, 137 children (39%) received AM treatment, with use increasing over time. 52 parents completed the questionnaire. Mean CSQ-8 score was 29.77 (95% CI 29.04–30.5) which is high in literature comparison. 96% of parents were mostly or very satisfied with AM; 96% considered AM as somewhat or very helpful for their child; 94% considered they learnt skills to better care for their child. The staff questionnaire revealed positive points about enlarged care offer, closer contact with the child, more relaxed children and greater role for parents; weak points included insufficient knowledge of AM and additional nursing time needed. Cost for staff training and medications were nearly compensated by AM related insurance reimbursements.</p><h3 style="white-space:pre-wrap;">Conclusions</h3><p class="" style="white-space:pre-wrap;">Introduction of anthroposophic <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/therapeutic-procedure" title="Learn more about treatments from ScienceDirect's AI-generated Topic Pages">treatments</a> were well-accepted and led to high parent satisfaction. Additional insurance reimbursements outweighed costs. The program has now been expanded into a center for integrative pediatrics.</p><p class="" style="white-space:pre-wrap;">Keywords: Integrative medicine, Complementary medicine, Anthroposophic medicine, Anthroposophy, Pediatrics, Bronchiolitis, Asthma, Pneumonia, Health care quality, Access, Evaluation</p><p class="" style="white-space:pre-wrap;"><strong>Citation:</strong> von Schoen-Angerer, T., Vagedes, J., Schneider, R., Vlach, L., Pharisa, C., Kleeb, S., Wildhaber, J., &amp; Huber, B. M. (2018). Acceptance, satisfaction and cost of an integrative anthroposophic program for pediatric respiratory diseases in a Swiss teaching hospital: An implementation report. <em>Complementary Therapies in Medicine</em>, <em>40</em>, 179–184. <a href="https://doi.org/10.1016/j.ctim.2017.10.005">https://doi.org/10.1016/j.ctim.2017.10.005</a></p>
dc.description.notesfixed
dc.identifier.citationvon Schoen-Angerer, T., Vagedes, J., Schneider, R., Vlach, L., Pharisa, C., Kleeb, S., Wildhaber, J., & Huber, B. M. (2018). Acceptance, satisfaction and cost of an integrative anthroposophic program for pediatric respiratory diseases in a Swiss teaching hospital: An implementation report. Complementary Therapies in Medicine, 40, 179–184. https://doi.org/10.1016/j.ctim.2017.10.005
dc.identifier.doihttps://doi.org/10.1016/j.ctim.2017.10.005
dc.identifier.externalUrl/library/2024/3/16/acceptance-satisfaction-and-cost-of-an-integrative-anthroposophic-program
dc.identifier.urihttps://hdl.handle.net/20.500.14430/539
dc.subject.otherRespiratory illnesses
dc.subject.otherIntegrative medicine
dc.subject.otherhealthcare costs
dc.subject.otherasthma
dc.subject.otherPatient evaluation and satisfaction
dc.subject.otherPediatrics
dc.titleAcceptance, satisfaction and cost of an integrative anthroposophic program for pediatric respiratory diseases in a Swiss teaching hospital: An implementation report
dspace.entity.typePublication
oaire.citation.titleComplementary Therapies in Med
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