Evidence map›Paper›PMID 33499846›Full record

ArticleBMC complementary medicine and therapies2021

Thoughts, beliefs and concepts concerning infectious childhood diseases of physicians practicing homeopathic, anthroposophic and conventional medicine - a qualitative study.

N Mittring-Junghans, C Holmberg, C M Witt, M Teut

Open access · goldAbstract read
In one paragraph

Article in BMC complementary medicine and therapies, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

N Mittring-JunghansInstitute for Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin, Luisenstr. 57, 10117, Berlin, Germany.
C HolmbergInstitute of Social Medicine and Epidemiology, Medical School Theodor Fontane, Brandenburg/Havel, Germany.
C M WittInstitute for Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin, Luisenstr. 57, 10117, Berlin, Germany.
M TeutInstitute for Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin, Luisenstr. 57, 10117, Berlin, Germany. michael.teut@charite.de.ORCID http://orcid.org/0000-0001-7150-7165
Berlin Institute of Health at Charité - Universitätsmedizin Berlin · DEMedizinische Hochschule Brandenburg Theodor Fontane · DE

Funding

Karl und Veronica Carstens-Stiftung n.a.
6 · The paper itself

Abstract

backgroundPhysicians who include complementary medicine in their practice are thought to have an understanding of health and disease different from that of colleagues practicing conventional medicine. The aim of this study was to identify and compare the thoughts and concepts concerning infectious childhood diseases (measles, mumps, rubella, chickenpox, pertussis and scarlet fever) of physicians practicing homeopathic, anthroposophic and conventional medicine.

methodsThis qualitative study used semistructured interviews. Participating physicians were either general practitioners or pediatricians. Data collection and analysis were guided by a grounded theory approach.

resultsEighteen physicians were interviewed (6 homeopathic, 6 anthroposophic and 6 conventional). All physicians agreed that while many classic infectious childhood diseases such as measles, mumps and rubella are rarely observed today, other diseases, such as chickenpox and scarlet fever, are still commonly diagnosed. All interviewed physicians vaccinated against childhood diseases. A core concern for physicians practicing conventional medicine was the risk of complications of the diseases. Therefore, it was considered essential for them to advise their patients to strictly follow the vaccination schedule. Homeopathic-oriented physicians viewed acute disease as a biological process necessary to strengthen health, fortify the immune system and increase resistance to chronic disease. They tended to treat infectious childhood diseases with homeopathic remedies and administered available vaccines as part of individual decision-making approaches with parents. For anthroposophic-oriented physicians, infectious childhood diseases were considered a crucial factor in the psychosocial growth of children. They tended to treat these diseases with anthroposophic medicine and underlined the importance of the family's resources. Informing parents about the potential benefits and risks of vaccination was considered important. All physicians agreed that parent-delivered loving care of a sick child could benefit the parent-child relationship. Additionally, all recognized that existing working conditions hindered parents from providing such care for longer durations of time.

conclusionsThe interviewed physicians agreed that vaccines are an important aspect of modern pediatrics. They differed in their approach regarding when and what to vaccinate against. The different conceptual understandings of infectious childhood diseases influenced this decision-making. A survey with a larger sample would be needed to verify these observations.

Indexed as

AdultAnthroposophyCommunicable Disease ControlCommunicable DiseasesComplementary TherapiesCultureDecision MakingFemaleHomeopathyHumansMaleMiddle AgedPhysiciansPractice Patterns, Physicians'Qualitative ResearchVaccinationanthroposophychickenpoxhomeopathymeaslesmumpsqualitative researchrubellavaccination

Identifiers

PMID33499846
PMCPMC7835107
OpenAlexW3124759108

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.