Contributed by Ron Gara| 22 March, 2005 14:48 GMT
A team of British researchers has concluded that children -- and, in some cases, their physicians -- may need to be protected from what they term "healthcare consumerism" on the part of persistent parents who lack insight into the true cause of their children's health problems, based on a small study published in Archives of Disease in Childhood.
Based on their findings, the researchers conclude that parents who are intent on exercising their rights as healthcare consumers can be bad for their children's health.
Clinical researchers from the Institute of Child Health and Great Ormond Street Hospital for Children, London, analyzed the health outcomes of 23 children who had been referred between 1997 and 2001.
The children, whose average age was 14, all had been diagnosed with severe abdominal pain, with no obvious organic (physical) cause, which had caused serious disruption in their lives.
They had been given the normal battery of tests for severe abdominal pain, including blood samples, ultrasound and endoscopy, in accordance with clinical guidelines.
Psychological Factors
Fifteen of the children already had seen between two and seven consultants at the time of referral. Seven parents subsequently were unhappy with the choice of investigations and requested other procedures for which there was no accepted indication. Two families had their requests granted through referral elsewhere.
Twelve families made a formal complaint to the hospital or their MP about some aspect of care.
Despite the fact that psychological factors are known to have a role in this condition, only 13 families accepted referral to psychological services. In 12, a significant degree of family conflict/dysfunction and a lack of insight into the consequences of parental behavior on illness pattern were evident.
Eleven of these children improved after psychological support and resumed normal activities within a year.
Lack of Insight
Ten families refused psychological help, and only three of these children eventually improved. In each of these three cases, the families eventually had realized the impact of psychological factors.
The authors suggest that their findings illustrate the dangers of "healthcare consumerism" in families who lack insight into the derivation of their children's symptoms.
"Robust systems are needed to protect the child and perhaps his/her physician from the effects of 'healthcare consumerism,'" they say. |
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