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上议院关于补充医学的报告:总结

The House of Lords report on complementary medicine: a summary.

作者信息

Mills S Y

机构信息

Department of Library Learning, University of Exeter, Exeter, UK.

出版信息

Complement Ther Med. 2001 Mar;9(1):34-9. doi: 10.1054/ctim.2001.0430.

DOI:10.1054/ctim.2001.0430
PMID:11264968
Abstract

The House of Lords Science and Technology Committee reviewed a large amount of oral and written evidence from a wide variety of sources in order to scrutinize CAM. In their published report, they propose that CAM be subdivided into three groups for operational purposes. They note that public satisfaction with CAM is high and use of CAM is increasing. Evidence is required that CAM has an effect above and beyond placebo, and once this is provided the public should have access to it and its potential benefits. Public interest is not protected by the current lack of regulation of CAM, which should be organized in an appropriate way by and for each therapy. Acupuncture and herbal medicine should be subject to statutory regulation, and possibly non-medical homeopathy. The regulatory status of herbal medicines is particularly unsatisfactory, and should be clarified and enforced in law. Training for CAM professionals should be standardized and independently accredited and, for many, should include basic biomedical science. Registered conventional health professionals should become more familiar with CAM. Research into CAM requires the same rigour as is required of conventional medicine, and recommendations are made as to how research could be encouraged, including pump-priming by the National Health Service and Medical Research Council. The provision of information to the public and health professionals is inadequate and recommendations are made on how this should be improved. Those working in the best regulated CAM professions should work towards integration with conventional medicine.

摘要

上议院科学与技术委员会审查了来自广泛来源的大量口头和书面证据,以便对补充替代医学(CAM)进行详细审查。在其发布的报告中,他们建议为便于操作将补充替代医学细分为三组。他们指出公众对补充替代医学的满意度很高,且补充替代医学的使用正在增加。需要有证据表明补充替代医学具有超出安慰剂的效果,一旦有了这样的证据,公众就应该能够使用它并从中受益。目前补充替代医学缺乏监管,这无法保障公众利益,每种疗法都应由相关方面并为相关方面以适当方式进行管理。针灸和草药医学应受到法定监管,顺势疗法可能也应如此。草药医学的监管状况尤其不尽人意,应在法律上予以明确并加强执行。补充替代医学专业人员的培训应标准化并获得独立认证,对许多人来说,培训应包括基础生物医学科学。注册的传统健康专业人员应更熟悉补充替代医学。对补充替代医学的研究需要与传统医学研究一样严格,报告还就如何鼓励开展此类研究提出了建议,包括由国家医疗服务体系和医学研究理事会提供启动资金。向公众和健康专业人员提供的信息不足,报告也就如何改善这一情况提出了建议。那些从事监管最完善的补充替代医学专业的人员应努力与传统医学相结合。

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Semin Urol Oncol. 2001 Nov;19(4):257-69.
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Integration and reimbursement of complementary and alternative medicine by managed care and insurance providers: 2000 update and cohort analysis.管理式医疗和保险提供商对补充和替代医学的整合与报销:2000年更新及队列分析
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