Moss Karen, Boon Heather, Ballantyne Peri, Kachan Natasha
St. Michael's Hospital, 30 Bond Street, Toronto, Ont., M5B 1W8 Canada.
Complement Ther Med. 2007 Dec;15(4):264-70. doi: 10.1016/j.ctim.2007.01.007. Epub 2007 Feb 28.
New Canadian Natural Health Products regulations (NHP regulations) came into law January 1st, 2004 and will be implemented over 6 years. These regulations have the potential to impact a variety of stakeholders, in particular complementary and alternative medicine (CAM) practitioners. In this article, we document Canadian Western herbalist leaders' responses to the new regulations, so as to provide insight into how new healthcare policy serves as a stimulus for the organization of an emerging healthcare profession. The data are derived from key informant interviews with Western herbalist leaders in Canada (n=9). The NHP regulations include "good manufacturing practices" and Western herbalist leaders are concerned that many small companies, often owned and run by Western herbalists, will find the regulations too costly to implement, causing them to reduce the number and diversity of products they manufacture, or go out of business all together. Furthermore, lack of availability of whole plant products could severely restrict the practice of Canadian Western herbalists. In response to this challenge, herbalists are attempting to (i) organize as a more cohesive group, (ii) define their unique body of knowledge and (iii) increase the perceived legitimacy of their practices in the eyes of the public, conventional healthcare practitioners, and regulators, in an attempt to protect their unique practices. An examination of the findings reveals the extent to which external factors (i.e., the new NHP regulations) both provoke and shape the professionalization of this group of healthcare practitioners.
加拿大新的天然健康产品法规(NHP法规)于2004年1月1日生效,并将在6年内实施。这些法规有可能影响到各类利益相关者,尤其是补充与替代医学(CAM)从业者。在本文中,我们记录了加拿大西方草药师领袖对新法规的反应,以便深入了解新的医疗保健政策如何刺激一个新兴医疗保健行业的组织形成。数据来自对加拿大西方草药师领袖的关键信息人访谈(n = 9)。NHP法规包括“良好生产规范”,西方草药师领袖担心许多通常由西方草药师拥有和经营的小公司会发现实施这些法规成本过高,从而导致他们减少所生产产品的数量和种类,或者完全停业。此外,全植物产品供应不足可能会严重限制加拿大西方草药师的业务。为应对这一挑战,草药师们正试图(i)组织成一个更具凝聚力的团体,(ii)界定他们独特的知识体系,以及(iii)在公众、传统医疗从业者和监管者眼中提高他们业务的认可度,以保护他们独特的业务。对研究结果的审视揭示了外部因素(即新的NHP法规)在多大程度上激发并塑造了这群医疗从业者的专业化进程。