Australian Research Centre in Complementary and Integrative Medicine, Faculty of Health, University of Technology of Sydney, Australia.
Faculty of Law, University of Technology Sydney, Australia.
Complement Ther Med. 2018 Apr;37:6-12. doi: 10.1016/j.ctim.2017.12.012. Epub 2018 Jan 30.
This study aims to provide an empirical examination of how complementary medicine practice in Australia is actually regulated under the current national registration model.
Data was obtained from Australian Health Practitioner Regulation Agency (AHPRA) Annual Reports for the years 2011/12-2014/15 and supplemented by the Chinese Medical Registration Board of Victoria (CMRBV) Annual Reports in 2011/12 for Chinese Medicine complaints. The data analysed includes complaint statistics, stage of closure of complaints and the outcome of complaints concerning Chinese medicine, chiropractic and osteopathy under the National Law.
During 2014-2015 the number of complaints per 100 registrants for was highest for the medical board (4.4), while much lower for the chiropractic (1.5), osteopath (0.7) and Chinese medicine (0.5) boards. For conventional boards, 58% of complaints were closed at the assessment stage, while 57%, 29% and 16% of complaints to the osteopath, Chinese medicine and chiropractic boards respectively were closed at the assessment stage. The decision to suspend or cancel registration of health professionals was 17% from the Chinese medicine board, 14% from the Osteopathy Board, 1.5% from the chiropractor board and 0.6% from the medical board.
It appears that complementary medicine practitioner regulation works at least as well as conventional regulation, and at most complementary medicine boards take a stricter interpretation of misconduct though more research would need to be undertaken to state this definitively. Our findings indicate that the public are using the statutory complaint mechanisms available to them with respect to the three CM groups.
本研究旨在实证考察澳大利亚补充医学实践在现行国家注册模式下是如何实际受到监管的。
数据来自澳大利亚卫生从业者监管机构(AHPRA)2011/12 年至 2014/15 年的年度报告,并辅以维多利亚州中医注册局(CMRBV)2011/12 年的年度报告中有关中医投诉的数据。分析的数据包括投诉统计数据、投诉结案阶段以及国家法律下中医、脊骨神经医学和整骨医学投诉的结果。
2014-2015 年,每 100 名注册者的投诉数量最高的是医学委员会(4.4),而脊骨神经医学委员会(1.5)、整骨医学委员会(0.7)和中医委员会(0.5)则低得多。对于常规委员会,58%的投诉在评估阶段结案,而对脊骨神经医学、中医和整骨医学委员会的投诉分别有 57%、29%和 16%在评估阶段结案。暂停或取消卫生专业人员注册的决定来自中医委员会的 17%,来自整骨医学委员会的 14%,来自脊骨神经医学委员会的 1.5%,来自医学委员会的 0.6%。
似乎补充医学从业者的监管至少与常规监管一样有效,而且在大多数情况下,补充医学委员会对不当行为的解释更为严格,尽管还需要进行更多的研究才能明确这一点。我们的研究结果表明,公众正在利用他们对三个中医群体可用的法定投诉机制。