Czech-Chinese Center for Traditional Chinese Medicine, University Hospital in Hradec Kralove, Hradec Kralove, Czech Republic; Faculty of Pharmacy in Hradec Kralove, Charles University, Hradec Kralove, Czech Republic.
Department of Private Law and Civil Procedure, Palacky University, Olomouc, Czech Republic.
Health Policy. 2020 Mar;124(3):311-316. doi: 10.1016/j.healthpol.2020.01.009. Epub 2020 Jan 26.
Despite an increased prevalence of complementary and alternative medicine (CAM), its regulation varies from country to country, and no common approach has been adopted. A comprehensive overview is currently lacking of the ways the CAM therapies are regulated based on the criteria derived from the regulations relevant to particular medical professions.
The level of regulation of 100 most commonly used CAM modalities was evaluated according to the criteria based on the requirements for health professionals. A maximum of 10 points were obtainable. Internet searches were conducted from December 2016 to April 2017.
Seventy-two of a total of 98 CAM modalities were selected and evaluated according to the predefined criteria. More than 50 % of criteria were met by 29 % of the CAM modalities. One of the most frequently met criteria was compliance with the requirements for professional practice, and the least often met criterion was registration obligation with a professional organization. The highest average score of 5.6 was received by the CAM category biologically based therapies. The lowest average score of one point was obtained by energy-based medicine.
There is a lack of monitoring and regulating of CAM providers and monitoring the safety of CAM practices based on criteria for health care providers. Professional regulatory guidance is required to ensure the safety and quality of CAM therapies.
尽管补充和替代医学（CAM）的流行率有所增加，但各国对其的监管方式各不相同，也没有采用共同的方法。目前缺乏根据与特定医疗专业相关的法规得出的标准，对 CAM 疗法的监管方式进行综合概述。
根据针对卫生专业人员的要求制定的标准，评估 100 种最常用的 CAM 疗法的监管水平。最高可得 10 分。从 2016 年 12 月到 2017 年 4 月进行了互联网搜索。
根据预先确定的标准，对总共 98 种 CAM 疗法中的 72 种进行了选择和评估。超过 50%的标准由 29%的 CAM 疗法符合。最常符合的标准之一是符合专业实践的要求，最不符合的标准是与专业组织的注册义务。基于生物的疗法 CAM 类别获得了最高平均 5.6 分。能量医学获得了最低平均 1 分。
根据医疗保健提供者的标准，缺乏对 CAM 提供者的监测和监管以及对 CAM 实践安全性的监测。需要专业的监管指导，以确保 CAM 疗法的安全性和质量。
