David Tvildiani Medical University, Tbilisi, Georgia.
Tampere University, Tampere, Finland.
Int J Health Plann Manage. 2021 Jul;36(4):1038-1051. doi: 10.1002/hpm.3142. Epub 2021 Mar 18.
International bodies such as the WHO call on member states to regulate and, where possible, integrate Complementary and Alternative Medicine (CAM) into health systems, to the benefit and safety of patients. Research on CAM regulations in the Republic of Georgia has been limited. The aim of this study was to identify key actors and analyse the regulatory environment for CAM in Georgia in its local and international contexts. We conducted a health policy analysis using a triangle framework of content, context and processes. We used data from national government, professional associations and academia; and drew from primary qualitative data of stakeholders' perspectives and needs regarding CAM in Georgia. The several CAM associations we identified have limited capacities for self-regulation. CAM practices are currently not effectively regulated in Georgia, while the government has no expressed intention to develop regulatory frameworks. Georgia's CAM health policy is currently not compliant with WHO and European directives and recommendations. Government, lawmakers, public administration, academia, physicians, non-physician CAM practitioners and other actors should constitute a national working group dedicated to CAM regulations in Georgia to identify, classify CAM practices; and develop core principles for policy making for safe and effective CAM practiced in Georgia's health system.
国际组织，如世界卫生组织（WHO），呼吁成员国对补充和替代医学（CAM）进行监管，并在可能的情况下将其纳入卫生系统，以造福和保障患者的安全。然而，关于格鲁吉亚 CAM 监管的研究一直有限。本研究旨在确定关键行为者，并在地方和国际背景下分析格鲁吉亚的 CAM 监管环境。我们使用内容、背景和过程的三角框架进行了一项卫生政策分析。我们使用了来自国家政府、专业协会和学术界的数据，并借鉴了利益相关者对格鲁吉亚 CAM 的观点和需求的主要定性数据。我们确定的几个 CAM 协会自我监管能力有限。目前，格鲁吉亚没有有效地监管 CAM 实践，而政府也没有表示有意制定监管框架。格鲁吉亚的 CAM 卫生政策目前不符合世界卫生组织和欧洲指令及建议的要求。政府、立法者、公共行政部门、学术界、医生、非医师 CAM 从业者和其他行为者应组成一个国家工作组，专门负责格鲁吉亚的 CAM 监管，以确定、分类 CAM 实践，并为在格鲁吉亚卫生系统中安全有效地实施 CAM 制定核心政策原则。
