School of Nursing, University of British Columbia, Vancouver, BC, Canada.
Faculty of Law, Health Law Institute, University of Alberta, Edmonton, AB, Canada.
Health Soc Care Community. 2022 May;30(3):1163-1181. doi: 10.1111/hsc.13386. Epub 2021 May 26.
Defining alternative health care and the recording of associated adverse events and harm remains problematic. This Canadian study aimed to establish and classify risk-associated alternative health practices in a Delphi study undertaken with an interdisciplinary panel of 17 health experts in 2020. It provides a new functional definition of alternative health care and an initial taxonomy of risk-associated alternative health care practices. A number of risk-associated practices were identified and categorized into general practices that conflict with biomedical care or largely untested therapies, alternative beliefs systems, physical manipulative alternative therapies, and herbal and nutritional supplements. Some risk significant harms including major physical injuries or even death. The lack of systematic methods for recording adverse events in alternative health care makes establishing the frequency of such events challenging. However, it is important that people engaging with alternative health care understand they are not necessarily risk-free endeavours, and what those risks are.
定义替代医疗保健以及相关不良事件和伤害的记录仍然存在问题。这项加拿大研究旨在通过 2020 年与 17 名跨学科健康专家组成的小组进行的德尔菲研究，确定并分类与风险相关的替代健康实践。它提供了替代医疗保健的新功能定义和与风险相关的替代医疗保健实践的初步分类法。确定了一些与风险相关的实践，并将其分为与生物医学护理或未经大量测试的疗法、替代信仰体系、物理操纵替代疗法以及草药和营养补充剂相冲突的一般实践。一些风险会导致严重伤害，甚至死亡。替代医疗保健中缺乏系统的不良事件记录方法，使得确定此类事件的频率具有挑战性。然而，对于接受替代医疗保健的人来说，了解到他们所从事的并非一定没有风险的活动，以及这些风险是什么，这一点很重要。
