Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), School of Public Health, University of Technology Sydney, Ultimo, Australia.
World Naturopathic Federation, Toronto, Canada.
J Integr Complement Med. 2023 Jun-Jul;29(6-7):386-394. doi: 10.1089/jicm.2022.0665. Epub 2023 Mar 21.
The World Health Organization identified health to be the most important social goal and the 1978 placed primary health care central to its attainment and the UN Sustainable Development Goals (SDGs) as the template. The called on a change of focus in primary care, from treatment of specific diseases to the prevention and inclusion of both scientific and traditional knowledge. Such objectives require public-private partnerships in providing health care, including traditional and complementary medicine systems such as naturopathy that align. However, there is limited understanding of global regulatory frameworks and officially recognized training for naturopathy. This descriptive study employs an adapted mixed-methods explanatory framework to examine naturopathy regulation and education. Analysis merges data arising from a descriptive policy analysis of regulation from 36 countries and survey analysis from 65 naturopathic organizations from 29 countries. Four types of workforce regulation were identified within 107 countries where naturopathy was practiced-statutory registration or occupational licensing, coregulation, negative licensing, and voluntary certification. No form of naturopathic regulation was most common. Higher graduate/postgraduate education and access to a broader range of practices were more frequently reported in countries where naturopathy is statutory regulated. Government audits were more frequently reported where naturopathy was statutory regulated or coregulated. Naturopathic philosophy and practice align with primary health care goals outlined in the The naturopathic workforce represents an untapped health care resource with a demonstrated track record of translating these aspirational goals into practice. However, naturopathy remains inconsistently regulated globally, serving as a significant barrier to partnering with other health system actors to attain the health-related SDGs. Workforce regulation for the naturopathic profession offers increased standards, reduced risks, integrative health workforce planning, and assistance to countries toward achieving the promise of the .
世界卫生组织将健康确定为最重要的社会目标，并将 1978 年的初级卫生保健置于其实现的核心地位，联合国可持续发展目标（SDGs）则是其模板。该组织呼吁将初级保健的重点从治疗特定疾病转变为预防和纳入科学和传统知识。这些目标需要公私合作伙伴关系来提供医疗保健，包括顺势疗法等传统和补充医学系统。然而，对于全球监管框架和官方认可的顺势疗法培训，人们的理解有限。本描述性研究采用了一种经过调整的混合方法解释框架，来研究顺势疗法的监管和教育。分析融合了 36 个国家的监管政策描述性分析和来自 29 个国家的 65 个顺势疗法组织的调查分析数据。在 107 个实施顺势疗法的国家中，确定了四种劳动力监管类型-法定注册或职业许可、共同监管、负面许可和自愿认证。没有一种形式的顺势疗法监管最为常见。在实施顺势疗法法定监管或共同监管的国家，报告的研究生/研究生教育程度更高，可获得更广泛的实践范围。在实施顺势疗法法定监管或共同监管的国家，报告的政府审计更为频繁。顺势疗法的哲学和实践与 1978 年《阿拉木图宣言》中概述的初级卫生保健目标相一致。顺势疗法的劳动力代表了一种未开发的医疗保健资源，具有将这些理想目标转化为实践的记录。然而，全球范围内对顺势疗法的监管仍然不一致，这成为与其他卫生系统行为者合作实现与健康相关的可持续发展目标的一个重大障碍。顺势疗法专业人员的劳动力监管提供了更高的标准、降低了风险、进行整合性卫生劳动力规划，并有助于各国实现《阿拉木图宣言》的承诺。
