The House of Lords report on complementary medicine: a summary

The House of Lords report on complementary medicine: a summary
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DOI:
10.1054/ctim.2001.0430
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发表时间:
2001-03-01
影响因子:
3.6
通讯作者:
Mills, SY
Mills, SY
中科院分区:
医学3区
文献类型:
--
作者:
Mills, SY

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上议院科学和技术委员会审查了来自各种来源的大量口头和书面证据,以审查CAM。在他们发表的报告中,他们建议将CAM细分为三个业务组。他们指出,公众对CAM的满意度很高,CAM的使用正在增加。需要有证据表明CAM的效果超过安慰剂,一旦提供了这一点,公众应该能够获得它及其潜在的好处。公共利益没有受到保护,目前缺乏监管的CAM,这应该是组织在一个适当的方式,并为每一个治疗。针灸和草药应该受到法律的监管,可能还有非医疗顺势疗法。草药的监管状况尤其不令人满意,应在法律上予以明确和执行。CAM专业人员的培训应标准化和独立认证,对许多人来说,应包括基本的生物医学科学。注册的传统卫生专业人员应该更加熟悉CAM。对CAM的研究需要与传统医学相同的严格性,并就如何鼓励研究提出了建议,包括国家卫生服务和医学研究理事会的泵启动。向公众和卫生专业人员提供的信息不足,并就如何改进提出了建议。那些在最受监管的CAM专业工作的人应该努力与传统医学相结合。(C)2001年哈考特出版社有限公司
The House of Lords Science and Technology Committee reviewed a large amount of oral and written evidence from a wide variety of sources in order to scrutinize CAM. In their published report, they propose that CAM be subdivided into three groups for operational purposes. They note that public satisfaction with CAM is high and use of CAM is increasing. Evidence is required that CAM has an effect above and beyond placebo, and once this is provided the public should have access to it and its potential benefits. Public interest is not protected by the current lack of regulation of CAM, which should be organized in an appropriate way by and for each therapy. Acupuncture and herbal medicine should be subject to statutory regulation, and possibly non-medical homeopathy. The regulatory status of herbal medicines is particularly unsatisfactory, and should be clarified and enforced in law. Training for CAM professionals should be standardized and independently accredited and, for many, should include basic biomedical science. Registered conventional health professionals should become more familiar with CAM. Research into CAM requires the same rigour as is required of conventional medicine, and recommendations are made as to how research could be encouraged, including pump-priming by the National Health Service and Medical Research Council. The provision of information to the public and health professionals is inadequate and recommendations are made on how this should be improved. Those working in the best regulated CAM professions should work towards integration with conventional medicine. (C) 2001 Harcourt Publishers Ltd.