The Current Status and Acceptance of Traditional Medicine of East Asia in the UK
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: Traditional medicine(TM) of East Asia has been taking its status as part of complementary and alternative medicine(CAM) in the UK. However, the efficacy and safety issues make it hard to be accepted in the healthcare system. The aim of the research is to find out the current status of TM of East Asia in the UK and to discuss some issues around its acceptance as formal healthcare method. Methods: Articles, books and regulations related to the acceptance of TM of East Asia were analysed and the internet websites were visited such as Westlaw UK for legal materials, government websites for formal documents, and some UK-based associations. Keyword searches were followed and the essential parts from the articles and documents were generalised for the analysis and discussion. Results: Issues over TM of East Asia include identity as medicine, efficacy and safety, and the statutory regulation can be a measure for the acceptance. Osteopathy and chiropractic therapies came under statutory regulation among the CAM in the UK. Conclusions: TM of East Asia could be under the statutory regulation in the near future. Efficacy and safety issues are the challenging barrier. However, the approach from the viewpoint of TM of East Asia is necessary for development and good practice. The simplified registration procedure for traditional herbal medicinal product in EU can be the model. Education, evaluation, assessment and managing quality of practice are essential for the standard care and formal regulation.
Abstract
Objectives: Traditional medicine(TM) of East Asia has been taking its status as part of complementary and alternative medicine(CAM) in the UK. However, the efficacy and safety issues make it hard to be accepted in the healthcare system. The aim of the research is to find out the current status of TM of East Asia in the UK and to discuss some issues around its acceptance as formal healthcare method. Methods: Articles, books and regulations related to the acceptance of TM of East Asia were analysed and the internet websites were visited such as Westlaw UK for legal materials, government websites for formal documents, and some UK-based associations. Keyword searches were followed and the essential parts from the articles and documents were generalised for the analysis and discussion. Results: Issues over TM of East Asia include identity as medicine, efficacy and safety, and the statutory regulation can be a measure for the acceptance. Osteopathy and chiropractic therapies came under statutory regulation among the CAM in the UK. Conclusions: TM of East Asia could be under the statutory regulation in the near future. Efficacy and safety issues are the challenging barrier. However, the approach from the viewpoint of TM of East Asia is necessary for development and good practice. The simplified registration procedure for traditional herbal medicinal product in EU can be the model. Education, evaluation, assessment and managing quality of practice are essential for the standard care and formal regulation.
참고문헌 (32)
- WHO global atlas of traditional, complementary and alternative medicine: text volume, "Bodeker G", Centre for Health Development, WHO, 114~ (2005)
- Hunt KJ, "Complementary and alternative medicine use in England: results from a national survey", Int J Clin Pract, 64(11), pp.1496~1502 (2010)
- Frass M, "Use and acceptance of complementary and alternative medicine among the general population and medical personnel: a systematic review", The Ochsner Journal, 12(1), pp.45~56 (2012)
- MacPherson H, "Patients seeking care from acupuncture practitioners in the UK: a national survey", Complement Ther Med, 14(1), pp.20~30 (2006)
- Wang ZG, "Current status and future direction of Chinese herbal medicine", Trends Pharmacol Sci, 23(8), pp.347~348 (2002)
- Coulter ID, "The rise and rise of complementary and alternative medicine: a sociological perspective", Med J Aust, 180(11), pp.587~589 (2004)
- Birch S, "Traditional East Asian medicine: How to understand and approach diagnostic findings and patterns in a modern scientific framework?", Chin J Integr Med, 20(5), pp.336~340 (2014)
- Institute of medicine, "Complementary and Alternative Medicine in the United States", pp.19~ (2005), National Academies Press
- Hehir L, "A survey of health professionals’ views about integration of Traditional Chinese Medicine (TCM) Acupuncture into NHS Scotland", European Journal of Integrative Medicine, 4(1), pp.e55~e61 (2012)
- Li WF, "Chinese medicine and its modernization demands", Arch Med Res, 39(2), pp.246~251 (2008)
- Akerele O, "The best of both worlds: bringing traditional medicine up to date", Soc Sci Med, 24(2), pp.177~181 (1987)
- Chau CF, "The development of regulations of Chinese herbal medicines for both medicinal and food uses", Trends Food Sci Technol, 17(6), pp.313~323 (2006)
- Fischer FH, "High prevalence but limited evidence in complementary and alternative medicine: guidelines for future research", BMC complementary and alternative medicine, 14(1), pp.14~46 (2014)
- "DIRECTIVE 2004", 24, pp.2004, ~
- van Galen E, "Traditional herbal medicines worldwide, from reappraisal to assessment in Europe", J Ethnopharmacol, 158(Pt B), pp.498~502 (2014)
- Barnes J, "Quality, efficacy and safety of complementary medicines: fashions, facts and the future. Part I. Regulation and quality", Br J Clin Pharmacol, 55(3), pp.226~233 (2003)
- LA Walker, "UK: the current state of regulation of complementary and alternative medicine", Complement Ther Med, 10(1), pp.8~13 (2002)
- "Policy paper Enabling Excellence: Autonomy and Accountability for Health and Social Care Staff", Department of Health, 18~29 (2011)
- Clarke DB, "No alternative? The regulation and professionalization of complementary and alternative medicine in the United Kingdom", Health Place, 10(4), pp.329~338 (2004)