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Supplementary methods
According to the Austrian Federal Ministry of Health on its website on complementary and alternative medicine (http://bmg.gv.at/home/Schwerpunkte/Medizin/Komplementaer_Alternativ), a lot of advertising has been done in the media, and it must also be based on the provider’s Economic benefits are assessed. This is why it is extremely important to provide citizens with objective and neutral information.
Because information about complementary medicine and alternative medicine and other complementary treatments means an important aspect of population health literacy, the above pages (and their sub-pages) show which legally regulated health professions and which industries are related to or used in complementary medicine Other complementary treatments. The purpose of the statement announced by the Ministry of Health is to support consumers to make their own decisions to decide whether to approve or disapprove supplemental drugs or other supplemental methods, but does not assess the effectiveness of individual methods (sometimes there are studies that can scientifically prove the required effectiveness) And safety. Generally, it was pointed out from the beginning that Austria diagnoses, treats or treats diseases or disease-related diseases only for the health professionals prescribed by law. Other people are prohibited from engaging in these activities.
The health professional reserved for diagnosis and treatment prescribed by law in Austria, even with the help of complementary medicine or other auxiliary methods, mainly retains the examination of general doctors and specialists for diseases and their treatments that are worthy of diagnosis. The doctor’s reservation is intended to protect patients and ensure the quality of their practice, which also means that doctors in the field of complementary medicine are entitled to the exclusive right to engage in medical activities. The diagnosis and treatment of psychological behavior disorders and painful conditions also belong to the professional scope of psychotherapists, clinical psychologists and health psychologists. Music therapists reserve the right to treat people with abnormal behavior and suffering through the use of music. All measures that promote, maintain, restore or improve health in a holistic sense also belong to the area of activity of health professionals.
Complementary and Alternative Medicine The Federal Ministry of Health favors the term complementary medicine to indicate that these methods should not be considered as alternatives to conventional medicine, and that complementary medicine is defined as a broad discipline and treatment based on the development of other diseases and their treatment model. traditional medicine. By definition, according to the website of the Ministry of Health, they are used in addition to conventional medicine (http://bmg.gv.at/home/Schwerpunkte/Medizin/Komplementaer_Alternativmedizin/Komplementaermedizin_ komplementaere_Methods; see also Dr. Michaela Nos’ complementary cure in Austria Methods and traditional applications Licul: http://bmg.gv.at/cms/home/attachments/0/0/1/CH1092/CMS1311593085442/heilmethoden1.pdf).
Alternative medicine, "Complementary and Alternative Medicine CAM", Holistic Medicine, Integrated Chinese and Western Medicine Therapy, Natural Therapy, Traditional Medicine (e.g. China, Europe, Tibetan) are relevant generic terms used by the Ministry of Health to describe terms of treatment or diagnostic concepts Terminology, therefore, today’s various terms extend to the long-recognized tradition of controversial medical procedures and so-called outsider methods that can be traced back (thus pointing out that their understanding will always be complementary rather than alternative concepts.
In addition to medicine, complementary methods are also used in psychotherapy, clinical psychology, health psychology, and music therapy.
Supplementary methods Based on methodological methods, the following types of supplementary methods have been created on the website of the Ministry of Health: Methods that cause physical changes from thinking or experiencing, such as meditation or relaxation techniques. -Manual methods related to the body, such as alternative massage techniques, shiatsu massage or therapeutic maneuvers-methods based on alternative movement concepts, such as Feldenkrais or Biodanza-Energy therapy with or without mental background, can be used to show special strength Or energy, such as bioresonance, biotensor or Prana energy therapy)-herbal medicine (phytotherapy) and natural remedies combine methods of using herbs or natural substances internally and externally, including herbs, teas, ointments, home remedies, etc. (Note: Contrary to the open statement on the website, no assessment of the listed methods was submitted. The list unilaterally states that the chemical production of pharmaceutical products is based on standardized production, dosage and safety tests, some of which are found in plant ingredients There is no mention of any positive aspects of herbs and their preparations.) Other examples of supplementary methods include:-Human Therapy
Medicines-Homeopathy-European Traditional Medicine (TEM)-Traditional Chinese Medicine (TCM) providers of supplementary medicines and supplementary methods For Providers (http://bmg.gv.at/home/Schwerpunkte/Medizin/Alternative Medicine/Providers)-health professionals regulated by law, businesses and other providers-health professionals regulated by law, pharmacists
-Physicians-Upgraded medical technology services (eg nutritionists, physical therapists)-Health and nursing occupations-Health psychologists-midwives and clinical masseurs-Medical clinicians-Medical clinicians- Medical clinicians masseurs-Music therapy The teacher-psychotherapist-dentist should point out that in Austria, the training of statutory health professional activities is exclusively used by training institutions regulated by relevant occupational and training laws. It can also provide additional training in complementary medicine for doctors (such as the advanced training diploma of the Austrian Medical Association), members of health and nursing services (such as supplementary health, Appendix 1Z 15, 16, 17 GuK-WV), midwives, and physical therapists . According to the website of the Ministry of Health, the facts provided by the training do not indicate the quality of the training or the effectiveness of the method and the level of evidence.
Regulated organizations related to health-eye optics-band experts; orthopedic technology; corset manufacturing-pharmacists-foot care-cosmetics (beauty care)-life and social recommendations including sports science recommendations and nutrition recommendations)- Massage-Dental Technicians In industry, healthy people can use supplemental methods to improve health and promote health or health care. The Business Regulation 1994 exemplifies live business practices not prohibited by law. Commercial regulations are the responsibility of the Federal Ministry of Economic Affairs, Family and Youth.
Members of these industries are not allowed to diagnose, treat or treat diseases or diseases related to the disease. Free trade Energetic activities belong to the field of free trade. Free trade providers do not need qualifications, nor do they possess any skills to identify diseases or disease-related diseases. They must not diagnose, treat or treat diseases or diseases related to them. Other providers who have not completed any training in health professions or industry laws and regulations (such as Turner, psychotherapist, healer, and shaman) also provide supplementary methods. These providers do not guarantee that they will be able to identify diseases or disorders that are worthy of the disease, thereby endangering or harming the patient.
Members of independent industries are prohibited from diagnosing, treating or treating diseases or diseases related to diseases. Legal basis The following legal basis is particularly relevant to the implementation of complementary medicine methods (http://bmg.gv.at/home/Schwerpunkte/Medizin/Komplementaer_Alternativmedizin/Rechtsgrundlagen):
-Ärztegesetz1998-Education and Training Law-Health and Nursing Law-Midwives Law- Kranken- and Kuranstaltengesetz-Medical masseur and rehabilitation masseuse method-MTD method-Music therapy method-Psychologist method-Psychotherapy method-Dentist method Check whether there is a disease or disease-related disease and its treatment or treatment method is reserved for Health professions regulated by law, even if they are performed using complementary medicine or other complementary methods. Others who provide such activities will be sanctioned by law. Business professionals (such as massage, life and social counseling, and energetic humans) are not allowed to make any medical or psychological treatments or clinical psychological diagnoses, and no treatments or therapies that alleviate or cure diseases or disease- related diseases.
http://bmg.gv.at/home/ Schwerpunkte/Medizin/Kompleme ntaer_Alternativmedizin/Komplem entaermedizin_komplementaere_ Methods
http://bmg.gv.at/cms//home/attachments/0/0/1/CH1092/cms1311593085442/heilmethoden
Complementary medicine: Despite the great success, many users are under tremendous pressure. On the occasion of the second Austrian "holistic medicine day", general practitioners warned that the future of complementary medicine procedures will be threatened and affected by the health system Participant discrimination. They called for a greater role in university teaching and research so that Austria would not lose contact internationally. High-quality supplementary medicines should be provided to all populations. This requires adding the cost of supplementary procedures to the health insurance company's expense catalog. This level of costs corresponds to the high expenditures of time and resources that are common in complementary medicine. In the sense of the best possible treatment for patients, it is necessary to seek fair cooperation in holistic medicine between traditional medicine and complementary medicine.
On the occasion of the 2nd Austrian Holistic Medicine Day (July 10), the president of the Austrian Holistic Medicine Umbrella Association Michael Frass. Recently, the coordinated actions of different participants in
the health system have strongly suggested to the public that the success of complementary medical interventions is only a placebo effect. This will give the illusion that the supplementary procedure is invalid. Austria threatened to lose international links. Also in some universities, the sentiment about complementary medicine is increasing. An example of this is the fact that the MedUni Vienna has not held lectures on the subject of complementary medicine for many years: Professor Frass warned that the lack of qualified information about complementary medicine would have a negative impact on students. For example, not knowing the efficacy and contraindications of complementary therapies can lead to adverse interactions between different therapies.
Professor Frass said that Austria is in danger of losing contact internationally. For example, in Germany, the University of Tübingen is currently setting up a chair for complementary medicine. In Switzerland, complementary medicine is part of compulsory education in medical research, and there are many elective subjects for complementary medicine.
Fair cooperation for the benefit of patients, not unreasonable discrimination.
Professor Frass hopes that between traditional medicine and complementary medicine, from the perspective of holistic medicine, in the sense of the best treatment for patients, they should coexist fairly, rather than unreasonably discriminate against complementary medicine. This is particularly the case since 15 different medical diplomas are currently being offered and thousands of doctors have completed them. Professor Frass: A central point of ensuring quality and competence is to restrict the use of holistic medical methods to doctors. Only if they have received profound academic and practical training based on conventional medicine can they ensure that the disease is not neglected or that the necessary treatment is delayed. The survey shows that supplementary procedures are increasingly used in health insurance companies' expense catalogs. As the survey shows, Austria already has 70% to 80% of the population, and it is best to combine traditional medicine and complementary medicine. One goal is to make supplemental medicines available to all people. This is premised on the increasing use of supplementary procedures in the health insurance company's expense catalog, which corresponds to the large amount of time and effort commonly used in complementary medicine.
In Switzerland, for example, health insurance companies are legally obligated to cover the costs of acupuncture, human therapy, homeopathy, phytotherapy, and traditional Chinese medicine. However, many insurance companies are far beyond the scope.
The increased number of beings in universities increases the number of beings through research.
Given the demand and variety of complementary medicine services, it is particularly important to increase the presence of complementary medicine in universities. In fact, scientific research on supplementary procedures can only be carried out in a university environment. Professor Frass: Need to provide sufficient funds and support for complementary medicine research in the university area.
Professor Frass said that holistic medicine has a scientifically understandable foundation, and there is now a lot of research on complementary medical procedures: we strive to find better evidence through research, but for this, we need a suitable structure and a foundation for research funding, unfortunately Yes, this is completely gone. For example, in Germany, media reports indicate that only 0.01% of all research funding for medicine is used to supplement medical research.
The latest evidence and new research results will be published in the Springer Verlag 1,100 Chinese and Western medicine filling methods (Editor: Micheal Frass, Lothar Krenner)
A study on sleep disorders (double-blind, randomized, placebo-controlled) published in India this year, with 60 participants, showed that personalized homeopathy can significantly improve sleep compared to sleep therapy.
Professor Frass said that complementary medicine is an important part of modern diagnostic and therapeutic products. It is both effective and convenient in preventing and treating chronic diseases.
Complementary medicine covers a wide range of disciplines and treatment methods, which are based on different disease development and treatment models than traditional medicine. The range includes completely different methods, from acupuncture and neurotherapy to homeopathy and manipulation to Ayurveda and traditional Chinese medicine (TCM).
B&K Bettschart&Kofler Kommunikationsberatung: zum 2. Österreichischen Tag der Ganzheitsmedizin (10.07.2019)
The first CAM conference in the European Parliament took place in Brussels on 9 October, which, as I said, can be seen as a great success in political work to date. It was officially supported for the first time by the EU CAM. The topic of the conference was "Complementary and Alternative Medicine - Innovation and Added Value for European Healthcare" and was accompanied by a three-day exhibition during which Shiatsu was also presented by the ESF (European Shiatsu Federation) and was organized by EFCAM (European Forum for Complementary and Alternative Medicine) and sponsor was the European Commission. The background of the conference, hosted by MEPs Elena Eana Antonescu (Romania), Sirpa Pietikäinen (Finland) and Alojz Peterle (Slovenia), is that at least 25 percent of the European population is CAM , i.e. complementary and alternative treatment methods - especially at your own expense - On the other hand, it means that 300,000 people all over Europe practice CAM methods, i.e. methods such as acupuncture, aromatherapy, herbal therapy, homeopathy, shiatsu and others. What connects all CAM methods is that they are looking for holistic access to people and their health, their well-being ("they offer a whole person approach to health with a focus on supporting the person's health-maintaining capacities"). The main outcome of the conference, which was jointly organized by interest groups of patients, doctors and (non-medical) practitioners, is that CAM was physically present in Parliament for the first time - largely paid for by the EU Commission and initiated by the three parliamentarians listed above has been. The conference was accompanied by a two and a half day exhibition in which Shiatsu was also demonstrated in concrete terms (see pictures in the official report on the CAM conference).
EFCAM represents CAM in the European Health Policy Forum The European Health Policy Forum (EUHPF) is the most important body to influence EU health policy because it is the important political advisory forum of the DG Sanco (EU Ministry of Health). The EUHPF thus has a direct influence on European health policy (see diagram at www.shiatsu-austria.at/download/documents/EU-Dagramm 2011 (EFCAM) .pdf). Membership in the EUHPF also means an invitation to EU consultations and programs such as AHAIP (Active and Healthy Aging Innovation Partnership). EFCAM is the (only) representative for CAM member of the EU forum on health policy. For 2013 there is an invitation for EFCAM to participate in the working groups "On the effects of the economic crisis on health systems" and to prepare for the next "EU Open Forum on health".
Paradigm shift in EU policy to establish CAM Efforts in relation to EU policy are increasingly moving away from direct political and / or medical recognition of CAM (and thus also Shiatsu), which is currently difficult to achieve in this way the contribution of CAM to the preservation and restoration of health - and thus to a defacto recognition of these methods. This avoids the "medical opposition" and brings us into political and economic partnerships if we make an effective contribution to health and its maintenance - in this way to provide convincing arguments for the recognition and regulation of CAM.
CAM support in the European Parliament On the initiative of three members of the European Parliament, it was possible that the CAM conference mentioned above took place. Fortunately, the number of MPs who are willing to support CAM and / or CAM activities is (meanwhile) larger, if not yet large, and there are efforts to initiate an initiative for CAM.
Health for Growth and Horizon 2020EU programs always run for 5 to 7 years. In the health sector, the next program (for 5 years) under the motto "Health for Growth", for which asbestos (and intentions) exist, is also to give CAM a place. At the research level, the goals for Hoizon 2020 have been formulated for which the wording was introduced "... and to support, integrated care, including interventions of complementary and alternative medicine ..."
Cambrella final reportThe CAMbrella research network (http://www.cambrella.eu/home.php), an EU-funded project, whose aim is to develop a "roadmap" for future research into CAM methods in this regard To what extent complementary and alternative methods are important for the health needs of European citizens had its final conference on November 28th. On November 29, 2012, Guardian Professional published an article by
George Lewith, a professor of health research at the University of Southampton, on CAM research, ie research on complementary and alternative medicine (http://www.guardian.co. uk / healthcare-network / 2012 / nov / 29 / complementary-alternative-medicine-research-regulation) .Lewith refers in his article to the results of CAMbrella. Lewith explains that complementary and alternative methods are used by more than 100 million EU citizens, 9 million of them in Great Britain. And although these applications are so widespread, they are still being discussed controversially: "CAM involves a variety of different medical systems and therapies that are mainly used outside conventional healthcare, but are increasingly being adopted and integrated into healthcare systems; acupuncture and the use of various herbal treatments are good examples. The EU sees the regulation of healthcare as a national responsibility, while medicinal products are all regulated centrally by the European Medicines Agency. There is no common approach to the regulation of CAM practice in the EU; all 39 countries do it their own way. This diversity hampers any efforts to establish good professional regulation, consistent treatment approaches and high quality research. The many patient surveys available suggest that most Europeans want to have access to CAM. People want simple information to be made available about safety and effectiveness and for the products and practitioners to be tr ansparently regulated. " According to Lewith's article, there are an estimated 328,000 CAM providers across Europe, around 150,000 doctors and 178,000 non-doctors, which, however, is incorrect, according to Seamus Connolly, who is the contact person for CAMbrella for EFCAM. Rather, there are evidence that there are around 257,000 CAM practitioners in the EU who are not doctors and possibly up to 100,000 other non-medical practitioners who are not (yet) registered. While CAM methods are being researched with government support in the United States, Australia, China and India, such access is lacking in the European Union. CAM is hardly researched here and therefore needs active support, says Lewith. The fact is that CAM is used by a large number of people on their own responsibility, and it should therefore be a European objective to find out what contribution CAM methods (such as acupuncture, but also Shiatsu - and that is what the European Shiatsu Federation and in further line so that the Austrian umbrella organization ÖDS) can meet the current challenges of the healthcare system. Lewbr goes on to say that CAMbrella therefore suggests in his report that CAM treatments and their benefits are being researched with regard to widespread restrictive chronic and costly illnesses. For this purpose, an "EU research office for CAM" should be created, because "a research-based approach to CAM" is an adequate answer to these questions for both the politically responsible as well as the consumers. Although the article demonstrably contains errors (as exemplified above; but also uses a "narrow" definition of CAM) and its correction has been urged several times (Seamus Connolly, EFCAM), nothing has yet been done on this matter.
A new strategy, especially with EFCAM's access to the European Union Health Policy Forum (EUHPF) and the support of several parliamentarians, gives EFCAM greater influence and access to those responsible for European health policy. This also means adapting the political strategy to the current situation, such as supporting MPs who want to legalize CAM, co-organizing the Open Helath Forum and thus including CAM as a point on the agenda ...
EFCAM and ESF For a long time, the ESF was EFCAM's main financer. Without the contribution of the ESF - and thus ultimately the members of the national associations - political work at the European level would not have been possible, nor would the successes achieved so far. One would have to be more correct to say that lobbying for CAM in this case would have come exclusively from the medical associations - and thus on the basis of a very, as time and again, very narrow definition of CAM, whose methods exclusively (or above all ) are practiced by doctors. At the moment it looks like the other members - probably also in view of the previous successes - are willing to make a larger financial contribution to EFCAM - and will therefore incur less costs for the ESF. A saving that in other important projects - e.g. the joint development (together with the second European Shiatsu Association ISN) of a curriculum based on competencies.
Key points of the argument for political recognition and support for CAMAn important point that speaks for the regulation of CAM at the European level is the fact that CAM is used in Europe by many patients and many users - doctors and non-doctors Up to86 percent of EU citizens, according to the various publications, use CAM, with the majority of the offers being private - that is is offered outside the official health system. And that means that, above all, better-off / better-off people can afford complementary and alternative methods of promoting and maintaining their health - which is fundamentally contrary to the principle of the EU to provide its citizens with equally good access to the best possible health care. At the same time, it contradicts the EU's own health program for 2008 to 2013, which formulates the objective "the program should recognize the importance of a holistic approach to public health and take into account .... complementary and alternative medicine in its actions" . The numbers show - even if CAM is not accessible everywhere and for everyone - that many EU citizens want an informed choice based on clear and easily
accessible information. Such easy access to relevant information about CAM also complies with the current EU health directive to promote people's ability to make good health decisions. Research data suggest that people who use CAM reward the practitioner-client relationship with their holistic and person-centered approach, that they consider CAM to be safe, and that they assess the risks of conventional medicine and alternative methods differently. -> The reliance on private providers, the lack of independent sources with reliable information, as well as the lack of secured data on the security of CAM applications create barriers to access, reliable information and safe, trustworthy treatments. There is no uniform regulation for CAM in Europe. In short, there are as many regulations as there are member states. In some member states, CAM can be practiced by doctors regardless of their training in the specific method. And in most countries, CAM users are tolerated, but without formal recognition or regulation. There are more than 300,000 CAM practitioners and more than 20 CAM methods used across Europe. There are no reliable estimates about other methods and other practitioners. In addition, there are assumed to be 145,000 doctors who offer about 5 CAM methods. There is no harmonization of vocational training for either doctors or non-doctors (practitioners), but some methods have their own voluntary training guidelines that apply across Europe.
These guidelines, which are provided by private trainers (schools) for doctors and non-doctors - university training courses are rare - have very different levels and qualities (and correspond in their requirements from third-level diplomas to master courses). Your goal is to create a framework in which a meaningful training is possible and the resulting safe application of the respective method for patients / consumers (whereby it is understandable that for Reiki, for example, there are different requirements than for herbal medicine, for example) . -> All these factors limit both access and the right to practice CAM as well as transnational access for both practitioners and patients / consumers. The role of CAM and its contributions are more diverse than that of conventional medicine. At CAM, they range from support and instruction for general well-being, health literacy, maintaining good health, avoiding illnesses (especially chronic illnesses), treating a wide range of illnesses, palliative medicine and supporting people at the end of their lives. In contrast to conventional medicine, the primary focus is not on the disease, rather, CAM focuses on health and its maintenance. Research shows that being self empowered and being an equal partner in the health process are essential factors in taking healthy measures and choosing safer or more effective treatments (for those with existing illnesses). Individual CAM applications can increase effectiveness, just as Shiatsu, for example, strengthens health and health literacy, but can also support illnesses. In addition, there is still weak, but increasing evidence of the cost effectiveness of CAM. Specialists in the health system are often insufficiently informed about CAM, its possibilities, its contributions accompanying conventional treatment and its general safety. There are many prejudices and few facts here. CAM can be used independently of conventional medicine or as an adjunct. Here too, research shows that EU citizens want to have the choice and, if necessary for the patient, also to accompany conventional medicine. Many CAM providers and consumers believe that CAM integrated into conventional medicine at least partially loses its attractiveness and effectiveness, but want to use CAM parallel to conventional treatments if it is for the best of the patient / consumer. All of these main concerns are interrelated, intertwined, as it were: Equal access for all citizens is based on correct and easily accessible information, accredited and well-trained providers as well as appropriate application accompanying conventional treatment. The fact that there are sufficiently accredited and well-trained providers depends in turn on appropriate regulations and on accessible, clear information for the political actors / decision-makers. The use of CAM accompanying conventional medicine now depends on sensible regulations and solid information ...-> Political initiatives must therefore address and take into account all aspects in order to be effective. "
Shiatsu-Newsletter 202/2013(c)Dr. Eduard Tripp : CAM-Konferenz 2012
Medicine
