Aligning Practice, Policy and Education with Evidence in Complementary and Alternative Medicine

A. Rudnick
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Abstract

Complementary and Alternative Medicine (CAM) is commonly used Harris PE, et al [1], but its outcomes are mixed. For example, some prevention remedies such as Echinacea for secondary prevention of common colds have not been shown to be effective [2]. And some treatment interventions such as actual (compared to simulation) acupuncture for alleviation of some types of chronic pain have been shown to be effective [3,4]. The endorsement of CAM as such – by practicing clinicians and others supporting health care such as policy makers and health educators – when it is not rigorously shown to be more effective than placebo or sham/ simulation care, is arguably unethical, as has been demonstrated to be the case with orthomolecular psychiatry [5]. Such endorsement of CAM should thus be addressed from a practice, policy and education perspective.
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将实践、政策和教育与补充和替代医学的证据结合起来
补充替代医学(Complementary and Alternative Medicine, CAM)是一种常用的治疗方法,Harris PE等[1],但其疗效好坏参半。例如,一些预防措施,如紫锥菊对普通感冒的二级预防尚未被证明是有效的[2]。一些治疗干预措施,如实际针灸(与模拟针灸相比)缓解某些类型的慢性疼痛已被证明是有效的[3,4]。实践临床医生和其他支持医疗保健的人,如政策制定者和健康教育者,在没有严格证明比安慰剂或虚假/模拟护理更有效的情况下,对CAM的认可可以说是不道德的,正如正分子精神病学所证明的那样[5]。因此,应该从实践、政策和教育的角度来处理这种对CAM的认可。
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