Governing complementary and alternative medicine (CAM) in Brazil and Portugal: implications for CAM professionals and the public

Author(s):  
Joana Almeida ◽  
Pâmela Siegel ◽  
Nelson Barros

Sociological research on the governance of complementary and alternative medicine (CAM) in Western societies has vastly increased in the last decades. Yet there has been a less marked expression of qualitative studies which put such governance into comparative perspective. Furthermore, research has shown that CAM regulation in Western countries has been very diverse, and so is probably best conceptualised on a spectrum containing several regulatory models. This chapter investigates CAM’s modes of governance in two historically, culturally and politically related countries, Brazil and Portugal. It analyses the extent to which CAM governance has changed over time in these two countries, the main modes of CAM governance in these same countries, and the implications of these modes of CAM governance for CAM professionals themselves and the public. It is concluded that Brazil and Portugal present some similar patterns in the way they govern CAM, but also contrasting differences, particularly in relation to the status of these therapies within the public and the private health care systems, and the implications of this status for CAM professionals themselves and the wider public.

Author(s):  
Kalpana D. Shere-Wolfe

Complementary and alternative medicine (CAM) is a group of diverse medical and health care systems, practices, and products that are not currently considered part of conventional medicine. If a non-mainstream practice is used together with conventional medicine, it is considered “complementary.” If a non-mainstream practice is used in place of conventional medicine, it is considered “alternative.” Many patients use CAM approaches to their care. Often, patients do not disclose what methods they are using, and providers may have little knowledge of the effects of alternative medications. Interactions with antiretroviral therapy and other medications are important to the care of the patient. Physicians need to routinely ask about CAM use, particularly herbal medicines and supplements.


Research ◽  
2014 ◽  
Vol 1 ◽  
Author(s):  
Said Ibrahim Shalaby ◽  
Mosleh Abd Elrahman Ismail ◽  
Mohammed Salem Nasrallah ◽  
Eman Ebraheem Mahmoud Darwish ◽  
Neelima Gupta

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Bo-Young Youn ◽  
Seongwan Ju ◽  
Shinhyoung Joo ◽  
Hoseok Kang ◽  
Kiyoung Jeon ◽  
...  

The objective of the study was to explore the status of usage of complementary and alternative medicine (CAM) among Korean elite athletes. A survey was emailed to all Korean national sports federations recognized by the International Olympic Committee and the Olympic Council of Asia. A total of 705 Korean elite athletes participated in this study. The athletes had to be any of the following to participate in this survey: elite intercollegiate athletes, professional athletes, and national team athletes. 83.3% of the participants stated that they have previously experienced Korean medicine (KM). Compared to the general population in Korea, athletes had more experience (general population = 73.8%). The participants without experience mentioned that they either did not need any KM treatments (39.8%) or lacked information (39.8%) regarding KM treatments. The primary reason for the utilization of KM was the effectiveness of treatments. Therefore, 70.8% of the participants have mentioned recommending KM to others. Generally, athletes are worrisome that the consumption of herbal medicine may not be doping-free; however, it is vital to note that 62% of the participants expressed that prescribed herbal medicine is safe. Overall, this research demonstrates a high prevalence of KM usage by intercollegiate, professional, and national team athletes in Korea. Hence, this study’s results may serve as the foundation in future research directions for promoting KM among Korean elite athletes.


Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 5558-5558
Author(s):  
Antonia García-Nieto ◽  
F.J. Capote ◽  
M.V. Martín-Reina ◽  
A. Bailén ◽  
M.C. Fernández-Valle ◽  
...  

Abstract The use of complementary and alternative medicine (CAM) is wide-spread among cancer patients. Few studies have investigated the use of CAM by patients with haematological cancer patients in Europe. OBJECTIVE: To investigate the distribution and patterns of CAM use by patients with myeloma or lymphoma. PATIENTS AND METHODS: 103 patients with lymphoma and 23 with myeloma (72 male and 54 female) they have responded a questionnaire on diverse aspects of the use of CAM. RESULTS: Ninety-six patients (76.1%) recognize to have used or to use some type or product CAM: Matricaria chamomilla L. (75,3%), Tilia vulgaris (57.4%), green tea (19.8%), Valeriana officinalis L (17.4%), Royal Jelly (17.4%), soya (16.6%), Brewer’s Yeast (7.9%), wheat germ (6.3%), ginseng (6.3%) and aloe vera (6.3%); Cat’s Claw, Hypericum Perforatum (St. John’s Wort), echinacea, grape seed, milk thistle (Carduus marianum), graviola and marijuana (less of 5%). Forty-nine patients (38.8%) recognize to have practiced or to practice oration (23.8%), relaxation (11.9%), oils massages (9.5%), meditation (6.3%), imposition of hands (3.9%) and yoga (3.9%); music therapy, homeopathy, Shiatsu, acupuncture, therapies through of the movement and the dance, guided imagination, psychotherapy, chiropractic and consult with healer (less of 3%). Visualization, hypnosis, biofeedback, chromotherapy, reflexology, or therapies through humour have not talked about or through Internet. They recognize to look for a complement for the traditional medicine (29.6%), to fight the indirect effect (17.4%) or to have control on the own disease (16.6%) not being felt impassive (23.8%); to content the family (3.1%) or to think that its treatment will be faster (21.4%) is other reasons. In 3.9% they tried to replace the traditional medicine. Only the 30.1% “complementary and alternative medicines” knew the meaning the terms. The 62.6% did not know the qualification of the personnel who sells products or applies treatments to him MAC and 36.6% not informs its doctor that take CAM. Sixty-one percent consider that the public system would have to finance this type of practices. COMMENTARIES: This study contributes data on the use of therapies MAC by patients with myeloma or lymphoma in Spain. The professionals we must make the effort necessary to improve our knowledge of the MAC and the formation of the patients; the MAC that demonstrate to their effectiveness and security would have to be able to integrate themselves to the care of the patients.


2005 ◽  
Vol 23 (1) ◽  
pp. 19-26 ◽  
Author(s):  
Angela SH Yeo ◽  
Jonathan CH Yeo ◽  
Colin Yeo ◽  
Chau Hung Lee ◽  
Lan Fern Lim ◽  
...  

Background In view of the current upsurge of interest in, practice of, and research into, complementary and alternative medicine (CAM) worldwide and locally, a survey was conducted to gauge the understanding, interest and knowledge of CAM amongst medical students in a local university. Methods A total of 555 first to fifth year medical students completed a questionnaire (54% response rate) designed to assess their knowledge, beliefs and attitudes to CAM in general and 16 common CAM therapies. Results Acupuncture was the best known therapy, with 57% claiming to know at least something about it. No students claimed they knew a lot about chiropractic, osteopathy, Ayuverdic medicine, homeopathy and naturopathy, and many had not ever heard of these therapies. Knowledge of commonly held beliefs about the 16 CAM modalities was generally poor, even for modalities which students claimed to know most about. A significant number of students had knowledge about CAM that was erroneous. Lack of scientific support was considered to be the main barrier to implementation of CAM. Attitudes to CAM were positive, with 92% believing that CAM includes ideas and methods from which conventional medicine can benefit, 86% wishing to know more about CAM and 91% stating that CAM would play an important role in their future medical practice. Conclusion As the public's use of various healing practices outside conventional medicine accelerates, ignorance about these practices by the country's future medical practitioners risks broadening the communication gap between the public and the profession that serves them. The majority of medical students recognise this risk and are keen to bridge this gap.


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