In the EU, the attitudes of biomedical professionals, general practitioners, hospital clinicians, nurses, midwives and physio-therapists to CAM seem to form a barrier.
Biomedical professionals lack knowledge and support for citizen’s interest in the use of CAM. The exposed between extent citizens and biomedical professional in use and interest of CAM can be so inconsistently. Studies of CAM including Nissen, N’s review (2012), rates from low disclosure of CAM use in different EU counties, “when the majority of CAM used does not discuss CAM within biomedical practitioners”.
The main attitudes towards CAM are connected with obtaining information form a trustworthy source, and the perspectives on quality of care and safety of CAM practice and product. One of the multiple barriers citizens experience is the cost of CAM treatment paid out from their pocket when CAM is provided in the private sector, although some CAM is treatment reimbursed through insurance schemes (Nissen, Schunder-Tatzber, Weidenhammer, & Johannessen, 2012). Some organizations in New Zealand also assist with the payment of CAM used in acupuncture treatment: ACC covers some of the cost for all injuries; Work and Income New Zealand (WINZ) cover may be eligible for those who are registered with them, if there is referral from a GP. The following organisations also cover all or some of the cost of acupuncture treatment for their employees, etc: NZ Police, NZ Post, Air New Zealand, Kiwi Rail, Veteran’s Affairs, including NZRA members and insurance schemes -Southern Cross Medical Care Society, Health Service Welfare Society (HSWS ) PSIS Health Care , EBS Health Care (Education Benevolent Society) (NZRA,n.d.). In my clinical experience, GPs lack confidence with CAM, especially acupuncture if compared with physiotherapy (Chartered Society of Physiotherapy, 2014), osteopath (Medical News Today, 2014), and chiropractor (World Federation of Chiropractic, 2009). Most GPs prefer to use biomedicine like physiotherapy but use CAM when referring to osteopath or chiropractor or naturopath but some GPs will use acupuncture at a patient’s request. Do GPs really know what those practitioners are good at? Who, or from which discipline, will be the right practitioner to treat their patients? Or maybe they prefer to refer within their own system? In October 2014, “a Washington court injunction banned physical therapists from practicing acupuncture or “Dry Needling” (Media release South Sound Acupuncture Association, 2014). Soon after the bans National Acupuncture for Safety and Integrity (NCASI ), a consumer organization that aims to protect the public, showed the American Association for Justice professional negligence law reporter in “Acupuncturists Sue Chiropractors for Performing Acupuncture Without Adequate Training” that chiropractors only had 100 training hours compared to “Acupuncturists who have a minimum of 1,245 hours of education plus an additional 660 hours of hands-on supervised clinical training, whereas many dry needles have taken only a weekend workshop,” said Dingle. …show more content…
Washington, D.C. Laws & Details Formal Education requirements outlines 500 hours of clinic plus 1,500 hours of apprenticeship training for acupuncturists( Acupuncture Society of Washington, D.C.,2014)Each state has different licensing requirements (Acufinder, 2014);New Zealand schools are similar (Title, Code, Title, Code, & Medicine, n.d. & NZCCM , n.d. ).
I was shocked to learn that, Otago University in NZ offers a Postgraduate Certificate in Physiotherapy (PGCertPhty), a Diploma and Master’s degree in acupuncture; the subject in learning acupuncture for those doing the above degree only add PHTY 548 (Introduction to Musculoskeletal Acupuncture) into their learning which is “taught by distance learning with 3 x 3-day residential blocks” (Otago University, …show more content…
This requirement to enable the gaining of registration as a physiotherapist practicing acupuncture (Scrymgeour, 2000 & PAANZ Document library, 2013).According to Otago University and PAANZ (1990) in learning acupuncture showed inadequate training if compare to New Zealand School Acupuncture of Traditional Chinese Medicine (NZSATCM) & New Zealand College of Chinese Medicine (NZCCM).
Underpinning this, if biomedicine practitioners, GPs, osteopaths, or physiotherapists(MedicineNet.com, 2012) wish to practise in acupuncture, full training must be under taken, and given the limited consultation time should only hold one legislation licence, either Western medicine or Eastern medicine. A practitioner can practice more than one within CAM if qualified. They should not confuse or mislead the patient.
It would be interesting to see osteopaths (Osteo council, 2013) and physiotherapists (Scrymgeour, 2000) perform acupuncture.
Is it acceptable to watch the above practitioners put their hands on acupuncture with a very little