Complementary Medicine in a Basic Benefit Package (Homoeopathy)
اسلاید 1: The BHF Southern African Conference 22-25 July’07 Sun Citywww.tabaye.ir
اسلاید 2: The BHF Southern African Conference 22-25 July’07 Sun CitySquaringHomoeopathy as an ExampleDr. Neil Gower M.Tech Hom (UJ)HSA National Secretarythe CircleComplementary Medicine in a Basic Benefit Package
اسلاید 3: The BHF Southern African Conference 22-25 July’07 Sun CityCAM ProfessionsAs regulated through the Allied Health Professions Act, 1982 (Act 63 of 1982):PBHNP – Homoeopathy, Naturopathy, PhytotherapyPBCO – Chiropractic, OsteopathyPBAUC – Ayurveda, Unani Tibb, Chinese Medicine and AcupuncturePBARM – Therapeutic: Aromatherapy, Reflexology, Massage Therapythe CircleSquaring
اسلاید 4: The BHF Southern African Conference 22-25 July’07 Sun CityBasic Benefit PackageDEFINE:What are we trying to achieve?What needs are we trying to satisfy?common basic benefit for all South AfricansBearing in mind right to choose and access to healthcareTreatment, maintenance AND preventionSupport Health maintenance / chase our tails? SYSTEMSEssentially: primary healthcare?Established patients of homoeopathy use it for this purposethe CircleSquaring
اسلاید 5: The BHF Southern African Conference 22-25 July’07 Sun CityHomoeopathyTwo definitions:Homoeopathy: a comprehensive system of treatment based on the principle of likes cure likes.Homoeopathy in SA:Inclusive of the use of a variety of medicinal options and applications fulfilling a role of primary contact physicianthe CircleSquaring
اسلاید 6: The BHF Southern African Conference 22-25 July’07 Sun CityHomoeopathic TrainingSouth Africa:M.Tech Hom – only degree permitting registration (since 2000)5 year Masters degreeUniversity of Johannesburg and Durban University of TechnologyAimed at preparing a practitioner for a role in primary healthcare as a first contact and fulfilling the prescribed scope of practicethe CircleSquaring
اسلاید 7: The BHF Southern African Conference 22-25 July’07 Sun CityScope of PracticeAllied Health Professions Act, 1982 (Act 63 of 1982):Section 1 (2): (a) a practitioner may-(i) diagnose, and treat or prevent, physical and mental disease, illness or deficiencies in humans;(ii) prescribe or dispense medicine; or(iii) provide or prescribe treatment for such disease, illness or deficiencies in humans;the CircleSquaring
اسلاید 8: The BHF Southern African Conference 22-25 July’07 Sun CityScope of Practice (Cont…)Allied Health Professions Act, 1982 (Act 63 of 1982):Reg. 28:Subject to the provisions of the Medicines and Related Substances Control Act, 1965, a practitioner registered as a homeopath may, for the purposes of his or her practice‑(a) possess or have under his or her control-(b) prescribe for a patient or supply to a patient-(c) formulate, compound, prepare, manipulate or dispense-the CircleSquaring
اسلاید 9: The BHF Southern African Conference 22-25 July’07 Sun CityScope of Practice (Cont…)Allied Health Professions Act, 1982 (Act 63 of 1982):Reg. 28:Crude substancesHomoeopathic substances (any & all)Vitamins, minerals, supplementsInjectable forms thereofthe CircleSquaring
اسلاید 10: The BHF Southern African Conference 22-25 July’07 Sun CityScope of Practice (Cont…)Allied Health Professions Act, 1982 (Act 63 of 1982):Reg. 47:The following acts are acts specially pertaining to the profession of a homeopath:(a)The physical examination of any person, taking into account the totality of symptoms and the modalities and peculiarities thereof, for the purpose of diagnosing any physical defect, illness or deficiency in such person.(b)The treatment or prevention of any physical defect, illness or deficiency in any person by remedies, dietary advice or dietary supplementation in accordance with and based on homeopathic principles.the CircleSquaring
اسلاید 11: The BHF Southern African Conference 22-25 July’07 Sun CityHomoeopathy?What does it have to offer?Comprehensive system that requires a comprehensive analysisProfound understanding of disease prevention, pathology and its progressionOffers a viable “alternative” for:Acute conditionsChronic conditionsthe CircleSquaring
اسلاید 12: The BHF Southern African Conference 22-25 July’07 Sun CityHomoeopathy? (Cont…)Misunderstandings:“Natural”Ethereal, mysticSeverely limited:SinusitisEczemaAllergiesImmune boostingSafe, easy - picked up from a bookthe CircleSquaringYet at same time “last hope” and “miracle workers” for so many.
اسلاید 13: The BHF Southern African Conference 22-25 July’07 Sun CityHomoeopathy? (Cont…)In fact:Healing mechanism assists natural healing processes iatrogenic effects and persistent side effects are not present. Homoeopathic aggravations can occur but under professional guidance are part of the “healing crisis”Comprehensive system and methodology through precise symptomatology and prescribingthe CircleSquaring
اسلاید 14: The BHF Southern African Conference 22-25 July’07 Sun CityHomoeopathy? (Cont…)In fact (cont…):Every condition is treated – limitations are by way of medical logic: surgical need, end-stage disease, “obstacles to cure”:Infectious diseases, Hormonal imbalances, Pain, Dermatological conditions, Neurological complaints, Cardio-vascular, Respiratory, Arthritis, Blood pressure, Diabetes,, ADHD, Depression, SLE, Hepatitis, Cancer and Aids.Due to its nature requires continuous education, reading: pathology, diagnosis, medicine, pharmacology, homoeopathy, prescription, compounding, dispensing, other CAMsthe CircleSquaring
اسلاید 15: The BHF Southern African Conference 22-25 July’07 Sun CityEvidenceAmerican Journal of Pain Management Osteoarthritic Pain: A Comparison of Homeopathy and AcetaminophenThe investigators conclude that homeopathic treatments for pain in OA patients appear to be safe and at least as effective as acetaminophen, and are without its potential adverse effects including compromise to both liver and kidney function. the CircleSquaringShealy et al.; American Journal of Pain Management; 1998;8:89-91; Osteoarthritic Pain: A Comparison of Homeopathy and Acetaminophen
اسلاید 16: The BHF Southern African Conference 22-25 July’07 Sun CityEvidence (Cont…)British Medical JournalEffect of Homoeopathic Treatment on Fibrositis It showed a significant reduction in tender spots, by 25%, when patients were given the homeopathic medicine, as compared to when they were given the placebo. the CircleSquaringFisher et al.; British Medical Journal; Effect of Homoeopathic Treatment on Fibrositis; August 5, 1989, 299:365-66.
اسلاید 17: The BHF Southern African Conference 22-25 July’07 Sun CityEvidence (Cont…)CHESTInfluence of (homoeopathic) potassium dichromate on tracheal secretions in critically ill patientsCONCLUSION: These data suggest that potentised (diluted and vigorously shaken) potassium dichromate may help to decrease the amount of stringy tracheal secretions in COPD patients.the CircleSquaringM. Frass et al. CHEST, March, 2005; Influence of (homoeopathic) potassium dichromate on tracheal secretions in critically ill patients
اسلاید 18: The BHF Southern African Conference 22-25 July’07 Sun CityEvidence (Cont…)BMC Complementary & Alternative MedHomeopathic and conventional treatment for acute respiratory and ear complaints: a comparative study on outcome in the primary care setting. CONCLUSION: In primary care, homeopathic treatment for acute respiratory and ear complaints was not inferior to conventional treatment. [Ed.: faster improvement in first 7 days; no adverse drug reactions for adult group]the CircleSquaringM. Haidvogl et al. BMC Complement Altern Med. 2007 Mar 2;7:7 Homeopathic and conventional treatment for acute respiratory and ear complaints: a comparative study on outcome in the primary care setting.
اسلاید 19: The BHF Southern African Conference 22-25 July’07 Sun CityEvidence (Cont…)Explore (NY) Efficacy of a complex homeopathic medication (Sinfrontal) in patients with acute maxillary sinusitis: a prospective, randomized, double-blind, placebo-controlled, multicenter clinical trialCONCLUSION: This complex homeopathic medication is safe and appears to be an effective treatment for acute maxillary sinusitis. the CircleSquaringDI Zabolotnyi et al.; Explore (NY) 2007 Mar-Apr;3(2):98-109.; Efficacy of a complex homeopathic medication (Sinfrontal) in patients with acute maxillary sinusitis: a prospective, randomized, double-blind, placebo-controlled, multicenter clinical trial.
اسلاید 20: The BHF Southern African Conference 22-25 July’07 Sun CityEvidence (Cont…)Complementary Therapies in Medicine Homoeopathy in primary care: self-reported change in health status. 1 year after first examination 73.5% of patients reported a marked or moderate improvement in their health status. the CircleSquaringF. Attena et al. Complement Ther Med. 2000 Mar;8(1):21-5. Homoeopathy in primary care: self-reported change in health status.
اسلاید 21: The BHF Southern African Conference 22-25 July’07 Sun CityEvidence (Cont…)Biomedical Therapy Acute Otitis Media in Children: A Comparison of Conventional and Homeopathic Treatment They found that the total recurrences of the homeopathic treated group was .41 per patient, while the antibiotic treatment group was .70 per patient. Of the "homeopathic" children who did have another earache, 29.3% had a maximum of three recurrences, while 43.5% of the "antibiotic" children had a maximum of six recurrences. the CircleSquaringKH Friese et al.; Biomedical Therapy, 60,4,1997:113-116; Acute Otitis Media in Children: A Comparison of Conventional and Homeopathic Treatment
اسلاید 22: The BHF Southern African Conference 22-25 July’07 Sun CityEvidence (Cont…)the CircleSquaringBritish Homeopathic Journal Homeopathy in acute otitis media in children: treatment effect or spontaneous resolution? Pain control was achieved in 39% of the patients after 6 h, another 33% after 12 h. This resolution rate is 2.4 times faster than in placebo controls. There were no complications observed in the study group, and compared to conventional treatment the approach was 14% cheaper. H. Frei et al.; Br Homeopath J. 2001 Oct;90(4):180-2; Homeopathy in acute otitis media in children: treatment effect or spontaneous resolution?
اسلاید 23: The BHF Southern African Conference 22-25 July’07 Sun CityEvidence (Cont…)Homeopathy Pharmacoeconomic comparison between homeopathic and antibiotic treatment strategies in recurrent acute rhinopharyngitis in childrenHomeopathy may be a cost-effective alternative to antibiotics in the treatment of recurrent infantile rhinopharyngitisthe CircleSquaringM. Trichard et al.; Homeopathy. 2005 Jan;94(1):3-9; Pharmacoeconomic comparison between homeopathic and antibiotic treatment strategies in recurrent acute rhinopharyngitis in children
اسلاید 24: The BHF Southern African Conference 22-25 July’07 Sun CityEvidence (Cont…)Homeopathy Adjunctive homeopathic treatment in patients with severe sepsis: a randomized, double-blind, placebo-controlled trial in an intensive care unit. On day 180, survival was statistically significantly higher with verum homeopathy (75.8% vs 50.0%, P = 0.043). CONCLUSION: Our data suggest that homeopathic treatment may be a useful additional therapeutic measure with a long-term benefit for severely septic patients admitted to the intensive care unit. the CircleSquaringM. Frass et al.; Homeopathy. 2005 Apr;94(2):75-80; Adjunctive homeopathic treatment in patients with severe sepsis: a randomized, double-blind, placebo-controlled trial in an intensive care unit
اسلاید 25: The BHF Southern African Conference 22-25 July’07 Sun CityEvidence (Cont…)European Journal of Pediatric SurgeryHomeopathic treatment of children with attention deficit hyperactivity disorder: a randomised, double blind, placebo controlled crossover trial CONCLUSION: The trial suggests scientific evidence of the effectiveness of homeopathy in the treatment of attention deficit hyperactivity disorder, particularly in the areas of behavioural and cognitive functions. the CircleSquaringH. Frei et al.; Eur J Pediatr. 2005 Dec 164(12):758-67; Epub 2005 Jul 27; Homeopathic treatment of children with attention deficit hyperactivity disorder: a randomised, double blind, placebo controlled crossover trial
اسلاید 26: The BHF Southern African Conference 22-25 July’07 Sun CityExamplesThe WHO noted in 19941 that homeopathy had been integrated into the national health care systems of numerous countries, including:GermanyUnited KingdomIndia - AYUSHPakistanSri LankaMexicoPoitevin, B. "Integrating Homoeopathy in Health Systems." Bulletin of the World Health Organization. 1999. 77(2):160-6 the CircleSquaring
اسلاید 27: The BHF Southern African Conference 22-25 July’07 Sun CityExamples (cont…)FranceHomoeopathic treatment reimbursed by French social security systemUnited Kingdom*Homoeopathic treatment reimbursed and part of National Health System BrazilHomoeopathy – recognised speciality by medical authorities since 1992 – forms part of public and community health programmesPoitevin, B. "Integrating Homoeopathy in Health Systems." Bulletin of the World Health Organization. 1999. 77(2):160-6 the CircleSquaring
اسلاید 28: The BHF Southern African Conference 22-25 July’07 Sun CityBasic Benefit PackagePrimary Healthcare:First contactBase Referral System with a recognition of limitations (through education)ComprehensiveSystematicTrustedPrevention – HEALTH based, individualisedthe CircleSquaring
اسلاید 29: The BHF Southern African Conference 22-25 July’07 Sun CitySir William Osler, Father of Modern Medicine (1849 – 1919):“The individual, not the disease, is the entity.”the CircleSquaring
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