作者: Bettina Schöne-Seifert , Hans-Werner Hense , Lutz Hein , Reiner Leidl , Manfred Anlauf
DOI: 10.3205/000209
关键词:
摘要: This opinion deals critically with the so-called complementary and alternative medical (CAM) therapy on basis of current data. From authors’ perspective, CAM prescriptions most notably extensive endeavours to “integration” into conventional patient care is problematic in several respects. Thus, measures are used, although no specific effects medicines can be proved clinical studies. It extensively explained that methods used this regard those evidence-based medicine, which one indispensable pillars science-oriented medicine. standard proof efficacy fundamentally independent requirement being able explain a manner compatible insights natural sciences, also essential for progress. Numerous treatments however never conceivably satisfy requirement; rather they justified pre-scientific or unscientific paradigms. The high attractiveness evidenced patients many doctors based combination positive expectations experiences, among other things, at times unjustified, thoroughly justified, from view, but non-specific (context effects). With view latter phenomenon, authors consider conscious use as unrevealed therapeutic placebos problematic. In addition, advocate academic medicine should again systematically endeavour pay more attention empathy context service utmost. The subsequent discusses following after an introduction history: definition CAM; common procedures; utilisation costs Germany; characteristics medicine; awareness placebo research; pro contra arguments about CAM, not least all terms aspects related ethics.