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Credentialing complementary and alternative medical providers.

David M Eisenberg1, Michael H Cohen, Andrea Hrbek

  • 1Division for Research and Education in Complementary and Integrative Medical Therapies, Osher Institute, Harvard Medical School, Suite 22A, 401 Park Drive, Boston, Massachusetts 02215, USA. Osher_Institute@hms.harvard.edu

Annals of Internal Medicine
|December 18, 2002
PubMed
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Credentialing complementary and alternative medicine (CAM) practitioners faces challenges in ensuring safety and effectiveness. A balanced strategy is needed to protect the public while maintaining patient access to diverse therapies.

Area of Science:

  • Healthcare policy and regulation
  • Complementary and Alternative Medicine (CAM)
  • Professional credentialing standards

Background:

  • Traditional healthcare systems have long-established credentialing for physicians and non-physician providers.
  • The rise in popularity of CAM therapies necessitates new approaches to provider oversight and consumer protection.
  • Existing credentialing models face challenges adapting to the unique nature of CAM practices.

Purpose of the Study:

  • To describe the current landscape and key issues in developing credentialing models for CAM practitioners.
  • To propose a strategic framework for CAM provider credentialing.
  • To inform physicians, administrators, insurers, and professional organizations on CAM credentialing.

Main Methods:

  • Analysis of current credentialing efforts for various CAM professions (chiropractors, acupuncturists, naturopaths, massage therapists).

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  • Review of central issues and debates surrounding CAM provider acceptance, safety, and efficacy.
  • Development of a proposed credentialing strategy balancing public protection and patient access.
  • Main Results:

    • Credentialing CAM providers involves fundamental questions about defining safe, effective, and reimbursable therapies.
    • A need exists for more nationally uniform credentialing mechanisms to ensure consistent care standards and research.
    • Increased standardization may lead to excessive uniformity, potentially altering CAM practices and reducing service individualization.

    Conclusions:

    • Standardized credentialing for CAM practitioners is essential but carries risks of over-standardization.
    • A proposed framework aims to protect the public from harmful practices while ensuring access to safe and effective CAM therapies.
    • Balancing regulation with access is crucial for the integration and acceptance of CAM within the broader healthcare system.