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Informed consent in complementary and alternative medicine.

Opher Caspi1, Tamar Shalom, Joshua Holexa

  • 1Integrative Medicine Unit, Rabin Medical Center and the Tel-Aviv University, Petah Tikva 49100, Israel.

Evidence-Based Complementary and Alternative Medicine : Ecam
|April 21, 2009
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Summary
This summary is machine-generated.

Complementary and alternative medicine (CAM) practitioners show varied approaches to informed consent, with a notable lack of consistent practice standards across modalities. Further research and education are needed to establish clear guidelines for therapeutic informed consent.

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Area of Science:

  • Integrative Medicine
  • Healthcare Ethics
  • Patient Rights

Background:

  • Informed consent is a cornerstone of ethical medical practice.
  • Complementary and alternative medicine (CAM) encompasses diverse therapeutic modalities.
  • The application and standards of informed consent within CAM are not well-defined.

Purpose of the Study:

  • To investigate the attitudes of CAM practitioners towards informed consent.
  • To determine if specific standards of practice for informed consent exist within CAM.
  • To characterize the nature of informed consent processes in CAM.

Main Methods:

  • Qualitative study utilizing face-to-face interviews.
  • 28 non-physician community-based CAM providers were interviewed.
  • Participants represented 11 distinct CAM therapeutic modalities.

Main Results:

  • Significant variability observed in informed consent processes across CAM providers and modalities.
  • No distinct profession-based patterns in informed consent practices were identified.
  • Content analysis revealed five key categories: general attitudes, information exchange, risk disclosure, alternatives, and benefits.

Conclusions:

  • A widespread absence of standardized informed consent practices exists across numerous CAM modalities.
  • Systematic educational, ethical, and judicial interventions are necessary to address this gap.
  • Reshaping informed consent to enhance therapeutic value requires acknowledging current misconceptions and further translational research.