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Outlook > 2008 > February
Complimentary treatment booming
ACCORDING
to the last New Zealand Health Survey, around one quarter of New
Zealanders visited a complementary or alternative health practitioner
in the previous year.
The thriving complementary and alternative medicine (CAM) sector in New
Zealand includes all health systems and practices outside of the
country's mainstream health system.
Leading CAMs are acupuncture, chiropractic practices, herbal medicine, homeopathy, and osteopathy.
If you are looking to practise CAMs in New Zealand, there are a number
of compulsory regulations and voluntary codes governing them that you
need to be aware of.
However, except for chiropractors and osteopaths, there are no specific
government regulations controlling CAM products or practitioners.
Chiropractors have to register with the Chiropractic Board. To
register, you must hold an approved qualification and pay an annual fee.
Registration alone does not permit a chiropractor to practise. You also need an Annual Practising Certificate.
Qualifications needed to practise in New Zealand are:
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For chiropractors trained overseas, a pass in an examination set by the Chiropractic Board.
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Registration with any state or territory authority in Australia.
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A Bachelor of Chiropractic from the New Zealand College of Chiropractic.
For information on registration and the certificate, see the New
Zealand Chiropractic Board website www.chiropracticboard.org.nz.
New Zealand's osteopathic profession is regulated by the Osteopathic
Council. The council oversees registration which includes the scope of
practice, qualifications, competencies and a system for complaints and
discipline. Overseas practitioners (except for some
Australian-registered ones) wanting to work in New Zealand as an
osteopath must pass an entry examination.
The examination comprises a practicum lasting approximately three hours
and is held in New Zealand. Information on how to apply to sit the
examination and more information on the council can be found on the
council's website www.osteopathiccouncil.org.nz
There is also wide range of professional bodies representing other CAM
practitioners and some have put in place voluntary self-regulation. The
New Zealand Charter of Health Practitioners is the largest of these,
representing about 75 per cent of practitioner associations.
The charter has a comprehensive self-regulation protocol. It also has a
code of ethics and standards of practice. A Standards of Practice and
Ethics Committee evaluates any breaches of professional conduct by
chartered health practitioners. (See www.healthcharter. org.nz)
The Code of Health and Disability Services Consumers' Rights applies to
all health professionals, including CAMs. The code sets out 10 rights,
including the right to be treated with respect, to be free from
discrimination or exploitation, to dignity and independence, to
services of an appropriate standard, to give informed consent and to
complain.
Most complaints about the quality of health care and disability
services in New Zealand are dealt with by the office of the Health and
Disability Commissioner which is responsible for the code. It is the
duty of all health providers to comply with the code by ensuring that
they promote awareness of it to consumers and to enable consumers to
exercise their rights.
General regulations covering CAM practitioners relate to:
- Misleading and deceptive conduct and false representations.
- Doctors who also practice CAMs.
- The manufacture, sale and supply of medicines, medical devices and related products.
- Consumer rights.
There are a variety of training institutions in New Zealand offering
courses in CAMs, varying in length from weekend courses to fouryear,
full-time diplomas. Nationally approved courses include training in
natural therapies, aromatherapy, reflexology, remedial body therapies,
homoeopathy, acupuncture and traditional Chinese medicine.
Product controls
CAM products are regulated by different pieces of legislation according
to whether they are defined as a medicine, dietary supplement or food.
Most are marketed as dietary supplements.
Because dietary supplements are classed as foods, it is illegal for
them to be marketed with any therapeutic claims. To make therapeutic
claims, products need
to be assessed and approved as a medicine.
Other general controls on CAM products include:
- Consumer protection legislation, including laws against misleading and deceptive conduct.
- The right of redress by patients if any goods or services don't meet guarantees.
- Laws against misleading labelling,packaging and advertising.
- Restrictions on maximum daily doses and therapeutic claims for dietary supplements.
- A code governing manufacture and dispensing.
The Accident Compensation Corporation, which provides personal injury
cover for all New Zealand citizens, residents and temporary visitors to
New Zealand, subsidises acupuncture, chiropractic and osteopathy
services provided by specified providers. |