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Health Technology Assessment (HTA) and a Map of CAM Provision in the EU

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Health Technology Assessment (HTA) and a Map of CAM Provision in the EU A pan-European research network for Complementary and Alternative Medicine (CAM) Final Report of CAMbrella Work Package 5 (leader: Klaus von Ammon) Health Technology Assessment (HTA) and a map of CAM provision in the EU Klaus von Ammon, Francesco Cardini, Ute Daig, Simona Dragan, Martin Frei- Erb, Gabriella Hegyi, Paolo Roberti di Sarsina, Jan Sørensen, Sorin Ursoniu, Wolfgang Weidenhammer, George Lewith This report is part of a collection of reports created as deliverables of the project CAMbrella funded by the 7th Framework Programme of the European Commission (FP7-HEALTH-2009-3.1-3, Coordination and support action, Grant-Agreement No. 241951, Jan 1, 2010 – Dec 31, 2012); Coordinator: Wolfgang Weidenhammer, Competence Centre for Complementary Medicine and Naturopathy (head: Dieter Melchart), Klinikum rechts der Isar, Techn. Univ. Munich, Germany CAMbrella - Work Package 5 Report Page 2 Klaus von Ammon1, Francesco Cardini2, Ute Daig1, Simona Dragan3, Martin Frei-Erb1, Gabriella Hegyi4, Paolo Roberti di Sarsina5, Jan Sørensen6, Sorin Ursoniu7, Wolfgang Weidenhammer8, George Lewith9: Health Technology Assessment (HTA) and a map of CAM provision in the EU Final Report of CAMbrella Work Package 5 (leader: Klaus von Ammon) 1 Institute of Complementary Medicine, University of Bern, Switzerland 2 Healthcare and Social Agency of Emilia Romagna Region, Bologna, Italy 3 Department of Preventive Cardiology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania 4 PTE ETK Komplementer Medicina Tanszék, University of Pecs, Hungary 5 Permanent Committee of Consensus and Coordination for Non-Conventional Medicine in Italy (ComCAM), Bologna, Italy 6 Centre for Applied Health Services Research (CAST), University of Southern Denmark, Odense, Denmark 7 Department of Public Health, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania 8 Competence Centre for Complementary Medicine and Naturopathy (CoCoNat), Techn. Univ. Munich, Germany 9 Complementary and Integrated Medicine Research Unit, University of Southampton, UK 2013 Contact: Institute of Complementary Medicine, University of Bern, Switzerland http://www.kikom.unibe.ch/content/index_eng.html e-mail: [email protected] CAMbrella - Work Package 5 Report Page 3 Klaus von Ammon, Francesco Cardini, Ute Daig, Simona Dragan, Martin Frei-Erb, Gabriella Hegyi, Paolo Roberti di Sarsina, Jan Sørensen, Sorin Ursoniu, Wolfgang Weidenhammer, George Lewith: Health Technology Assessment (HTA) and a map of CAM provision in the EU Final Report of CAMbrella Work Package 5 (leader: Klaus von Ammon) CAMbrella – A pan-European research network for Complementary and Alternative Medicine (CAM) The goal of this collaboration project was to look into the present situation of CAM in Europe in all its relevant aspects and to create a sustained network of researchers in the field that can assist and carry through scientific endeavours in the future. Research into CAM – like any research in health issues – must be appropriate for the health care needs of EU citizens, and acceptable to the European institutions as well as to national research funders and health care providers. It was CAMbrella’s intention to enable meaningful, reliable comparative research and communication within Europe and to create a sustainable structure and policy. The CAMbrella network consists of academic research groups which do not advocate specific treatments. The specific objectives were • To develop a consensus-based terminology widely accepted in Europe to describe CAM interventions • To create a knowledge base that facilitates our understanding of patient demand for CAM and its prevalence • To review the current legal status and policies governing CAM provision in the EU • To explore the needs and attitudes of EU citizens with respect to CAM • To develop an EU network involving centres of research excellence for collaborative research. Based on this information, the project created a roadmap for research in CAM in Europe. The roadmap sums up and streamlines the findings of the whole project in one document that aims to outline the most important features of consistent CAM research at European level. For other reports of the CAMbrella project which are also available on https://phaidra.univie.ac.at/ see the additional information on the description data (meta-data) of this report. CAMbrella - Work Package 5 Report Page 4 Acknowledgements Special thanks to Marion Caspers-Merk (Kneipp-Bund), Seamus Connolly (EFCAM), Stephen Gordon (ECCH), Nand de Herdt (ECHAMP), Robert Jütte (EICCAM), Walburg Maric-Oehler, (ICMART), Ton Nicolai (ECH), Peter Zimmerman (IVAA), members of CAMbrella Advisory Board; Solveig Wiesener, member of CAMbrella Work Package 2 (legal status); Beate Egger, Kadir Öcer and Sabine Klein, KIKOM University of Bern; Vladimir Lazarevic, Macedonia, and Angeliki Mouzarou and collaborators, Athens, for valuable contributions to this report. We are also grateful for the support by Stefanie Regenfelder and Meike Dlaboha. CAMbrella - Work Package 5 Report Page 5 Table of content Page Executive summary .................................................................................................................... 7 1. Introduction ................................................................................................................ 9 2. Objectives ................................................................................................................... 9 3. Methods .................................................................................................................... 10 3.1 Terminology and Definitions ........................................................................................ 10 3.2 Legal Status and Regulations ........................................................................................ 11 3.3 Search Strategy ............................................................................................................. 11 4. Results ...................................................................................................................... 12 4.1 Literature Search .......................................................................................................... 12 4.2 Classification Proposal .................................................................................................. 12 4.3 Health Organisations .................................................................................................... 13 4.4 Provision – Outpatient Service / Private Practice ........................................................ 14 4.5 Provision – Hospitals .................................................................................................... 16 4.6 General Practitioners’ Attitudes .................................................................................. 16 4.7 CAM Familiarisation - Teaching of Knowledge ............................................................ 17 4.8 CAM Familiarisation - Teaching of Skills ....................................................................... 18 4.9 Research Organisations ................................................................................................ 19 4.10 Provision of Research Funding ..................................................................................... 19 4.11 Manufacturers and Organisations ............................................................................... 20 4.12 Market and Products .................................................................................................... 20 4.13 Reasons for Use ............................................................................................................ 21 4.14 Economic Perspectives ................................................................................................. 23 5. Discussion ................................................................................................................. 23 5.1 Legal Status and Regulation ......................................................................................... 23 5.2 Literature ...................................................................................................................... 24 5.3 Health Organisations .................................................................................................... 24 5.4 Provision – Outpatient Service, Private Practice and Hospitals ................................... 25 5.5 Attitudes ....................................................................................................................... 26 5.6 Teaching ....................................................................................................................... 27 5.7 Research ....................................................................................................................... 27 5.8 Manufacturers, Market and Products .......................................................................... 27 5.9 Reasons for Use ............................................................................................................ 28 CAMbrella - Work Package 5 Report Page 6 5.10 Economic Aspects ......................................................................................................... 28 6. Conclusion ................................................................................................................. 28 References .......................................................................................................................
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