1、BS EN 16872:2016Services of Medical Doctorswith additional qualificationin Homeopathy (MDQH) Requirements for health careprovision by Medical Doctorswith additional qualification inHomeopathyBSI Standards PublicationWB11885_BSI_StandardCovs_2013_AW.indd 1 15/05/2013 15:06BS EN 16872:2016 BRITISH STA
2、NDARDNational forewordThis British Standard is the UK implementation of EN 16872:2016. BSI, as a member of CEN, is obliged to publish EN 16872 as a BritishStandard. However, attention is drawn to the fact that during the development of this European Standard, the UK Committee voted against its appro
3、val as a European Standard.It is the opinion of the UK Committee that the document is not inclusive of all UK practitioners of homeopathy as the scope is restricted to doctors with an additional qualification in homeopathy.The UK participation in its preparation was entrusted to Technical Committee
4、CH/100/-/4, Homeopathic Services.A list of organizations represented on this committee can be obtained on request to its secretary.This publication does not purport to include all the necessary provisions of a contract. Users are responsible for its correct application. The British Standards Institu
5、tion 2016.Published by BSI Standards Limited 2016ISBN 978 0 580 88633 1 ICS 03.080.99; 03.100.30; 11.020 Compliance with a British Standard cannot confer immunity from legal obligations.This British Standard was published under the authority of the Standards Policy and Strategy Committee on 30 Novem
6、ber 2016.Amendments/corrigenda issued since publicationDate T e x t a f f e c t e dBS EN 16872:2016EUROPEAN STANDARD NORME EUROPENNE EUROPISCHE NORM EN 16872 October 2016 ICS 03.080.99; 03.100.30; 11.020 English Version Services of Medical Doctors with additional qualification in Homeopathy (MDQH) -
7、 Requirements for health care provision by Medical Doctors with additional qualification in Homeopathy Services de sant des docteurs en mdecine ayant une qualification complmentaire en homopathie - Exigences relatives aux prestations de soins de sant fournies par les docteurs en mdecine ayant une qu
8、alification complmentaire en homopathie Dienstleistungen von rzten mit Zusatzqualifikation in Homopathie - Anforderungen an die Gesundheitsversorgung durch rzte mit Zusatzqualifikation in Homopathie This European Standard was approved by CEN on 6 August 2016. CEN members are bound to comply with the
9、 CEN/CENELEC Internal Regulations which stipulate the conditions for giving this European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references concerning such national standards may be obtained on application to the CEN-CENELEC Management
10、 Centre or to any CEN member. This European Standard exists in three official versions (English, French, German). A version in any other language made by translation under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management Centre has the same status a
11、s the official versions. CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, Former Yugoslav Republic of Macedonia, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Ne
12、therlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and United Kingdom. EUROPEAN COMMITTEE FOR STANDARDIZATION COMIT EUROPEN DE NORMALISATION EUROPISCHES KOMITEE FR NORMUNG CEN-CENELEC Management Centre: Avenue Marnix 17, B-1000 Brussels 2016 CEN All
13、rights of exploitation in any form and by any means reserved worldwide for CEN national Members. Ref. No. EN 16872:2016 EBS EN 16872:2016EN 16872:2016 (E) 2 Contents Page European foreword . 3 Introduction 4 1 Scope 5 2 Terms and definitions . 5 3 Competences . 7 3.1 General 7 3.2 Required knowledge
14、 and understanding . 7 3.3 Required abilities and skills . 8 3.4 Relationship between conventional and homeopathic approaches . 8 4 Clinical practice . 8 4.1 Homeopathic case taking . 8 4.2 Homeopathic case analysis 9 4.3 Follow-up and case management 9 4.4 Requirements for documentation of medical
15、records 9 5 Code of ethics and conduct . 10 5.1 Basic principles . 10 5.2 Principles for the practitioners attitude 10 5.3 Principles for therapeutic action 12 5.4 Principles for day-to-day practice 13 6 Education 14 6.1 General . 14 6.2 Basic requirements of the Homeopathic Education Programme (HEP
16、) 14 6.2.1 Admission requirements . 14 6.2.2 Requirements of the Homeopathic Education Programme (HEP) . 14 6.3 Learning outcomes 14 6.3.1 Main outcomes 14 6.3.2 Required knowledge and skills . 14 6.3.3 Delivery of the Homeopathic Education Programme (HEP) 15 6.4 Examination . 15 6.5 Continuing prof
17、essional development (CPD) 15 6.5.1 CPD for MDQHs 15 6.5.2 CPD of the profession 15 Annex A (normative) Curriculum 16 A.1 Synopsis . 16 A.2 Syllabus 17 A.2.1 General . 17 A.2.2 The care process . 17 A.2.3 Case management and clinical record 18 A.3 Continuing professional development (CPD) 20 A.3.1 C
18、PD for medical doctors 20 A.3.2 CPD of the profession 21 Annex B (informative) Guidelines for examinations 22 Annex C (informative) Recommended list of homeopathic medicine to be taught . 25 Bibliography . 27 BS EN 16872:2016EN 16872:2016 (E) 3 European foreword This document (EN 16872:2016) has bee
19、n prepared by Technical Committee CEN/TC 427 “Project Committee - Services of Medical Doctors with additional qualification in Homeopathy”, the secretariat of which is held by ASI. This European Standard shall be given the status of a national standard, either by publication of an identical text or
20、by endorsement, at the latest by April 2017, and conflicting national standards shall be withdrawn at the latest by April 2017. Attention is drawn to the possibility that some of the elements of this document may be the subject of patent rights. CEN shall not be held responsible for identifying any
21、or all such patent rights. According to the CEN-CENELEC Internal Regulations, the national standards organisations of the following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, Former Yugoslav Republi
22、c of Macedonia, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and the United Kingdom. BS EN 16872:2016EN 16872:2016 (E) 4 Introduction Homeopathy
23、was developed over 200 years ago by a German physician, Dr. Samuel Hahnemann, and has since evolved into a sophisticated practice of case-taking, diagnosis, prescription and long term care management. It is based on the principle of similars “let like cure like” which has been recognized by some phy
24、sicians and philosophers for centuries, but it was Hahnemann who recognized the universality of this principle and made it the basis of a complete system of medicine with an own concept of health and disease described in his standard work Organon of the Medical Art 1. Homeopathy which has evolved fr
25、om and within the science of western, and particularly European, medicine, is practiced nowadays in more than 70 countries worldwide. This European Standard was developed to specify minimum quality standards for homeopathic care in a medical context, ensuring high standards in the education, trainin
26、g and practice of homeopathy by medical doctors. Patients who choose homeopathy should be ensured of the quality and standard of care they will receive. In addition, this standard aims at harmonizing professional standards in homeopathic practice by medical doctors across Europe and integrating high
27、-quality homeopathy into European healthcare. It will help health care leaders to develop solutions that contribute to a broader vision of health and patient autonomy as recommended by the WHO Traditional Medicine Strategy 2014-2023 2. BS EN 16872:2016EN 16872:2016 (E) 5 1 Scope This European Standa
28、rd specifies the minimum requirements for medical doctors with additional qualification in homeopathy and their services. This European Standard is not applicable to services provided by persons not being medical doctors, nor to the preparation of homeopathic medicines, nor to the methodology and pr
29、actice of homeopathic provings. 2 Terms and definitions For the purpose of this document, the following terms and definitions apply. 2.1 acute disease rapid pathological process which has a tendency to finish its course more or less quickly, but always in a moderate time SOURCE: Hahnemann, The Chron
30、ic Diseases: Their Peculiar Nature and Their Homeopathic Cure 2.2 chronic disease disease, often with an imperceptible beginning, which dynamically affects the living organism to gradually deviate from the healthy condition SOURCE: Hahnemann, Organon of the medical art, 72 2.3 constitution pattern o
31、f physical and psychological characteristics that identify an individual, including physical and psychological reactions to stimuli and circumstances that occur in everyday life 2.4 direction of cure progressive improvement in the patients state indicated by directional changes in the disease proces
32、s, namely from above downwards, from within outwards, from more important to less important organs and from the mental level to the physical level, and symptoms resolve in reverse order of their onset Note 1 to entry: Direction of cure may be determined by changes in the disease process. 2.5 general
33、 symptoms generals phenomenon of a disease concerning the patient as a whole relating to more than one area or aspect EXAMPLE Fever, sweat or weakness. 2.6 homeopathic medicine homeopathic medicinal product prescribed according to the principle of similars SOURCE: 2001/83/EC as amended by 2004/27/EC
34、, Art. 1(5) 3 BS EN 16872:2016EN 16872:2016 (E) 6 2.7 homeopathic medicine selection comparison and differentiation of the homeopathic medicines in question in order to find the most appropriate homeopathic medicine for each patient based on the principal of similars 2.8 homeopathic proving method u
35、sed in homeopathy by which the symptom profile of a homeopathic medicine is determined by the administration of doses of the substance in homeopathic potency to healthy volunteers that can elicit symptoms Note 1 to entry: Corresponds to homeopathic pathogenetic trial. 2.9 homeopathy medical approach
36、 aimed at improving the patients health by the administration of homeopathic medicines 2.10 materia medica homeopathica body of collected knowledge about the therapeutic properties of any substance used for healing in homeopathy 2.11 Medical Doctor with additional Qualification in Homeopathy MDQH me
37、dical doctor additionally trained in homeopathy and qualified to integrate homeopathy into patient care within the context of general medical practice, conventional specialist practice or full-time homeopathic practice 2.12 miasmatic theory Hahnemanns theory explaining the aetiology and development
38、of chronic or recurrent disease states which may be acquired or inherited and which may bring about a predisposition to a particular disease 2.13 modality factor which aggravates or ameliorates a symptom or the whole clinical state of a patient 2.14 potency degree to which a homeopathic medicine has
39、 been potentized 2.15 potentization dynamization method of preparing a homeopathic medicine by means of trituration or succussion in between each serial dilution 2.16 principle of similars therapeutic use of substances to treat symptoms similar to those which they can induce in a healthy person BS E
40、N 16872:2016EN 16872:2016 (E) 7 2.17 repertorization technique of using a repertory to identify the homeopathic medicines whose materia medica corresponds most closely to the totality of the symptom picture of the patient 2.18 repertory systematic cross reference of symptoms and disorders to the hom
41、eopathic medicines 2.19 repertory rubric heading in the repertory that links the symptoms or signs or clinical diagnosis to the corresponding homeopathic medicines 2.20 suppression treatment against the direction of cure 2.21 totality of symptoms complete clinical picture including the mental, gener
42、al and local symptoms of the patient 3 Competences 3.1 General Homeopathy offers a different approach to the concept of illness and its relationship to the patient. MDQHs work in the same way as their conventional colleagues but integrate homeopathy into patient care. The MDQH shall bring to the con
43、sultation all the ethical and professional values, competence and responsibilities that are expected of a medical practitioner; forming an all-round assessment of the patients needs, and cooperating with other health care practitioners whose care the patient is already receiving or may need. 3.2 Req
44、uired knowledge and understanding In addition to their conventional training the MDQH shall have knowledge and understanding of: a) the scope and value of homeopathy, and the ability to understand and integrate its contribution into patient care, b) health and of the dynamics of illness, together wi
45、th an extended comprehension of chronic disease, c) communication skills, especially with regard to the characteristics of homeopathic case taking, d) the patient as an individual, e) the individuals capacity for self-regulation and self-healing, and the possibility of stimulating these processes, f
46、) the importance of the therapeutic encounter itself, g) the scientific implications of the subject, its evidence base, and the arguments that underpin it, h) the limitations of homeopathy, BS EN 16872:2016EN 16872:2016 (E) 8 i) the use of homeopathy as a complementary therapy in preventive, prophyl
47、actic and palliative care, and j) the need to operate within a safe medical context and within a broader care plan, which includes, as a must, the knowledge of medical diagnosis, prognosis, and conventional treatments. 3.3 Required abilities and skills The MDQH shall be able to: a) obtain appropriat
48、e informed consent for providing homeopathic care, b) derive comprehensive data since prescribing of homeopathic medicine is based on a holistic assessment, as well as pathological indications, and all aspects of the case and of the patient are important, c) elicit symptoms and identify signs on a p
49、hysical, emotional and mental level using case-taking, examination and all necessary additional analysis to select the homeopathic medicine, d) communicate clearly with patients, their families, and other healthcare professionals, and e) ensure patients are fully informed about their treatment choices and care. 3.4 Relationship between conventional and homeopathic approaches The MDQH chooses the best medical approach for the patient, which may be conventional, homeopathic or both. The MDQH should know the indications and limitations of homeopathy,
