Munster circle

from Wikipedia, the free encyclopedia

The Münsteraner Kreis is an interdisciplinary association of 17 personalities from different disciplines with expertise in the field of complementary and alternative medicine (KAM) . He advocates a consistent evidence base within the public health system and the independent medical professions. The circle's criticism is particularly directed against homeopathy and the current training as a naturopath . He has published a memorandum on each of these two topics .

description

The Münsteraner Kreis is dedicated to complementary and alternative medicine (KAM) within the public health system and the state-approved practice of medicine. In addition to medical considerations, the group also wants to include ethical, scientific theory, psychological and legal aspects in its considerations. With his work he intends to contribute to the public discourse about the KAM and its role in the health care system. The work of the circle is not financially supported by third parties.

history

The merger to form the Münsteraner Kreis took place in June 2016 on the initiative of medical ethicist Bettina Schöne-Seifert from the Westphalian Wilhelms University of Münster. He first appeared publicly in July 2017 with the so-called Münsteraner Memorandum Heilpraktiker, a theses paper on the problem of the health practitioner status in Germany. The establishment of the Münsteraner Kreis received wide media coverage in connection with the publication of the memorandum.

aims

The initiator stated that the aim was to “sound out how a health system based on solidarity should deal responsibly and fairly with the clash between dangerous pseudoscience and self-determination. To put it clearly: We did not want to accept the current madness any longer. ”The Munsteraner Kreis sees irreconcilable parallel worlds in the existence of academic medicine on the one hand and the sphere of complementary and alternative medicine (KAM) on the other. While academic medicine strives for evidence-based and justified progress, alternative practitioners are anchored in the predominantly unscientific world of thought of complementary and alternative medicine (KAM). For many years there have been repeated, sometimes intensive, discussions on the subject of complementary and alternative medicine. Numerous clinical studies have been carried out on the hundreds of procedures, but their quality is often very poor. Convincing evidence of effectiveness would mostly be lacking. In addition, the traditional disease concepts and interventions of the KAM often contradict fundamental scientific findings.

activities

The activities of the Münsteraner Kreis aim to provide impetus in the context of public discourse and with regard to health policy under the aspect of quality assurance and thus patient protection. The district understands the “Münsteraner Memorandum Heilpraktiker” as a first concrete activity in the overall framework.

Münster memorandum alternative practitioners

As the first work result of the Münsteraner Kreis, the "Münsteraner Memorandum Heilpraktiker" was published on August 21, 2017 as a full text in Deutsches Ärzteblatt and on the initiative's website.

The Memorandum locates the application of methods of complementary and alternative medicine without scientific proof of benefit mainly in the field of alternative practitioners. The Münster district does not consider the low admission requirements and the lack of training requirements for "practicing medicine without appointment" (the legal designation of alternative practitioner activity), in particular the minimal technical requirements compared to a scientific medical degree, to be justifiable. Based on these premises, the memorandum sees potential for harm to patients when such methods are used by both alternative practitioners and doctors. Against this background, the memorandum deals with the question of how a regulatory framework could be created within the framework of weighing up patient autonomy and therapy freedom, but also under the aspect of fairness within solidarity health insurance.

As a solution, the memorandum suggests the abolition of the previous alternative practitioner construct or the creation of a "specialist alternative practitioner" with a clearly defined scope of activity and training at the technical college level. The reactions in the media, in specialist publications and from the organized medical profession and also from the field of alternative practitioners and their interest groups were varied.

The memorandum will also be discussed in the context of the proposals of the federal-state draft under the leadership of the Ministry of Health for a reform of the medical practitioner examination.

The German Network for Evidence-Based Medicine (DNEbM) took up the content of the Münster Memorandum in a statement dated October 24, 2017. In it, the DNEbM declares its clear preference for the abolition of the state permit to practice medicine as a non-medical practitioner. With consistent evidence-based evidence in all health professions, it does not recognize a sufficient basis for a qualifying course to become a "specialist medical practitioner", as the Münster Memorandum considers an alternative to be conceivable, nor does it provide a solution to the qualification problem. The DNEbM also sees little point in the professional profile of specialist naturopaths because, in its view, the possibilities of transferring medicine in model projects according to the Nursing Development Act of 2008 and the Medical Transfer Directive of the Joint Federal Committee (according to Section 63, Paragraph 3c of the Social Code Book V) exist to nursing professionals and the potential this offers transferring healing activities to nursing is by no means exhausted.

Münster Memorandum Homeopathy

In February 2018, the Münsteraner Kreis asked the 121st German Medical Association to delete without replacement the additional designation "Homeopathy", which had previously been awarded to doctors by the medical associations for advanced training in homeopathy .

Since homeopathy does not rely on pharmacologically and physiologically plausible active ingredients, but on immaterial, spirit-like active forces, it must be classified as esoteric. In addition, hundreds of clinical studies and numerous reviews for homeopathy would have resulted in negative assessments from national and international bodies.

The Münster circle stated that the homeopathy number was often used in everyday care as a substitute for the lack of billing ability of medical communication, and warned against apparently "repairing" the problems of scientific medicine in an unscientific parallel world. Rather, these would have to be resolved within scientific medicine. Even the administration of homeopathic medicines as covert placebos should be rejected because it violates the patient's right to honest information and at the same time adele and maintain a 'parallel medicine'.

Even in the run-up to the 121st German Medical Congress, the homeopathy memorandum met with concerns. The President of the Westphalia-Lippe Medical Association demanded that the health insurance companies should no longer reimburse the costs of homeopathy as part of statutory benefits. However, he refused to abolish the additional designation, since otherwise homeopathy would end up in the hands of non-medical professional groups. On May 11, 2018, the Doctors' Day confirmed the additional designation "Homeopathy".

Members

The following members currently belong to the Münsteraner Kreis (as of August 2017):

  • Manfred Anlauf, member of the BÄK Medicines Commission; Bremerhaven
  • Norbert Aust, Information Network Homeopathy; Schopfheim
  • Hans ‐ Werner Bertelsen , Dental Practice; Bremen
  • Juliane Boscheinen, lawyer, Institute for German, European and International Medical Law, Health Law and Bioethics, University of Mannheim
  • Edzard Ernst , University of Exeter
  • Daniel R. Friedrich , Institute for Ethics, History and Theory of Medicine, University of Münster
  • Natalie Grams , Society for the Scientific Study of Parascience; Rossdorf
  • Paul Hoyningen ‐ Huene , Central Institution for Philosophy and Ethics of Science, University of Hanover
  • Jutta Hübner , endowed professor for integrative oncology of the German Cancer Aid at the Jena University Hospital
  • Peter Hucklenbroich, Institute for Ethics, History and Theory of Medicine, University of Münster
  • Heiner Raspe , (Institute for Social Medicine, University of Lübeck); Institute for Ethics, History and Theory of Medicine, University of Münster
  • Jan ‐ Ole Reichardt, Institute for Ethics, History and Theory of Medicine, University of Münster
  • Norbert Schmacke , Health Services Research, Institute for Public Health and Nursing Research, University of Bremen
  • Bettina Schöne-Seifert , Chair for Medical Ethics, University of Münster
  • Oliver R. Scholz, Philosophical Seminar, Theoretical Philosophy, University of Münster
  • Jochen Taupitz , Institute for German, European and International Medical Law, Health Law and Bioethics, University of Mannheim
  • Christian Weymayr , freelance science and medical journalist; Herne

literature

Franz-Josef Hücker: Patient safety in difficulties. In Berlin there was a dispute about the future of the Heilpraktikergesetz. In: Sozial Extra 2 2019, 43rd year (VS Verlag, Springer Fachmedien DE, Wiesbaden), pp. 141–143.

Web links

Individual evidence

  1. ↑ a b Expert group proposes a comprehensive reform of the naturopathic profession. Retrieved September 9, 2017 .
  2. ↑ Doctors demand: Abolish alternative practitioners or better train them . In: Medscape . ( medscape.com [accessed September 9, 2017]).
  3. ↑ Doctors newspaper: Alternative medicine: Call for consistent patient protection. Retrieved September 9, 2017 .
  4. ^ SPIEGEL ONLINE, Hamburg Germany: Doctors and scientists call for the abolition of the naturopathic profession. Retrieved September 9, 2017 .
  5. ↑ "Madness": Should the naturopathic profession be abolished in Germany? In: stern.de . August 25, 2017 ( stern.de [accessed September 9, 2017]).
  6. ↑ "Why are there still naturopaths at all?" - DocCheck News . In: DocCheck News . ( doccheck.com [accessed September 9, 2017]).
  7. ↑ Kathrin Zinkant: Regulated training . In: sueddeutsche.de . August 21, 2017, ISSN  0174-4917 ( sueddeutsche.de [accessed September 9, 2017]).
  8. ↑ Against the "madness": Scientists call for the abolition of the naturopathic profession. Retrieved September 9, 2017 .
  9. ↑ heise.de. Peter Mühlbauer: Clash between dangerous pseudoscience and self-determination. August 23, 2017. Retrieved September 9, 2017 .
  10. ↑ Christian Weymayr: Münster district. Retrieved September 9, 2017 .
  11. ↑ § 1 HeilprG. Retrieved September 9, 2017 .
  12. ↑ Interview by Kim Björn Becker: Heilpraktiker: An inadmissible profession? In: sueddeutsche.de . August 24, 2017, ISSN  0174-4917 ( sueddeutsche.de [accessed September 9, 2017]).
  13. ↑ Against the "madness": Scientists call for the abolition of the naturopathic profession. Retrieved September 9, 2017 .
  14. ↑ Kathrin Zinkant: First physiotherapist, then alternative practitioner . In: sueddeutsche.de . August 21, 2017, ISSN  0174-4917 ( sueddeutsche.de [accessed September 9, 2017]).
  15. ↑ Deutschlandfunk: "Unsustainable Disease Concepts" - Interview with Bettina Schöne-Seifert - mp3. (No longer available online.) August 22, 2017, archived from the original on August 25, 2017 ; accessed on September 9, 2017 . Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. @1@ 2Template: Webachiv / IABot / ondemand-mp3.dradio.de
  16. ↑ Avoxa ?? Mediengruppe Deutscher Apotheker GmbH: Pharmaceutical newspaper online: Medical experts want to get rid of the naturopathic profession. Retrieved September 9, 2017 .
  17. ↑ When the "reincarnation therapist" railed against education . ( hpd.de [accessed on September 9, 2017]).
  18. ↑ RP ONLINE: Munster Memorandum: Medical experts call for reform of the law on alternative practitioners. Retrieved September 9, 2017 .
  19. ↑ # gmp-09 Interview with Christian Weymayr on the Münster memorandum #Heilpraktikalypse, Nobel Prize, drug prices and platinum catchers vs vacuum cleaners. Retrieved October 9, 2017 .
  20. ^ Health city Berlin: Experts call for reform of the naturopathic profession | Health city Berlin . In: Health City Berlin . ( Gesundheitsstadt-berlin.de [accessed October 30, 2017]).
  21. ↑ Hinnerk Feldwisch-Drentrup, editor DAZ.online: Experts call for the abolition or reform of the naturopathic profession . In: DAZ.online . August 21, 2017 ( deutsche-apotheker-zeitung.de [accessed September 9, 2017]).
  22. ↑ Press release / News - Medical Association Westphalia-Lippe. Retrieved September 9, 2017 .
  23. ↑ Doctors newspaper: Alternative medicine: Call for consistent patient protection. Retrieved September 9, 2017 .
  24. ↑ Doctors newspaper: Scientists demand: Away with the naturopathic profession! Retrieved September 9, 2017 .
  25. ↑ BDH rejects criticism of the naturopathic profession in Germany - BDH . In: BDH . August 23, 2017 ( bdh-online.de [accessed September 9, 2017]).
  26. ↑ Alternative practitioner psychotherapy - abolish or upgrade? - Comment on: health check. Retrieved September 9, 2017 .
  27. ^ First physiotherapist, then alternative practitioner . In: sueddeutsche.de . August 21, 2017, ISSN  0174-4917 ( sueddeutsche.de [accessed September 9, 2017]).
  28. ↑ Avoxa ?? Mediengruppe Deutscher Apotheker GmbH: Pharmaceutical newspaper online: Heilpraktiker reject “undifferentiated general criticism”. Retrieved September 9, 2017 .
  29. ^ Deutsche Welle (www.dw.com): Heilpraktiker: "The Münster Memorandum is teeming with errors" | Knowledge & Environment | DW | 08/23/2017. Retrieved September 9, 2017 .
  30. ↑ Deutsches Ärzteblatt online: Alternative practitioner examinations: draft reform for the German Medical Association ... Ed .: Deutscher Ärzteverlag GmbH. October 17, 2017 ( aerzteblatt.de [accessed October 17, 2017]).
  31. ^ Federal Medical Association: Statement by the Federal Medical Association on the draft notice of guidelines for the review of alternative practitioner candidates. German Medical Association, October 13, 2017, accessed on October 17, 2017 .
  32. ↑ German Network Evidence-Based Medicine: Statement on the Münster Memorandum Heilpraktiker. October 24, 2017. Retrieved November 17, 2017 .
  33. ↑ Federal Joint Committee: Transfer of medical activities to trained nursing staff as part of model projects. Federal Joint Committee, December 4, 2014, accessed on November 17, 2017 .
  34. ↑ Memorandum Homeopathy. Retrieved May 5, 2019 .
  35. ↑ Deutscher Ärzteverlag GmbH, editorial office of the Deutsches Ärzteblatt: Medical Association Westphalia-Lippe against the abolition of the additional designation ... April 16, 2018, accessed on May 5, 2019 .
  36. ↑ Stefan Werding: Ärztetag waves through controversial homeopathy training. Retrieved May 5, 2019 .