Recognition of Anthroposophic Medicine
Recognition of Anthroposophic Medicine (AM)
Recognition of AM is subject to extreme variations between EU Member states. The level of recognition extends from statutory integration as specific therapeutic system within national law (Germany and Switzerland) to special exemption where AM may only be practised within the context of a particular clinic (Vidarkliniken, Sweden). With the exception of Germany, where AM is defined as “special therapeutic system” [Besondere Therapierichtung] in the Code of Social Law (Sozialgesetzbuch 5), and Switzerland, where AM is defined as part of CAM under constitutional law, legal recognition is restricted to pharmaceutical regulations in some of the member states (see below).
National laws regulating Anthroposophic Medicine as a distinct medical therapy
Only in Germany is AM recognised as therapeutic system under statutory regulations.
In Denmark, Finland, Sweden and the UK, anthroposophic medicinal products (AMP) are mentioned to varying degrees in national pharmaceutical laws in particular in connection with simplified registration procedures for homeopathic medicinal products.
In Sweden the anthroposophic clinic (Vidarkliniken) has a permit from the minister of social affairs, but doctors are only allowed to practise anthroposophic medicine if they do so at, or in connection with the Vidarkliniken
Regulation of the profession of anthroposophic doctors by the medical association/council/chamber
As mentioned above, in some countries where the government delegates the tasks of authorisation, registration and supervision of practitioners to national medical associations, statutory regulation of anthroposophic doctors requires an “additional qualification” issued by the medical assocation/council/chamber (Austria, Bulgaria, Germany, Latvia and Switzerland). In Italy AM is recognised through statutory regulation by the local medical associations/chambers/councils in Bologna, Terni and Palermo.
Diplomas for anthroposophic doctors
Diplomas for anthroposophic doctors are issued after satisfactory fulfilment of the required criteria for training and qualification in AM. In all member states with training institutions the curricula are established under the auspices and supervision of the national association of anthroposophic doctors. In most EU member states, diplomas for anthroposophic doctors are issued by the national associations of anthroposophic doctors.
In Austria and Switzerland such diplomas are issued and recognised by the national medical associations/chambers/councils.
In Bulgaria, Germany, Italy, Latvia and Spain the diplomas are issued by the national association of anthroposophic doctors and recognised by the national medical associations/chambers/councils.
In Belgium, Finland, France, Hungary, Netherlands, Poland, Romania, Sweden and the UK diplomas in Anthroposophic Medicine are not recognised.
In member states without national training facilities, doctors can apply for international certification which is issued by the Medical Section at the Goetheanum in Dornach. The criteria for this international certification have been worked out and agreed by the International Federation of Anthroposophic Medical Associations. Doctors can also apply for the international diploma in member states where national training facilities exist. However, this is possible only by authorisation of the national association of anthroposophic doctors.
Anthroposophic Medicine at universities
University professorial chairs for AM are established at universities in Germany (Witten-Herdecke and Alfter), and within the context of CAM in Italy (Firenze and Bologna) and in Switzerland (Bern).
Introductory courses in AM are offered as an optional part of the medical undergraduate curriculum in Austria, Germany, the Netherlands, Spain, Sweden and Switzerland. The courses are usually integrated into courses on CAM in general.
Postgraduate medical training courses in AM are provided at private teaching centres in Austria, Denmark, Finland, France, Germany, Hungary, Italy, Netherlands, Poland, Romania, Spain, Switzerland and the UK, usually under the auspices of the national associations of anthroposophic doctors.
Therapists in Anthroposophic Medicine
Anthroposophic therapies such as eurythmy therapy (a special movement therapy), artistic therapy (painting, modelling, singing, music), therapeutic speech, anthroposophic physiotherapy and rhythmical massage, and anthroposophic nursing etc. are an essential part of Anthroposophic Medicine. Every therapist is well trained according to curricula specific to the respective therapy. A special feature of AM is that these therapists provide their skills/services in accordance with a medical prescription from a doctor, as part of the integrated anthroposophic approach to medicine.
Continuing Medical Education (CME)
Obligatory Continuing Medical Education (CME) in conventional medicine is required in most member states. It is under government control in Belgium, the Czech Republic, Hungary, Italy, and Lithuania, or controlled by national medical associations/chambers/councils in the Czech Republic, Estonia, France, Germany, Latvia, Netherlands, Poland, Romania, Spain, Sweden, Switzerland and the UK . The required number of hours per annum is: 80 (Switzerland), 50 (Germany, Hungary, Romania and the UK), 40-60 (Netherlands).
In addition, the national associations of anthroposophic doctors in Germany, Hungary, Netherlands, Romania and Switzerland require their members to complete significant numbers of hours of CME in Anthroposophic Medicine.
The required hours for annual CME in AM are 50 (Hungary), 20-40 (Netherlands), 30 (Switzerland), 25 (Germany).
AM is an official part of the Continuing Education Programme (CEP) for doctors in Germany, Romania and Sweden.
Anthroposophic medicinal products (AMP)
AMPs are on the market in certain EU member states under registration procedures that predate EU framework legislation for medicinal products for human use. The EU Community Code relating to medicinal products for human use does not recognise AMP, whereas it does, for example, recognise homeopathic MP via special simplified registration procedures. This has far-reaching consequences for marketing authorisation and registration of AMP within the European Community. Only one third of AMPs – those manufactured in accordance with homeopathic pharmacopoeias - and another third of AMPs – those which meet the criteria for traditional medicinal herbal products (restricted however to oral or external use without indication) - can be registered under simplified registration procedures. Under procedures of the Community code relating to medicinal products for human use, over 40 percent of AMP - encompassing the majority of AMP prescribed by doctors, with indications, and administered other than orally or externally - require market authorisation similar to that for conventional pharmaceutical products. These procedures, however, do not take account of the special features and manufacturing methods of AMP, and are therefore not appropriate.
Healthcare insurance
In Finland, France, Germany, Netherlands and Sweden fees for consultation with an AM physician are reimbursed by the national healthcare insurance system. In Austria, Belgium, France, Italy, Netherlands and Switzerland they are covered only by additional private insurance companies, with only partial coverage.
Costs for anthroposophic medicines are covered by the national healthcare insurance system in France, Germany and Sweden and the UK, and by additional private insurance companies in Austria, Belgium, Denmark, France, Germany, Italy, Netherlands and Switzerland.
There is only partial coverage, or up to a certain maximum, in Belgium, Denmark, France and Netherlands.
