Journal of Traditional Medical Complementary Therapies

.: REVIEW
Defining Standard of Care for Acupuncture: The Case of Türkiye: Traditional Review
Akupunktur Bakım Standartlarını Tanımlamak: Türkiye Örneği: Geleneksel Derleme
Zeynep REVAa , Oğuz POLATb
aÖzyeğin University Faculty of Law, Department of Human Rights Law, İstanbul, Türkiye
bAcıbadem Mehmet Ali Aydınlar University Faculty of Medicine, Department of Forensic Medicine, İstanbul, Türkiye
J Tradit Complem Med. 2024;7(2):196-207
doi: 10.5336/jtracom.2023-100604
Article Language: EN
Full Text
ABSTRACT
 Acupuncture with a history of 3,500 centuries is one of the most prevalent traditional and complementary medicine (TCM) practices. It is significant to prepare a care standard and checklist to avoid medical malpractice during acupuncture practice. The study is based on research in the literature and systematic analysis of data. The literature search was conducted using the words ''malpractice in acupuncture'' and ''care standard for acupuncture between September 1, 2022'' and April 30, 2023 in ''Google Academic (Google, Kaliforniya, ABD)''. There is no generally accepted standard of care in Europe regarding malpractice in acupuncture practices. In Türkiye; the TCM Regulation regulates some subjects such as who can perform TCM applications including acupuncture, in which areas the application can be performed in the units and application centers, in which areas the practices cannot be performed under any circumstances, and which devices and materials must be kept in the units and application centers are determined. Acupuncture is based on trial and observation rather than scientific evidence like the other TCM practices. Thus, it is even more important to identify and analyze medical malpractice points in this field. It is significant to make the necessary legal regulations for acupuncture practices, just like in conventional medicine practices, and to establish care of standards, especially for informed consent and malpractices. The malpractice checklist and algorithm which was developed for acupuncture based on legal regulations and practices in Türkiye may be proposed as a best practice.

Keywords: Acupuncture; malpractice; standard of care
ÖZET
 Akupunktur 3,500 asırlık geçmişi olan, en yaygın geleneksel ve tamamlayıcı tıp (GETAT) uygulamalarından biridir. Akupunktur uygulaması sırasında tıbbi uygulama hatalarını önlemek için bakım standardı ve kontrol listesinin hazırlanması önemlidir. Bu çalışma, akupunktur uygulamalarında tıbbi uygulama hatalarını önlemek için bakım standardı ve kontrol listesi oluşturmayı hedeflemektedir. Çalışma literatürdeki araştırmalara ve verilerin sistematik analizine dayanmaktadır. Literatür taraması ''Google Akademik''te 1 Eylül 2022 ile 30 Nisan 2023 tarihleri arasında ''akupunkturda malpraktis'' ve ''akupunktur bakım standardı'' kelimeleri kullanılarak yapılmıştır. Avrupa'da akupunktur uygulamalarında tıbbi uygulama hatalarına ilişkin genel kabul görmüş bir bakım standardı bulunmamaktadır. Türkiye'de GETAT Yönetmeliği, akupunktur da dâhil olmak üzere GETAT uygulamalarını kimlerin yapabileceği, ünite ve uygulama merkezlerinde hangi alanlarda uygulama yapılabileceği, hangi alanlarda hiçbir şekilde uygulama yapılamayacağı, hangi cihaz ve malzemelerin bulundurulması gerektiği gibi konuları düzenlemektedir. Akupunktur diğer GETAT uygulamaları gibi bilimsel kanıtlardan ziyade deneme ve gözleme dayanmaktadır. Bu nedenle bu alandaki tıbbi uygulama hatası noktalarının tespit edilmesi ve analiz edilmesi daha da önem kazanmaktadır. Akupunktur uygulamalarının da tıpkı modern tıp uygulamalarında olduğu gibi bilimsel boyutta düzenlenebilmesi için hatalı uygulamalara dair bakım standartlarının oluşturulması önemlidir. Türkiye'deki yasal düzenlemeler ve uygulamalar temel alınarak akupunktur tedavileri için geliştirilmiş olan malpraktis kontrol listesinin ve algoritmasının iyi uygulama örneği niteliğinde olduğu düşünülmektedir.

Anahtar Kelimeler: Akupunktur; malpraktis; bakım standardı
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