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Stakeholders' perspectives on the regulation and integration of complementary and alternative medicine products in Lebanon: A qualitative study

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dc.contributor.author Alameddine M.
dc.contributor.author Naja F.
dc.contributor.author Abdel-Salam S.
dc.contributor.author Maalouf S.
dc.contributor.author Matta C.
dc.contributor.editor
dc.date 2011
dc.date.accessioned 2017-10-18T13:24:29Z
dc.date.available 2017-10-18T13:24:29Z
dc.date.issued 2011
dc.identifier 10.1186/1472-6882-11-71
dc.identifier.issn 14726882
dc.identifier.uri http://hdl.handle.net/10938/20287
dc.description.abstract Background: The regulation of the markets for Complementary and Alternative Medicine (CAM) products presents a global challenge. There is a dearth of studies that have examined or evaluated the regulatory policies of CAM products in the Eastern Mediterranean Region (EMR). We investigate the regulatory frameworks and the barriers for the proper regulation and integration of CAM products in Lebanon, as an example of an EMR country with a weak public infrastructure.Methods: We utilized a qualitative study design involving a series of semi-structured interviews with stakeholders of the CAM market in Lebanon. Snowball sampling was used to identify interviewees; interviews continued until the saturation point was reached. A total of 16 interviews were carried out with decision makers, representatives of professional associations, academic researchers, CAM product importers, policy makers and a media representative. Interviews were transcribed and thematic analysis of scripts was carried out.Results: There was a consensus among all stakeholders that the regulation of the market for CAM products in Lebanon needs to be strengthened. Thematic analysis identified a number of impediments jeopardizing the safety of public consumption and hindering the integration of CAM therapies into mainstream medicine; including: weak infrastructure, poor regulation, ineffective policies and politics, weak CAM awareness and sub-optimal coordination and cooperation among stakeholders. With respect to policy instruments, voluntary instruments (self regulation) were deemed ineffective by stakeholders due to poor awareness of both users and providers on safe use of CAM products. Stakeholders' rather recommended the adoption of a combination of mixed (enhancing public awareness and integration of CAM into medical and nursing curricula) and compulsory (stricter governmental regulation) policy instruments for the regulation of the market for CAM products.Conclusions: The current status quo with respect to the regulation of CAM products in Lebanon is not conducive to public safety, nor does it support the integration of CAM products into the healthcare system. The Ministry of Health indeed plays a dominant role in the regulation of these products through a combination of mixed and compulsory policy instruments. Yet, the proper implementation of these regulations requires political resolve coupled with the cooperation of all CAM stakeholders. © 2011 Alameddine et al; licensee BioMed Central Ltd.
dc.format.extent
dc.language English
dc.publisher LONDON
dc.relation.ispartof Publication Name: BMC Complementary and Alternative Medicine; Publication Year: 2011; Volume: 11;
dc.source Scopus
dc.title Stakeholders' perspectives on the regulation and integration of complementary and alternative medicine products in Lebanon: A qualitative study
dc.type Article
dc.contributor.affiliation Alameddine, M., Faculty of Health Sciences, Department of Health Management and Policy, American University of Beirut, Lebanon
dc.contributor.affiliation Naja, F., Faculty of Agriculture and Food Sciences, Department of Nutrition and Food Sciences, American University of Beirut, Riad El-Solh, Beirut, 1107 2020, Lebanon
dc.contributor.affiliation Abdel-Salam, S., Department of Family Medicine, American University of Beirut Medical Center, Lebanon
dc.contributor.affiliation Maalouf, S., Faculty of Health Sciences, Department of Health Management and Policy, American University of Beirut, Lebanon
dc.contributor.affiliation Matta, C., Faculty of Health Sciences, Department of Health Management and Policy, American University of Beirut, Lebanon
dc.contributor.authorAddress Naja, F.; Faculty of Agriculture and Food Sciences, Department of Nutrition and Food Sciences, American University of Beirut, Riad El-Solh, Beirut, 1107 2020, Lebanon; email: fn14@aub.edu.edu
dc.contributor.authorCorporate University: American University of Beirut; Faculty: Faculty of Agricultural and Food Sciences; Department: Nutrition and Food Sciences;
dc.contributor.authorDepartment Nutrition and Food Sciences
dc.contributor.authorDivision
dc.contributor.authorEmail fn14@aub.edu.edu
dc.contributor.authorFaculty Faculty of Agricultural and Food Sciences
dc.contributor.authorInitials Alameddine, M
dc.contributor.authorInitials Naja, F
dc.contributor.authorInitials Abdel-Salam, S
dc.contributor.authorInitials Maalouf, S
dc.contributor.authorInitials Matta, C
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress Naja, F (reprint author), Amer Univ Beirut, Dept Nutr and Food Sci, Fac Agr and Food Sci, Beirut 11072020, Lebanon.
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut
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dc.description.citedCount 1
dc.description.citedTotWOSCount 2
dc.description.citedWOSCount 2
dc.format.extentCount 1
dc.identifier.articleNo 71
dc.identifier.coden BCAMC
dc.identifier.scopusID 80052028422
dc.publisher.address 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND
dc.relation.ispartOfISOAbbr BMC Complement. Altern. Med.
dc.relation.ispartofPubTitle BMC Complementary and Alternative Medicine
dc.relation.ispartofPubTitleAbbr BMC Complement. Altern. Med.
dc.relation.ispartOfVolume 11
dc.source.ID WOS:000294951400001
dc.type.publication Journal
dc.subject.otherIndex Alternative medicine
dc.subject.otherIndex article
dc.subject.otherIndex awareness
dc.subject.otherIndex controlled study
dc.subject.otherIndex cooperation
dc.subject.otherIndex health care management
dc.subject.otherIndex health care policy
dc.subject.otherIndex human
dc.subject.otherIndex lebanon
dc.subject.otherIndex marketing
dc.subject.otherIndex politics
dc.subject.otherIndex product safety
dc.subject.otherIndex qualitative research
dc.subject.otherIndex semi structured interview
dc.subject.otherKeywordPlus Herbal remedies
dc.subject.otherKeywordPlus health-care
dc.subject.otherKeywordPlus therapies
dc.subject.otherKeywordPlus australia
dc.subject.otherKeywordPlus safety
dc.subject.otherKeywordPlus uk
dc.subject.otherWOS Integrative and Complementary Medicine
dc.identifier.doi http://dx.doi.org/10.1186/1472-6882-11-71


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