The professionalization of Western herbalists: response to new product regulations in Canada.
New Canadian Natural Health Products regulations (NHP regulations) came into law January 1st, 2004 and will be implemented over 6 years. These regulations have the potential to impact a variety of stakeholders, in particular complementary and alternative medicine (CAM) practitioners. In this article, we document Canadian Western herbalist leaders' responses to the new regulations, so as to provide insight into how new healthcare policy serves as a stimulus for the organization of an emerging healthcare profession. The data are derived from key informant interviews with Western herbalist leaders in Canada (n=9). The NHP regulations include "good manufacturing practices" and Western herbalist leaders are concerned that many small companies, often owned and run by Western herbalists, will find the regulations too costly to implement, causing them to reduce the number and diversity of products they manufacture, or go out of business all together. Furthermore, lack of availability of whole plant products could severely restrict the practice of Canadian Western herbalists. In response to this challenge, herbalists are attempting to (i) organize as a more cohesive group, (ii) define their unique body of knowledge and (iii) increase the perceived legitimacy of their practices in the eyes of the public, conventional healthcare practitioners, and regulators, in an attempt to protect their unique practices. An examination of the findings reveals the extent to which external factors (i.e., the new NHP regulations) both provoke and shape the professionalization of this group of healthcare practitioners.
St. Michael's Hospital, 30 Bond Street, Toronto, Ont., M5B 1W8 Canada.
Karen
K
Moss
Heather
H
Boon
Peri
P
Ballantyne
Natasha
N
Kachan
D000328:Adult; D001291:Attitude of Health Personnel; D002170:Canada; D000529:Complementary Therapies / Q000331:legislation & jurisprudence / Q000592:standards; D005260:Female; D033161:Government Regulation; D029001:Herbal Medicine / Q000331:legislation & jurisprudence / Q000592:standards*; D006801:Humans; D008297:Male; D008516:Medicine, Chinese Traditional / Q000592:standards*; D008875:Middle Aged; D009313:National Health Programs / Q000331:legislation & jurisprudence; D010818:Practice Patterns, Physicians' / Q000592:standards*; D011795:Surveys and Questionnaires