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2005.09.23

医業類似行為とは?

医療行為とは、治療効果が科学的に裏付けられた診療行為のことです。医療行為の条件は、医学的正当性があり、患者さんから同意を取り、診療を目的とすることとされています。業務上の医療行為すなわち医業とは、医師法により医師のみに認められたものなのです。これに対して医業類似行為とは、病気の治療を目的として行われる、医師以外が行う医療に類似する行為のことをいいます。整形外科の医療分野に類似する医業類似行為としてマッサージ、鍼(はり)、お灸、および柔道整復があります。あん摩師、はり師、きゅう師および、柔道整復師などは法令で正式にその資格が認められ、慢性期の疾患においては医師の同意のもとに健康保険を用いることが可能です。またそのほかに整体、いわゆるカイロ療法があります。これは無資格で行えるのですが、柔道整復師による接骨院とは似て非なるものです。これら医業類似行為は慢性の痛みに対し、癒しの効果があることは事実で、日本では健康信仰の高まりの中、急速にこの分野のサービスが広がりをみせています。西洋医学を補うという意味で補完代替医療としてマスコミなどで取り上げられることがあります。ただし有効性の検証は必ずしもなされていないのが現状です。大切なことは本来の医療行為と医業類似行為とは違うということを理解しましょう。病気に対して医療機関で医師はその診断をします。診断がなくして治療は成り立ちません。医業類似行為を行う人々は医学的な診断を行うことはありません。さらに、ほとんどの場合、医業類似行為の従事者は白衣を着ており治療を受ける側は相手が医師なのか区別がつきにくいものです。少なくとも自分が現在、受けているのは医療行為なのか?医業類似行為なのか?は把握しておきたいものです。時に新聞、雑誌などにある、「これで癌や難病が直る!」などの医学的に説明できない誇大広告に惑わされないように、日頃から自分の病気について病名を覚え、正しくその理解を深めるように知識を得ることが必要です。そのためにも、自分のかかりつけ医に対して遠慮せず質問する気持ちをもち医療機関を受診する際に手渡される病気に関する資料などは熟読するように心がけることが大切と言えます。
chiro3-2

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