Services of Medical Doctors with additional qualification in Homeopathy (MDQH) - Requirements for health care provision by Medical Doctors with additional qualification in Homeopathy

This European Standard specifies the minimum requirements for medical doctors with additional qualification in homoeopathy and their services.
This European Standard is not applicable to services provided by persons not being medical doctors or to the preparation of homoeopathic medicines.

Dienstleistungen von Ärzten mit Zusatzqualifikation in Homöopathie - Anforderungen an die Gesundheitsversorgung durch Ärzte mit Zusatzqualifikation in Homöopathie

Diese Europäische Norm legt die Mindestanforderungen an Ärzte mit Zusatzqualifikation in Homöopathie und an ihre Dienstleistungen fest.
Diese Europäische Norm gilt nicht für Dienstleistungen, die von Personen, die keine Ärzte sind, durchgeführt werden oder für die Herstellung homöopathischer Arzneimittel.

Services de santé des docteurs en médecine ayant une qualification complémentaire en homéopathie - Exigences relatives aux prestations de soins de santé fournies par les docteurs en médecine ayant une qualification complémentaire en homéopathie

La présente Norme européenne spécifie un minimum d’exigences à l’intention des médecins ayant une qualification complémentaire en homéopathie, et en ce qui concerne les services délivrés.
Elle ne s’applique ni aux services délivrés par des thérapeutes qui ne sont pas docteurs en médecine, ni à la préparation de médicaments homéopathiques.

Zdravstvene storitve, ki jih opravljajo zdravniki z dodatno kvalifikacijo iz homeopatije - Zahteve za storitve zdravstvenega varstva, ki jih opravljajo zdravniki z dodatno kvalifikacijo iz homeopatije

Ta evropski standard določa minimalne zahteve za zdravnike z dodatno kvalifikacijo iz homeopatije in njihove storitve.
Ta evropski standard se ne uporablja za storitve, ki jih zagotavljajo osebe, ki niso zdravniki, ali za pripravo homeopatskih zdravil.

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2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.Zdravstvene storitve, ki jih opravljajo zdravniki z dodatno kvalifikacijo iz homeopatije - Zahteve za storitve zdravstvenega varstva, ki jih opravljajo zdravniki z dodatno kvalifikacijo iz homeopatijeDienstleistungen von Ärzten mit Zusatzqualifikation in Homöopathie - Anforderungen an die Gesundheitsversorgung durch Ärzte mit Zusatzqualifikation in HomöopathieServices de santé des docteurs en médecine ayant une qualification complémentaire en homéopathie - Exigences relatives aux prestations de soins de santé fournies par les docteurs en médecine ayant une qualification complémentaire en homéopathieServices of Medical Doctors with additional qualification in Homeopathy (MDQH) - Requirements for health care provision by Medical Doctors with additional qualification in Homeopathy11.020.10Zdravstvene storitve na splošnoHealth care services in generalICS:Ta slovenski standard je istoveten z:EN 16872:2016SIST EN 16872:2016en,fr,de01-december-2016SIST EN 16872:2016SLOVENSKI

SIST EN 16872:2016

EN 16872
t r s x ICS
r uä r z rä { {â
r uä s r rä u râ
s sä r t r English Version
Services of Medical Doctors with additional qualification in provision by Medical Doctors with additional qualification in Homeopathy Services de santé des docteurs en médecine ayant une qualification complémentaire en homéopathie æ Exigences relatives aux prestations de soins de santé fournies par les docteurs en médecine ayant une qualification complémentaire en homéopathie
Dienstleistungen von Ärzten mit Zusatzqualifikation in Homöopathie æ Anforderungen an die Gesundheitsversorgung durch Ärzte mit Zusatzqualifikation in Homöopathie This European Standard was approved by CEN on
x August
t r s xä
egulations which stipulate the conditions for giving this European Standard the status of a national standard without any alterationä Upætoædate lists and bibliographical references concerning such national standards may be obtained on application to the CENæCENELEC Management Centre or to any CEN memberä
translation under the responsibility of a CEN member into its own language and notified to the CENæCENELEC Management Centre has the same status as the official versionsä
CEN members are the national standards bodies of Austriaá Belgiumá Bulgariaá Croatiaá Cyprusá Czech Republicá Denmarká Estoniaá Finlandá Former Yugoslav Republic of Macedoniaá Franceá Germanyá Greeceá Hungaryá Icelandá Irelandá Italyá Latviaá Lithuaniaá Luxembourgá Maltaá Netherlandsá Norwayá Polandá Portugalá Romaniaá Slovakiaá Sloveniaá Spainá Swedená Switzerlandá Turkey and United Kingdomä
CEN-CENELEC Management Centre:
Avenue Marnix 17,
B-1000 Brussels
t r s x CEN All rights of exploitation in any form and by any means reserved worldwide for CEN national Membersä Refä Noä EN
s x z y tã t r s x ESIST EN 16872:2016

EN 16872:2016 (E) 2 Contents Page European foreword . 3 Introduction . 4 1 Scope . 5 2 Terms and definitions . 5 3 Competences . 7 3.1 General . 7 3.2 Required knowledge and understanding . 7 3.3 Required abilities and skills . 8 3.4 Relationship between conventional and homeopathic approaches . 8 4 Clinical practice . 8 4.1 Homeopathic case taking . 8 4.2 Homeopathic case analysis . 9 4.3 Follow-up and case management . 9 4.4 Requirements for documentation of medical records . 9 5 Code of ethics and conduct . 10 5.1 Basic principles . 10 5.2 Principles for the practitioner's attitude . 10 5.3 Principles for therapeutic action. 12 5.4 Principles for day-to-day practice. 13 6 Education . 14 6.1 General . 14 6.2 Basic requirements of the Homeopathic Education Programme (HEP) . 14 6.2.1 Admission requirements . 14 6.2.2 Requirements of the Homeopathic Education Programme (HEP) . 14 6.3 Learning outcomes . 14 6.3.1 Main outcomes . 14 6.3.2 Required knowledge and skills . 14 6.3.3 Delivery of the Homeopathic Education Programme (HEP) . 15 6.4 Examination . 15 6.5 Continuing professional development (CPD) . 15 6.5.1 CPD for MDQHs . 15 6.5.2 CPD of the profession . 15 Annex A (normative)
Curriculum . 16 A.1 Synopsis . 16 A.2 Syllabus . 17 A.2.1 General . 17 A.2.2 The care process . 17 A.2.3 Case management and clinical record . 18 A.3 Continuing professional development (CPD) . 20 A.3.1 CPD for medical doctors . 20 A.3.2 CPD of the profession . 21 Annex B (informative)
Guidelines for examinations . 22 Annex C (informative)
Recommended list of homeopathic medicine to be taught . 25 Bibliography . 27 SIST EN 16872:2016

EN 16872:2016 (E) 3 European foreword This document (EN 16872:2016) has been prepared by Technical Committee CEN/TC 427 “Project Committee - Services of Medical Doctors with additional qualification in Homeopathy”, the secretariat of which is held by ASI. This European Standard shall be given the status of a national standard, either by publication of an identical text or by endorsement, at the latest by April 2017, and conflicting national standards shall be withdrawn at the latest by April 2017. Attention is drawn to the possibility that some of the elements of this document may be the subject of patent rights. CEN shall not be held responsible for identifying any or all such patent rights. According to the CEN-CENELEC Internal Regulations, the national standards organisations of the following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, Former Yugoslav Republic of Macedonia, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and the United Kingdom. SIST EN 16872:2016

EN 16872:2016 (E) 4 Introduction Homeopathy was developed over 200 years ago by a German physician, Dr. Samuel Hahnemann, and has since evolved into a sophisticated practice of case-taking, diagnosis, prescription and long term care management. It is based on the principle of similars – “let like cure like”– which has been recognized by some physicians and philosophers for centuries, but it was Hahnemann who recognized the universality of this principle and made it the basis of a complete system of medicine with an own concept of health and disease described in his standard work Organon of the Medical Art [1]. Homeopathy which has evolved from and within the science of western, and particularly European, medicine, is practiced nowadays in more than 70 countries worldwide. This European Standard was developed to specify minimum quality standards for homeopathic care in a medical context, ensuring high standards in the education, training and practice of homeopathy by medical doctors. Patients who choose homeopathy should be ensured of the quality and standard of care they will receive. In addition, this standard aims at harmonizing professional standards in homeopathic practice by medical doctors across Europe and integrating high-quality homeopathy into European healthcare. It will help health care leaders to develop solutions that contribute to a broader vision of health and patient autonomy as recommended by the WHO Traditional Medicine Strategy 2014-2023 [2]. SIST EN 16872:2016

EN 16872:2016 (E) 5 1 Scope This European Standard specifies the minimum requirements for medical doctors with additional qualification in homeopathy and their services. This European Standard is not applicable to services provided by persons not being medical doctors, nor to the preparation of homeopathic medicines, nor to the methodology and practice of homeopathic provings. 2 Terms and definitions For the purpose of this document, the following terms and definitions apply. 2.1 acute disease rapid pathological process which has a tendency to finish its course more or less quickly, but always in a moderate time [SOURCE: Hahnemann, The Chronic Diseases: Their Peculiar Nature and Their Homeopathic Cure] 2.2 chronic disease disease, often with an imperceptible beginning, which dynamically affects the living organism to gradually deviate from the healthy condition [SOURCE: Hahnemann, Organon of the medical art, §72] 2.3 constitution pattern of physical and psychological characteristics that identify an individual, including physical and psychological reactions to stimuli and circumstances that occur in everyday life 2.4 direction of cure progressive improvement in the patient's state indicated by directional changes in the disease process, namely from above downwards, from within outwards, from more important to less important organs and from the mental level to the physical level, and symptoms resolve in reverse order of their onset Note 1 to entry:
Direction of cure may be determined by changes in the disease process. 2.5 general symptoms generals phenomenon of a disease concerning the patient as a whole relating to more than one area or aspect EXAMPLE Fever, sweat or weakness. 2.6 homeopathic medicine homeopathic medicinal product prescribed according to the principle of similars [SOURCE: 2001/83/EC as amended by 2004/27/EC, Art. 1(5)] [3] SIST EN 16872:2016

EN 16872:2016 (E) 6 2.7 homeopathic medicine selection comparison and differentiation of the homeopathic medicines in question in order to find the most appropriate homeopathic medicine for each patient based on the principal of similars 2.8 homeopathic proving method used in homeopathy by which the symptom profile of a homeopathic medicine is determined by the administration of doses of the substance in homeopathic potency to healthy volunteers that can elicit symptoms Note 1 to entry:
Corresponds to homeopathic pathogenetic trial. 2.9 homeopathy medical approach aimed at improving the patient's health by the administration of homeopathic medicines 2.10 materia medica homeopathica body of collected knowledge about the therapeutic properties of any substance used for healing in homeopathy 2.11 Medical Doctor with additional Qualification in Homeopathy MDQH medical doctor additionally trained in homeopathy and qualified to integrate homeopathy into patient care within the context of general medical practice, conventional specialist practice or full-time homeopathic practice 2.12 miasmatic theory Hahnemann’s theory explaining the aetiology and development of chronic or recurrent disease states which may be acquired or inherited and which may bring about a predisposition to a particular disease 2.13 modality factor which aggravates or ameliorates a symptom or the whole clinical state of a patient 2.14 potency degree to which a homeopathic medicine has been potentized 2.15 potentization dynamization method of preparing a homeopathic medicine by means of trituration or succussion in between each serial dilution 2.16 principle of similars therapeutic use of substances to treat symptoms similar to those which they can induce in a healthy person SIST EN 16872:2016

EN 16872:2016 (E) 7 2.17 repertorization technique of using a repertory to identify the homeopathic medicines whose materia medica corresponds most closely to the totality of the symptom picture of the patient 2.18 repertory systematic cross reference of symptoms and disorders to the homeopathic medicines 2.19 repertory rubric heading in the repertory that links the symptoms or signs or clinical diagnosis to the corresponding homeopathic medicines 2.20 suppression treatment against the direction of cure 2.21 totality of symptoms complete clinical picture including the mental, general and local symptoms of the patient 3 Competences 3.1 General Homeopathy offers a different approach to the concept of illness and its relationship to the patient. MDQHs work in the same way as their conventional colleagues but integrate homeopathy into patient care. The MDQH shall bring to the consultation all the ethical and professional values, competence and responsibilities that are expected of a medical practitioner; forming an all-round assessment of the patient’s needs, and cooperating with other health care practitioners whose care the patient is already receiving or may need. 3.2 Required knowledge and understanding In addition to their conventional training the MDQH shall have knowledge and understanding of: a) the scope and value of homeopathy, and the ability to understand and integrate its contribution into patient care, b) health and of the dynamics of illness, together with an extended comprehension of chronic disease, c) communication skills, especially with regard to the characteristics of homeopathic case taking, d) the patient as an individual, e) the individual’s capacity for self-regulation and self-healing, and the possibility of stimulating these processes, f) the importance of the therapeutic encounter itself, g) the scientific implications of the subject, its evidence base, and the arguments that underpin it, h) the limitations of homeopathy, SIST EN 16872:2016

EN 16872:2016 (E) 8 i) the use of homeopathy as a complementary therapy in preventive, prophylactic and palliative care, and j) the need to operate within a safe medical context and within a broader care plan, which includes, as a must, the knowledge of medical diagnosis, prognosis, and conventional treatments. 3.3 Required abilities and skills The MDQH shall be able to: a) obtain appropriate informed consent for providing homeopathic care, b) derive comprehensive data since prescribing of homeopathic medicine is based on a holistic assessment, as well as pathological indications, and all aspects of the case and of the patient are important, c) elicit symptoms and identify signs on a physical, emotional and mental level using case-taking, examination and all necessary additional analysis to select the homeopathic medicine, d) communicate clearly with patients, their families, and other healthcare professionals, and e) ensure patients are fully informed about their treatment choices and care. 3.4 Relationship between conventional and homeopathic approaches The MDQH chooses the best medical approach for the patient, which may be conventional, homeopathic or both. The MDQH should know the indications and limitations of homeopathy, which, in part, depends on their education and experience. As a medical method, homeopathy may be used in both general and specialized medicine. 4 Clinical practice 4.1 Homeopathic case taking A complete homeopathic case taking is the most important diagnostic instrument in homeopathy. During the homeopathic case taking, the indication for homeopathic treatment shall be assessed. In homeopathic case taking, the MDQH shall: a) understand the signs and symptoms of the condition in the sense of a conventional medical diagnosis and b) determine the data for a qualified homeopathic medicine selection. The service requirements of homeopathic case taking shall comprise: c) registering spontaneously visible findings, behaviour and gestures, d) recording the patient’s spontaneous report, e) identifying the symptoms in their totality in a guided report, f) exploring more precisely the most important details: mind and emotions, general and local symptoms including modalities, g) a complete case-taking, including medical, biographic and social history, and h) a complete family history. SIST EN 16872:2016

EN 16872:2016 (E) 9 In the context of homeopathic case taking, a careful physical examination shall be performed in order to detect, and describe in more detail, all physical signs and symptoms including externally visible signs. 4.2 Homeopathic case analysis In homeopathic case analysis, the MDQH shall judge the symptoms and findings according to homeopathic principles. The MDQH shall, in particular: a) identify the symptoms that are characteristic of each individual patient, b) assess the symptoms that are relevant for the medicine selection, c) identify the symptoms that are important for therapy monitoring (progress-relevant symptoms), d) analyse and assess the progression using the progress-relevant symptoms, considering the spontaneous progression to be expected and the principles of the direction of cure known in homeopathic practice, e) compare and differentiate the homeopathic medicines prioritized using the materia medica, f) be aware of the different approaches, methods and tools for finding the appropriate homeopathic medicines, g) be aware of how to use a repertory, and the limitations of its use. 4.3 Follow-up and case management In the follow-up, which is the most important diagnostic instrument during the ongoing homeopathic treatment, the MDQH shall: a) ascertain whether the therapy plan of the last consultation has been followed and the homeopathic medicine has been appropriately taken, b) determine changes in symptomatology with regard to the homeopathic medication, self-medication and other influences, c) analyse and assess the changes, d) evaluate therapeutic success, e) check and modify the therapy plan if necessary, and f) decide on any further course of action. 4.4 Requirements for documentation of medical records Documentation of medical records shall include the clinical state at the onset of a therapy, its changes during the course of treatment, any decisions made and therapeutic measures taken, and the clinical progression. This enables another MDQH with practical experience to understand the case. All consultations shall be chronicled. SIST EN 16872:2016

EN 16872:2016 (E) 10 Documentation of case taking at the onset of treatment shall contain, in addition to the elements included in a standard case history: — the prescribed homeopathic medicine, including its potency and dosage, and possible further therapeutic and diagnostic measures, and — optionally, a brief explanatory statement as to verbal interventions, recommendations and advice given to the patient. The documentation of a case history shall be formulated in the form of clinical symptoms, which – wherever possible – shall quote the patient’s own words. For each relevant symptom, the details needed to determine the correct homeopathic medicine selection shall be contained, provided the patient is able to furnish the respective particulars. In case analyses, it should be recorded in note form what exactly has been done for the case in question: Identification of the selection; indication of progress-relevant symptoms; identification of changed, or remedied and newly occurring symptoms. 5 Code of ethics and conduct 5.1 Basic principles The MDQH shall follow the general principles common to all high quality professional medical services, as referred to in the Hippocratic Oath and in the declarations of the World Medical Association, especially: a) principles of individual rights, such as: 1) the right of inviolability of the human body, 2) the right to privacy, 3) patient autonomy, and 4) the right to good medical care; b) principles of services focusing on patient centred care. 5.2 Principles for the practitioner's attitude Having regard to the doctor-patient relationship, the MDQH shall: a) treat the patient honestly and respect the patient’s confidence. Specifically the MDQH shall: 1) avoid inducing negative emotions, 2) avoid unnecessary treatment, and 3) avoid prescribing unnecessary medicines. b) respect the patient's integrity. Specifically, the MDQH shall: 1) respect the patient as an autonomous individual who makes his/her own decisions and takes personal responsibility for him/herself, SIST EN 16872:2016

EN 16872:2016 (E) 11 2) be focused in his/her actions to help the patient become independent of care as quickly as possible, 3) treat the patient as an equal – inform and involve the patient on his/her own physical, emotional and mental being, 4) take the patient's philosophy of life into consideration, 5) provide information and advice so the patient can make an informed choice, and 6) respect the patient's right to consult another health care provider, c) pay sufficient attention to the problems presented by the patient and take sufficient time for a consultation, d) only use treatments, to which a patient has consented after being sufficiently informed, e) establish a relationship with the patient based on mutual trust, enabling the patient to express any problem or concern, f) respect the confidentiality of all patients whose cases may be used in published papers, conference presentations or training lectures, by withholding or changing identifying details; written consent shall be obtained from the patient in order to present or publish the patient’s case, g) not disclose any information about any patient, except: 1) when required to do so by rule of law, 2) when there is a suspicion of child or elder abuse the competent authority shall be informed, 3) if the patient has consented to the nature and extent of the disclosure, and 4) in an emergency, or other dangerous situation, where the information may assist in the prevention of possible injury or death to the patient, or to another person; h) practice under their own name, also in case of association in a group practice, i) inform patients of an intention to retire or move from a practice and of arrangements made for the transfer of the practice to another doctor, j) obtain the records from the previous doctor with the permission from the patient in the case of a patient transferring from one doctor to another, k) strive for consultation and/or collaboration with other care providers involved in an individual patient’s care for the benefit and well-being of patients. Specifically, the MDQH shall: 1) refer patients to a colleague whenever an examination or treatment is beyond his/her ability, or to another appropriate health care practitioner whenever a patient can be better helped by them, 2) guard against undesired conflict of treatments, and 3) with the patient's consent only, consult with and/or refer to other colleagues involved in the treatment of that patient. SIST EN 16872:2016

EN 16872:2016 (E) 12 If the MDQH is not the patient's regular medical practitioner, the MDQH should advise the patient to maintain a relationship with his or her general practitioner. The MDQH may recommend to the patient that a referral to another medical doctor could be appropriate, if in all fairness: l) the doctor has lost professional objectivity towards the patient, m) the patient’s expectations of the treatment are unrealistic, n) the MDQH feels unable to offer any further help, and o) the MDQH is of the opinion that a relationship based on mutual trust is disturbed. 5.3 Principles for therapeutic action With respect to therapeutic actions the MDQH shall: a) be capable of acting according to the principles of homeopathy, b) avoid suppression. The preferred treatment shall be directed towards long-term general amelioration of the patient's condition, but in certain cases, the doctor may offer palliative care, c) explain the relationship between lifestyle and complaint to the patient and provide advice on self-care and prevention or refer to other healthcare professionals for advice on self-care and prevention, d) explain the choice of treatment before starting the therapeutic process, e) consider the self-healing power of every human being as a basic principle; the treatment supports, arouses or activates cure but, in some exceptional circumstances, is palliative, f) aim at enabling the patient's growth and/or development as a free individual, overcoming his/her problems or illness, and preserving the patient's independence, g) have acquired skills in the use of approved examination equipment and materials, h) undertake continuing professional development to maintain the required standards of knowledge, training and expertise. This is achieved by taking refresher courses and continuing professional development (CPD), by conferring with colleagues and consulting the professional literature, i) refrain from therapeutic actions he/she is not trained in, j) take personal responsibility for any therapeutic action; in the case of delegating treatment to other health care providers - not independently authorized - the final responsibility shall remain with the delegating doctor, k) be respectful about his/her profession and towards colleagues and members of other health care professions, l) make the results of his/her research and clinical experience known in a methodical and honest manner without distorting the facts and without keeping knowledge or methods of treatment to him/herself, and avoid inappropriate self-promotion and advertising or laying claim to secret or exclusive methods of treatment, or


december 2016

Zdravstvene storitve, ki jih opravljajo zdravniki z dodatno kvalifikacijo
iz homeopatije – Zahteve za storitve zdravstvenega varstva, ki jih
opravljajo zdravniki z dodatno kvalifikacijo iz homeopatije

Services of Medical Doctors with additional qualification in Homeopathy (MDQH) –
Requirements for health care provision by Medical Doctors with additional
qualification in Homeopathy

Services de santé des docteurs en médecine ayant une qualification
complémentaire en homéopathie - Exigences relatives aux prestations de soins de
santé fournies par les docteurs en médecine ayant une qualification
complémentaire en homéopathie

Dienstleistungen von Ärzten mit Zusatzqualifikation in Homöopathie –
Anforderungen an die Gesundheitsversorgung durch Ärzte mit Zusatzqualifikation in

Referenčna oznaka
ICS 11.020.10 SIST EN 16872:2016 (sl)

Nadaljevanje na strani II in od 1 do 25

© 2017-04: Slovenski inštitut za standardizacijo. Razmnoževanje ali kopiranje celote ali delov tega standarda ni dovoljeno.

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SIST EN 16872 : 2016

Standard SIST EN 16872 (sl), Zdravstvene storitve, ki jih opravljajo zdravniki z dodatno kvalifikacijo iz
homeopatije – Zahteve za storitve zdravstvenega varstva, ki jih opravljajo zdravniki z dodatno
kvalifikacijo iz homeopatije, 2016, ima status slovenskega standarda in je istoveten evropskemu
standardu EN 16872 (en, de, fr), Services of Medical Doctors with additional qualification in Homeopathy
(MDQH) – Requirements for health care provision by Medical Doctors with additional qualification in
Homeopathy, 2016.


Evropski standard EN 16872:2016 je pripravil projektni odbor Evropskega komiteja za standardizacijo
CEN/TC 427 Services of Medical Doctors with additional qualification in Homeopathy. Slovenski
standard SIST EN 16872:2016 je prevod evropskega standarda EN 16872:2016. V primeru spora glede
besedila slovenskega prevoda v tem standardu je odločilen izvirni evropski standard v enem izmed treh
uradnih jezikov CEN. Slovensko izdajo standarda je v sodelovanju s Slovenskim homeopatskim
društvom pripravil tehnični odbor SIST/TC VAZ Varovanje zdravja.

Odločitev za privzem tega standarda je dne 7. 11. 2016 sprejel Strokovni svet SIST za splošno področje.


– privzem standarda EN 16872:2016


– Povsod, kjer se v besedilu standarda uporablja izraz »evropski standard«, v SIST EN 16872:2016 to
pomeni »slovenski standard«.

– Uvod in nacionalni predgovor nista sestavna dela standarda.

– Ta nacionalni dokument je istoveten EN 16872:2016 in je objavljen z dovoljenjem

Upravni center
Avenue Marnix 17
B-1000 Bruselj

This national document is identical with EN 16872:2016 and is published with the permission of

Management Centre
Avenue Marnix 17
B-1000 Brussels


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ICS 03.080.99; 03.100.30; 11.020

Slovenska izdaja

Zdravstvene storitve, ki jih opravljajo zdravniki z dodatno kvalifikacijo iz
homeopatije – Zahteve za storitve zdravstvenega varstva, ki jih opravljajo
zdravniki z dodatno kvalifikacijo iz homeopatije

Services of Medical Doctors with Services de santé des docteurs en Dienstleistungen von Ärzten mit
additional qualification in médecine ayant une qualification Zusatzqualifikation in Homöopathie
Homeopathy (MDQH) – complémentaire en homéopathie – – Anforderungen an die
Requirements for health care Exigences relatives aux prestations Gesundheitsversorgung durch Ärzte
provision by Medical Doctors with de soins de santé fournies par les mit Zusatzqualifikation in
additional qualification in docteurs en médecine ayant une Homöopathie
Homeopathy qualification complémentaire en

Ta evropski standard je CEN sprejel dne 6. avgusta 2016.

Člani CEN morajo izpolnjevati notranje predpise CEN/CENELEC, ki določajo pogoje, pod katerimi dobi
ta standard status nacionalnega standarda brez kakršnihkoli sprememb. Najnovejši seznami teh
nacionalnih standardov in njihovi bibliografski podatki se na zahtevo lahko dobijo pri Upravnem centru
CEN-CENELEC ali pri kateremkoli članu CEN.

Ta evropski standard obstaja v treh uradnih izdajah (angleški, francoski in nemški). Izdaje v drugih
jezikih, ki jih člani CEN na lastno odgovornost prevedejo in izdajo ter prijavijo pri Upravnem centru CEN-
CENELEC, veljajo kot uradne izdaje.

Člani CEN so nacionalni organi za standarde Avstrije, Belgije, Bolgarije, Cipra, Češke republike,
Danske, Estonije, Finske, Francije, Grčije, Hrvaške, Irske, Islandije, Italije, Latvije, Litve, Luksemburga,
Madžarske, Malte, Nekdanje jugoslovanske republike Makedonije, Nemčije, Nizozemske, Norveške,
Poljske, Portugalske, Romunije, Slovaške, Slovenije, Španije, Švedske, Švice, Turčije in Združenega

Evropski komite za standardizacijo
European Committee for Standardization
Comité Européen de Normalisation
Europäisches Komitee für Normung
Upravni center CEN-CENELEC: Avenue Marnix 17, B-1000 Bruselj

© 2016 CEN  Lastnice avtorskih pravic so vse države članice CEN. Ref. oznaka EN 16872:2016 E

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SIST EN 16872 : 2016
Predgovor k evropskemu standardu

Dokument (EN 16872:2016) je pripravil tehnični odbor CEN/TC 427 »Projektni odbor za zdravstvene
storitve zdravnikov z dodatno kvalifikacijo iz homeopatije«, katerega sekretariat vodi ASI.
Ta evropski standard mora dobiti status nacionalnega standarda bodisi z objavo istovetnega besedila
bodisi z razglasitvijo najpozneje do aprila 2017; nacionalne standarde, ki so v nasprotju s tem
standardom, pa je treba umakniti najpozneje aprila 2017.
Opozoriti je treba na možnost, da je lahko nekaj elementov tega dokumenta predmet patentnih pravic.
CEN ne prevzema odgovornosti za identifikacijo katerihkoli ali vseh takih patentnih pravic.
Skladno z notranjimi predpisi CEN-CENELEC morajo ta evropski standard obvezno uvesti nacionalne
organizacije za standarde naslednjih držav: Avstrije, Belgije, Bolgarije, Cipra, Češke republike, Danske,
Estonije, Finske, Francije, Grčije, Hrvaške, Irske, Islandije, Italije, Latvije, Litve, Luksemburga,
Madžarske, Malte, Nekdanje jugoslovanske republike Makedonije, Nemčije, Nizozemske, Norveške,
Poljske, Portugalske, Romunije, Slovaške, Slovenije, Španije, Švedske, Švice, Turčije in Združenega


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Predgovor k evropskemu standardu . 2
Uvod . 5
1 Področje uporabe . 6
2 Izrazi in definicije . 6
3 Kompetence . 8
3.1 Splošno . 8
3.2 Zahtevano znanje in razumevanje . 8
3.3 Zahtevane sposobnosti in veščine . 8
3.4 Povezava med konvencionalnim in homeopatskim pristopom . 9
4 Klinična praksa . 9
4.1 Homeopatska anamneza . 9
4.2 Homeopatska analiza primera . 9
4.3 Nadaljnja obravnava in vodenje bolnika . 10
4.4 Zahteve za zdravstveno dokumentacijo . 10
5 Etični kodeks . 10
5.1 Osnovna načela . 10
5.2 Načela zdravnikovega odnosa do poklica . 11
5.3 Načela zdravljenja . 12
5.4 Načela vsakodnevnega dela . 12
6 Izobraževanje . 13
6.1 Splošno . 13
6.2 Osnovne zahteve programa homeopatskega izobraževanja . 14
6.2.1 Zahteve za sprejem . 14
6.2.2 Zahteve programa homeopatskega izobraževanja . 14
6.3 Rezultati izobraževanja . 14
6.3.1 Glavni rezultati . 14
6.3.2 Zahtevano znanje in veščine . 14
6.3.3 Izvajanje programa homeopatskega izobraževanja . 15
6.4 Preverjanje znanja . 15
6.5 Stalni strokovni razvoj . 15
6.5.1 Stalni strokovni razvoj za zdravnike homeopate . 15
6.5.2 Stalni strokovni razvoj poklica . 15
Dodatek A (normativni): Učni načrt . 16
A.1 Pregled . 16
A.2 Predmetnik . 16
A.2.1 Splošno . 16
A.2.2 Postopek zdravljenja . 16
A.2.3 Obravnavanje primera in klinična pot . 18
A.3 Stalni strokovni razvoj . 20

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A.3.1 Stalni strokovni razvoj za zdravnike . 20
A.3.2 Stalni strokovni razvoj poklica . 20
Dodatek B (informativni): Smernice za preverjanje znanja . 21
Dodatek C (informativni): Priporočeni seznam homeopatskih zdravil za poučevanje . 23
Bibliografija . 25


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Homeopatijo je pred več kot 200 leti utemeljil nemški zdravnik dr. Samuel Hahnemann; od takrat se je
razvila v dovršeno prakso anamneze, diagnostike, predpisovanja zdravil in zagotavljanja dolgotrajne
obravnave. Temelji na načelu podobnosti »podobno se zdravi s podobnim«. Nekateri zdravniki in filozofi
to načelo priznavajo že stoletja, toda Hahnemann je prepoznal njegovo univerzalnost, na njem zgradil
celovit medicinski sistem z lastnim pojmovanjem zdravja in bolezni ter ga opisal v svojem temeljnem
delu Organon umetnosti zdravljenja [1]. Homeopatija se je razvila na podlagi in v okviru zahodne, zlasti
evropske medicinske vede, in se danes v svetu izvaja v več kot 70 državah.
Namen evropskega standarda je določiti minimalne standarde kakovosti homeopatskega zdravljenja ter
zagotoviti visoke standarde na področju izobraževanja, usposabljanja in izvajanja homeopatije pri
zdravnikih. Bolnikom, ki se odločijo za homeopatijo, bi bilo treba zagotoviti primerno kakovost in
standard ponujene oskrbe.
Cilj standarda je tudi uskladiti strokovne standarde pri izvajanju homeopatije med zdravniki v Evropi in
vključiti visokokakovostno homeopatijo v evropski sistem zdravstvenega varstva. Skladno s priporočili
strategije Svetovne zdravstvene organizacije za tradicionalno medicino 2014–2023 [2] bo vodilnim na
področju zdravstvenega varstva v pomoč pri oblikovanju rešitev, ki zdravje in avtonomijo bolnika
obravnavajo širše.


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1 Področje uporabe
Ta evropski standard določa minimalne zahteve za zdravnike z dodatno kvalifikacijo iz homeopatije in
njihove zdravstvene storitve.
Ta evropski standard se ne uporablja za storitve, ki jih opravijo osebe, ki niso zdravniki, niti za pripravo
homeopatskih zdravil, niti za metodologijo in izvedbo homeopatskih preizkusov.

2 Izrazi in definicije

Za namene tega dokumenta se uporabljajo naslednji izrazi in definicije.

akutna bolezen
hiter patološki proces, ki ponavadi izzveni bolj ali manj hitro, a vedno v doglednem času

[VIR: Hahnemann, Kronične bolezni, njihova posebna narava in homeopatsko zdravljenje]

kronična bolezen
bolezen, ki se pogosto začne neopazno, a dinamično vpliva na organizem in povzroči postopen odklon
od zdravega stanja

[VIR: Hahnemann, Organon umetnosti zdravljenja, paragraf 72]

fizične in psihološke značilnosti, ki določajo posameznika, vključno s fizičnimi in psihološkimi odzivi na
dražljaje in okoliščine, ki se pojavljajo v vsakodnevnem življenju

smer zdravljenja
progresivno izboljšanje bolnikovega stanja, ki ga izkazuje potek bolezenskega procesa, in sicer od
zgoraj navzdol, od znotraj navzven, od bolj pomembnih organov k manj pomembnim in od duševnega
k fizičnemu; simptomi se umikajo v smeri, ki je nasprotna njihovemu nastanku

Opomba 1: Smer zdravljenja se lahko določi na podlagi sprememb v bolezenskem procesu.

splošni simptomi
bolezensko dogajanje, ki prizadene človeka kot celoto in je povezano z več področji ali vidiki

PRIMER: Vročina, znojenje ali šibkost.

homeopatsko zdravilo
homeopatsko zdravilo, predpisano po načelu podobnosti

[VIR: Direktiva 2001/83/ES, spremenjena z direktivo 2004/27/ES, čl. 1(5)] [3]

izbira homeopatskega zdravila
primerjava ustreznih homeopatskih zdravil in diferenciacija med njimi, da se na podlagi načela
podobnosti za vsakega bolnika izbere najprimernejše homeopatsko zdravilo


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homeopatski preizkus
metoda, ki se v homeopatiji uporablja za določanje simptomov homeopatskega zdravila, in sicer tako,
da se zdravim prostovoljcem predpišejo odmerki homeopatsko potencirane substance, ki lahko sproži

Opomba 1: Ustreza homeopatskemu patogenetskemu preizkusu.

medicinski pristop, pri katerem se bolniku predpiše homeopatsko zdravilo z namenom izboljšanja

homeopatska materija medika
celota zbranega znanja o terapevtskih lastnostih zdravil, ki se uporabljajo pri homeopatskem zdravljenju

zdravnik z dodatno kvalifikacijo iz homeopatije
zdravnik homeopat
zdravnik, ki se je dodatno izobraževal na področju homeopatije in je usposobljen za to, da homeopatijo
vključi v zdravstveno oskrbo bolnikov v praksi splošne medicine, konvencionalni specialistični praksi ali
izključno homeopatski praksi

teorija o miazmah
Hahnemannova teorija o etiologiji in razvoju kroničnih ali ponavljajočih se bolezni ugotavlja, katere
bolezni bi lahko bile pridobljene ali dedne in katere lahko povzročijo nagnjenost k določeni bolezni

okoliščina, ki poslabša ali izboljša nek simptom ali celotno klinično sliko bolnika

stopnja, na katero je potencirano homeopatsko zdravilo

način priprave homeopatskega zdravila s trituracijo ali pretresanjem med vsakim zaporedjem redčenj

načelo podobnosti
terapevtska uporaba zdravil za zdravljenje simptomov, podobnih tistim, ki jih izzovejo pri zdravem

tehnika uporabe repertorija za prepoznavanje homeopatskega zdravila, katerega materija medika se
najbolj ujema s totaliteto simptomov bolnika

sistematična navzkrižna primerjava simptomov in bolezenskih znakov s homeopatskimi zdravili


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rubrika v repertoriju
rubrika v repertoriju, ki simptome, znake ali klinično diagnozo povezuje z ustreznimi homeopatskimi

potlačitev (supresija)
zdravljenje, ki ne poteka v smeri ozdravitve

totaliteta simptomov
celotna bolezenska slika, vključno z duševnimi, splošnimi in lokalnimi simptomi bolnika

3 Kompetence

3.1 Splošno

Homeopatija ponuja drugačen pristop k pojmovanju bolezni in odnosu do bolnika. Zdravniki homeopati
delajo na enak način kot njihovi konvencionalni kolegi, le da pri zdravljenju bolnikov vključujejo
homeopatijo. Zdravnik homeopat mora pri obravnavi upoštevati vse etične in poklicne vrednote,
kompetence in odgovornost, ki se pričakujejo od zdravnika; pri tem celovito oceni bolnikove potrebe in
sodeluje z drugimi medicinskimi strokovnjaki, katerih oskrbo bolnik že prejema ali bi jo utegnil

3.2 Zahtevano znanje in razumevanje
Poleg konvencionalnega usposabljanja mora zdravnik homeopat poznati in razumeti:
a) področje uporabe in pomen homeopatije ter prepoznati njen prispevek, ki ga vključi v zdravljenje
b) zdravje in dinamiko bolezni, tudi s poglobljenim razumevanjem kroničnih bolezni;
c) komunikacijske veščine, še zlasti zaradi posebnosti homeopatske anamneze;
d) bolnika kot posameznika;
e) sposobnost bolnika za samozdravljenje in samouravnavanje ter ukrepe, ki so mu na voljo za
spodbujanje teh procesov;
f) pomembnost samega terapevtskega srečanja;
g) znanstvene osnove homeopatije, dokaze in argumente, ki jo podpirajo;
h) omejitve homeopatije;
i) uporabo homeopatije kot dopolnilne terapije pri preventivni, profilaktični in paliativni oskrbi ter
j) potrebo, da deluje v varnem medicinskem kontekstu in v okviru širšega načrta zdravljenja, ki nujno
vključuje tudi poznavanje diagnoze, prognoze in konvencionalnega zdravljenja.
3.3 Zahtevane sposobnosti in veščine
Zdravnik homeopat mora biti sposoben:
a) pridobiti ustrezno informirano privolitev za izvajanje homeopatskega zdravljenja;
b) priti do celovitih podatkov, saj predpisovanje homeopatskega zdravila izhaja tako iz celostnega
pristopa k bolniku kot iz patoloških indikacij; vsi vidiki primera in bolnika so pomembni;
c) pridobiti simptome in znake na fizični, čustveni in duševni ravni s pomočjo anamneze, pregleda in
vseh dodatnih analiz, potrebnih za izbiro homeopatskega zdravila;
d) jasno komunicirati z bolniki, njihovimi svojci in drugim zdravstvenim osebjem ter
e) zagotoviti, da so bolniki celovito seznanjeni o svoji izbiri zdravljenja in oskrbe.

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3.4 Povezava med konvencionalnim in homeopatskim pristopom
Zdravnik homeopat izbere najprimernejši način zdravljenja za bolnika, ki je lahko konvencionalen,
homeopatski ali oboje. Zdravnik homeopat bi moral poznati indikacije in omejitve homeopatije, na kar
deloma vplivajo njegova izobrazba in izkušnje. Homeopatija kot metoda zdravljenja se lahko uporablja
tako v splošni kot v specialistični medicini.

4 Klinična praksa

4.1 Homeopatska anamneza

Celovita anamneza je v homeopatiji najpomembnejši diagnostični instrument. Pri jemanju anamneze je
treba oceniti indikacije za homeopatsko zdravljenje. Pri homeopatski anamnezi mora zdravnik
a) prepoznati znake in simptome stanja bolnika v smislu konvencionalne medicinske diagnoze in
b) opredeliti podatke, potrebne za izbiro homeopatskega zdravila.
Strokovne zahteve za homeopatsko anamnezo morajo vključevati:
c) beleženje spontano vidnih ugotovitev, vedenja in gibov;
d) zapisovanje spontane pripovedi bolnika;
e) prepoznavanje totalitete simptomov v vodenem pogovoru;
f) podrobnejšo seznanitev z najpomembnejšimi podrobnostmi na področju duševnosti in čustev,
splošnih in lokalnih simptomov ter modalitetami;
g) celovito anamnezo z zdravstvenimi, biografskimi in socialnimi podatki ter
h) celovito družinsko anamnezo.
Pri homeopatski anamnezi je treba opraviti natančen telesni pregled bolnika, da se ugotovijo in
podrobneje opišejo vsi fizični znaki in simptomi, tudi znaki, vidni na zunaj.

4.2 Homeopatska analiza primera

Pri homeopatski analizi primera mora zdravnik homeopat oceniti simptome in ugotovitve skladno s
homeopatskimi načeli.
Zdravnik homeopat mora zlasti:
a) prepoznati simptome, ki so značilni za posameznega bolnika;
b) oceniti, kateri simptomi so pomembni pri izbiri zdravila;
c) prepoznati simptome, pomembne za spremljanje učinka terapije (simptomi za spremljanje
napredka zdravljenja);
d) analizirati in oceniti uspešnost na podlagi simptomov za spremljanje napredka zdravljenja ob
upoštevanju predvidenega spontanega napredka in načel smeri zdravljenja v homeopatiji;
e) primerjati in opraviti diferencialno analizo homeopatskih zdravil na podlagi materije medike;
f) poznati različne pristope, metode in orodja za izbiro primernega homeopatskega zdravila;
g) biti seznanjen z uporabo repertorija in omejitvami pri njegovi uporabi.


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4.3 Nadaljnja obravnava in vodenje bolnika
Ob kontrolnih pregledih, ki so med trajanjem homeopatskega zdravljenja najpomembnejši diagnostični
instrument, mora zdravnik homeopat:
a) ugotoviti, ali bolnik sledi načrtu zdravljenja, določenem na predhodnem pregledu, in ali pravilno
jemlje homeopatsko zdravilo;
b) ugotoviti spremembe simptomatologije ob upoštevanju homeopatskega zdravljenja,
samozdravljenja in drugih vplivov;
c) analizirati in oceniti spremembe;
d) oceniti uspešnost zdravljenja;
e) preveriti in po potrebi spremeniti načrt zdravljenja ter
f) določiti nadaljnji potek zdravljenja.

4.4 Zahteve za zdravstveno dokumentacijo
Zdravstvena dokumentacija mora vsebovati opis stanja bolnika ob začetku terapije, sprememb v času
zdravljenja, vseh sprejetih odločitev in uporabljenih terapevtskih ukrepov ter napredka pri zdravljenju.
Tako lahko tudi drug zdravnik homeopat s praktičnimi izkušnjami razume konkretni primer. Vsi pregledi
morajo biti kronološko zabeleženi.
Poleg elementov standardne anamneze mora zapis o anamnezi, opravljeni na začetku zdravljenja,
– navedbo predpisanega homeopatskega zdravila, potence in odmerka ter možne nadaljnje
terapevtske in diagnostične ukrepe;
– po želji tudi kratek opis pogovora, priporočil in nasvetov, ki jih je prejel bolnik.
Dokumentacija primera mora vsebovati opis simptomov, kadar je le mogoče z navedbo besed bolnika
samega. Za vsak pomemben simptom morajo biti navedene podrobnosti, potrebne za izbiro primernega
homeopatskega zdravila, če jih je bolnik seveda sposoben navesti.
V analizi primera bi bilo treba natančno popisati, kaj vse je bilo storjeno v konkretnem primeru: opis
izbire zdravila; opis simptomov za spremljanje napredka zdravljenja; opis simptomov, ki so se
spremenili, bili odpravljeni ali so se pojavili na novo.

5 Etični kodeks

5.1 Osnovna načela

Zdravnik homeopat mora upoštevati splošna načela, ki veljajo za vse kakovostne zdravniške storitve,
zapisana v Hipokratovi prisegi in deklaracijah Svetovnega zdravniškega združenja, še zlasti:

a) načela posameznikovih pravic, kot so:
1) pravica do nedotakljivosti telesa,
2) pravica do zasebnosti,
3) bolnikova avtonomija in
4) pravica do dobre zdravstvene oskrbe;
b) načela zdravstvene oskrbe, ki se osredotoča na bolnika.


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5.2 Načela zdravnikovega odnosa do poklica
V odnosu med zdravnikom in bolnikom:
a) mora zdravnik homeopat bolnika obravnavati pošteno in upravičiti njegovo zaupanje. Še zlasti se
mora izogibati:
1) vzbujanju negativnih občutkov,
2) izvajanju nepotrebnega zdravljenja in
3) predpisovanju nepotrebnih zdravil;
b) mora zdravnik homeopat spoštovati bolnikovo integriteto. Še zlasti mora:
1) obravnavati bolnika kot samostojnega posameznika, ki sprejema lastne odločitve in zanje
prevzema polno odgovornost;
2) izvajati ukrepe, ki bodo bolniku pomagali, da čimprej ne bo več odvisen od zdravljenja;
3) obravnavati bolnika kot sebi enakovrednega – ga vključiti v proces zdravljenja in ga seznanjati
z njegovim fizičnim, čustvenim in duševnim zdravstvenim stanjem;
4) upoštevati bolnikov pogled na svet;
5) bolnika obveščati in mu svetovati tako, da bo na podlagi podatkov lahko sprejel ustrezne
odločitve; in
6) spoštovati bolnikovo pravico, da se posvetuje z drugim zdravstvenim strokovnjakom;
c) mora zdravnik homeopat nameniti ustrezno pozornost težavam, ki jih navaja bolnik, in si vzeti dovolj
časa za obravnavo;
d) sme zdravnik homeopat uporabiti samo terapijo, s katero je bolnik soglašal, potem ko je bil z njo
ustrezno seznanjen;
e) mora zdravnik homeopat z bolnikom vzpostaviti odnos, ki temelji na vzajemnem zaupanju, tako da
mu lahko bolnik zaupa vsako težavo ali pomislek;
f) mora zdravnik homeopat spoštovati zaupnost podatkov vseh bolnikov, katerih primere bi bilo
mogoče uporabiti v objavah, na konferencah ali usposabljanjih, tako da zakrije ali spremeni podatke
o istovetnosti; od bolnika mora pridobiti pisno soglasje, če želi njegov primer predstaviti v članku
ali na konferenci;
g) zdravnik homeopat ne sme razkriti podatkov o bolniku, razen:
1) če to zahteva zakon,
2) če obstaja sum o zlorabi otroka ali starejše osebe – v takem primeru obvesti pristojne službe,
3) če ni bolnik soglašal z načinom in obsegom razkritja podatkov ter
4) v nujnih primerih ali drugih nevarnih razmerah, ko bi podatki lahko pomagali pri preprečitvi
morebitne poškodbe ali smrti bolnika ali druge osebe;
h) mora zdravnik homeopat delati pod lastnim imenom, tudi v primeru skupinske prakse;
i) mora zdravnik homeopat obvestiti bolnika, da se namerava upokojiti ali preseliti, ter ga seznaniti,
kako je urejen prenos prakse na drugega zdravnika;
j) mora zdravnik homeopat v primeru bolnika, ki menja zdravnika, z njegovim soglasjem pridobiti
zdravstveno dokumentacijo od prejšnjega zdravnika;
k) se mora zdravnik homeopat v dobro bolnika in njegovega počutja potruditi ter se posvetovati ali
vzpostaviti sodelovanje z drugimi zdravstvenimi strokovnjaki, ki sodelujejo pri njegovi zdravstveni
oskrbi. Še zlasti mora:
1) bolnika napotiti h kolegu, če pregled ali zdravljenje presega njegove sposobnosti, ali k drugemu
ustreznemu zdravstvenemu strokovnjaku, če bi mu lahko ta ustrezneje pomagal;

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SIST EN 16872 : 2016
2) paziti, da ne pride do neželenih nasprotij med postopki zdravljenja; in
3) izključno z bolnikovim soglasjem, opraviti posvet s kolegom ali bolnika napotiti h kolegom, ki
sodelujejo pri njegovem zdravljenju.
Če zdravnik homeopat ni bolnikov izbrani zdravnik, bi mu moral svetovati, naj ohrani stike s svojim
osebnim zdravnikom splošne medicine. Bolniku lahko svetuje, naj se raje obrne na drugega zdravnika,
in sicer:
l) če ugotovi, da ga ne m

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