Traditional and Integrative Medicine 2017. 2(1):24-26.

Self-referral, Compounding or Delivering Traditional Remedies by Physicians: Ethical Concerns and Codes
Omid Asemani, Abdolali Mohagheghzadeh


"Self-referral" as a specific type of conflict of interest, could potentially interfere with the integrity of an "appropriate referral" which should be practiced based on the unique needs of each patient. Referring patients to health facilities where the traditional therapist or physician "has investment interests or is part/full owner of such facilities" is ethically unacceptable and considered to be a kind of self-referring. We, in line with international community and as a professional duty, are obliged to abstain from such a problem. Considering the fast-growing global request for natural products, this ethical and professional issue needs crucial considerations respecting legislation, legal and professional detection and controls. In this way, potentiate the Traditional Pharmacy specialty (Ph.D), practical education of interested pharmacists regarding traditional medications, defining standards for traditional herbal preparations, cessation of preparation of traditional remedies by physicians are among the suggestions could be followed for professional handling of the problem. It is also the right time for compiling ethical codes covering global concerns for ethical prescription of traditional medications.


Conflict of interest; Natural products; Self-referral; Ethics; Traditional medicine

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Thompson DF. Understanding financial conflicts of interest. N Engl J Med 1993;329:573-576.

Clarke OW, Glasson J, August AM, Barrasso JA, McQuillan R. Conflicts of interest: physician ownership of medical facilities. JAMA 1992;267:2366-2369.

Hillman B, Joseph C, Mabry M, Sunshine J, Kennedy S, Noether M. Frequency and costs of diagnostic imaging in office practice -a comparison of self-referring and radiologist referring physicians-. N Engl J Med 1990;323:1604-1608.

Anyanwu EB, Harrison O, Onohwakpor Efe A. The practice of medical referral: ethical concerns. Am J Public Health Res 2015;3:31-35.

Benjamin R. Physician’s self-referral. Report of the Council on Ethical and Judicial Affairs (Resolution 17, A - 07), Contract No.: CEJA Report 1-1-08.

Mohagheghzadeh A. Natural product sunami. TIPS 2016 (accepted).

Traditional and Integrative Medicine(Quarterly)
P-ISSN: 2476-5104,  E-ISSN: 2476-5112 

Tehran University of Medical Sciences, Tehran, Iran. 
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