Although the use of indigenous (traditional) Systems of Medicine is widespread and growing, Medical Practitioners and the Public Health community have expressed little faith in the efficacy of the systems or the drugs. Coordination between Alternative of Complementary Systems, as they are called in different parts of the world, and Conventional medical care (Allopathy) has not been organized so far except for a few minor examples. Most of the people who avail of alternative medical care, whether in India or abroad, are not referred by allopathic physicians but are mostly self-referred. According to a paper on Medical Malpractice Implications of Alternative Medicine published in the Journal of the American Medical Association in Nov '98, the improvement in the quality of care has been frustrated by longstanding professional rivalry between organized medicine and non-allopathic health practitioners.

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