Um método para a implantação e promoção de acesso às Práticas Integrativas e Complementares na Atenção Primária à Saúde

Abstract

The rendering of integrated and complementary practices in the Brazilian Unified Health System is fostered to increase the comprehensiveness of care and access to same, though it is a challenge to incorporate them into the services. Our objective is to provide a simple method of implementation of such practices in Primary Healthcare, derived from analysis of experiences in municipalities, using partial results of a master's thesis that employed research-action methodology. The method involves four stages: 1 - defininition of a nucleus responsible for implementation and consolidation thereof; 2 - situational analysis, with definition of the existing competent professionals; 3 - regulation, organization of access and legitimation; and 4 - implementation cycle: local plans, mentoring and ongoing education in health. The phases are described, justified and briefly discussed. The method encourages the development of rational and sustainable actions, sponsors participatory management, the creation of comprehensivenessand the broadening of care provided in Primary Healthcare by offering progressive and sustainable comprehensive and complementary practices.

Phytotherapy in primary health care

“…4,10,16,24,29,37,41 Additionally, this integration prompted health professionals to organize educational health 10,17,24,27,33,37,40,43 and environmental 16,37 actions, as well as cross-sectoral actions 10,12,16,17,20,24,33,35,38,41 (in partnership with agriculture, education, environment) and extension and research actions with universities. 16,20,41 and programs in health services, including the lack of strategy for registration and accompaniment in clinical use (to produce clinical evidence), 17,33 low investment in the study of Brazilian medicinal plants, 15,16,29,33,37,41 training and qualification deficits among human reso urces, 2,3,7,10,[13][14][15][16][20]…”

“…2,3,7,10,[13][14][15][16][20][21][22]29,33,36,38,40,43 The prescription of phytotherapics and medicinal plants by health professionals could therefore be encouraged through a continuous and long-term education process for professionals, as part of health teams' daily work routine. 7,36,43 Trained professionals would thereby be able to recognize those medicinal/phytotherapeutic plants most commonly used by their patients 3,7,13,36 and advise them accordingly.…”

Avaliação do grau da implantação das práticas integrativas e complementares na Atenção Básica em Santa Catarina, Brasil

“…Apesar destes fatores, destaca-se que o processo de implantação vem ocorrendo independentemente de a gestão do SUS promover a capacitação e contratação de profissionais habilitados em PIC, sendo associado à um fenômeno social que precede e transcende o âmbito das políticas públicas (GALHARDI;LEITE-MOR, 2013;ISCHKANIAN;SANTOS;TESSER, 2012;PELICIONI, 2012;SOUSA ET AL., 2012 ).…”

“…Ainda é necessário reconhecer que esse processo de implantação prevê algumas fases: feitura de pactos do núcleo responsável; mapeamento dos profissionais capacitados existentes; regulamentação e legitimação por meio de trâmites e normas legais; desenvolvimento de atividades de tutorias e atividades de educação permanente (BARRETO;NUNES;AROUCHA, 2014;SANTOS;TESSER, 2012;). Importante destacar que para a efetiva implantação, é necessário superar os ciclos da mudança dos governantes, o que impede a continuidade das ações em PIC.…”

Práticas integrativas e complementares e relação com promoção da saúde: experiência de um serviço municipal de saúde

“…Health promotion proposes the articulation of technical and popular knowledge and the mobilization of institutional and community-based, public and private resources to tackle the health-disease process 5 . The inclusion of the integrative and complementary practices in the Sistema Único de Saúde (SUS -Brazil's National Health System) is an action that expands the access and enhances the qualification of the services, in an attempt to involve integrated care to the health of the population 6 . The importance of Primary Care to strengthen health promotion practices, especially the PIC, should be highlighted.…”