A consulta homeopática: examinando seu efeito em pacientes da atenção básica

Abstract

O artigo analisa resultados de pesquisa que investigou, sob o prisma da integralidade do cuidado, a contribuição da inserção experimental da atenção homeopática em centro de saúde-escola. São examinados os efeitos da consulta homeopática na perspectiva dos usuários, por meio de dados obtidos em grupo de pacientes acompanhados por um período médio de 12 meses. Tomam-se, para análise, as narrativas desses participantes em grupos focais e os resultados obtidos com a aplicação de questionário desenvolvido na Escócia para avaliar o efeito das consultas médicas na atenção primária. Os resultados sugerem que, enquanto tecnologia de cuidado, a abordagem homeopática utilizada neste estudo é favorecedora da integralidade e depositária de qualidades que merecem uma maior atenção e investigação mais ampla para que possa ser avaliada em seus diferentes modelos de inserção na saúde publica.

Utilização de Medicinas Alternativas e Complementares na atenção primária à saúde de Florianópolis/SC, Brasil: percepção de usuários

“…The efficacy of CAM is linked to its "inside-out" mode of action, and related to stimulating the power of self-cure, rather than the outside-in approach of traditional drugs identified with conventional care 31,32 . These findings agree with those of other studies 9,23,24,30,33,34 and are not discussed in this paper as they are outside its scope.…”

“…The use of CAM in countries with ample access to biomedicine has been attributed to diagnostic and therapeutic limitations, iatrogenesis and situations related to biomedical care, as well as the virtues associated with CAM: enhanced value of the [patient/healthcare professional] bond, expanded listening and an approach that considers the various patient dimensions. Other virtues include an improved relationship with users, encouraging their involvement, and the potential for rebalance and self-cure, facilitating the meaning and experience of disease, centering care on the person and 'health' rather than on the disease [8][9][10][11][12][13] .…”

“…Studies of CAM in PHC in Brazil have addressed general aspects 12,[16][17][18][19] , their availability at healthcare services 20,21 , or the point of view of professionals 22,23 . Studies that focus on the point of view of PHC users are scarce, and generally concentrate on a specific CAM, checking into the reason why it is sought after, understanding the practice, results and perceptions of treatment 9,24,25 . These studies have addressed users of homeopathy or other practices 19,26 provided by exclusive CAM practitioners.…”

Following McWhinney’s footsteps: from family medicine to traditional and complementary medicine

“…Secondly, the access to a personalised continued care and community-oriented practice, including home-visiting, provide different clinical care scenarios for a team-based care provision in PHC. Specifically, in relation to homeopathy and consultation-length, the longitudinal follow-up allows clinicians to elaborate with more precision patient's illness symptomatic spectrum 24 . This might facilitate the selection of homeopathic medication.…”

“…He contends that "the physician's high and only mission is to restore the sick to health, to cure, as it is termed" and that "the highest ideal of cure is rapid, gentle and permanent restoration of the health" 23 (p. 85). Contrary to other T&CM such as Ayurvedic or Chinese medicine, homeopathy has a long presence in Brazil making it one of the most culturally accepted and easier to comprehend T&CM 24 . Thus, it serves as a concrete "model" for the purpose of this article.…”