Política Nacional de Práticas Integrativas e Complementares no Sistema Único de Saúde 10 anos: avanços e perspectivas

Amado, Daniel Miele; Rocha, Paulo Roberto Souza; Ugarte, Olívia Albuquerque; Ferraz, Carla Conceição; Lima, Mélquia da Cunha; Carvalho, Fabio Fortunato Brasil de

doi:10.14295/jmphc.v8i2.537

Cited by 25 publications

(31 citation statements)

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“…When comparing the national and municipal policies, we initially analyzed the difficulties imposed on the NPCIP's ample implementation and expansion in Brazil. Obstacles include the absence of a provisionary budget, insufficient coverage due to a lack of guidelines regarding actions and resources, lack of indicators to assess accumulated experience, unfamiliarity on the part of workers and managers, a lack of "confidence" in a model that diverges from the culturally established biomedical system, restricted or inexistent investment in mapping trained and qualified workers, and problems to rearrange the services' operational methods to include the provision of CIP (OLIVEIRA, 2019;AMADO et al, 2018;LOSSO;FREITAS, 2017;MÜLLER, 2016;CONTATORE et al, 2015;LIMA;SILVA;TESSER, 2014;SANTOS, 2010).…”

Section: The Relationship Between the Cip National And Municipal Policiesmentioning

confidence: 99%

“…(Field diary, March 2018) Reports to this sort of restrictions to CIP were collected on other occasions, revealing a tension between the already established biomedical system and unconventional treatments based on popular knowledge and non-linear operating principles that encompass the entire context of health care delivery. OLIVEIRA, 2019;AMADO et al, 2018;TESSER;SOUSA;NASCIMENTO, 2018;MÜLLER, 2016;CONTATORE et al, 2015;BRASIL, 2015;LIMA;SILVA;TESSER, 2014;SANTOS and TESSER, 2012;ANDRADE and COSTA, 2010;TESSER, 2009;DE SIMONI;BENEVIDES;BARROS, 2008;BARROS, 2006).…”

Section: The Mpcip Implementation Process: Actors Narratives and Facts Observedmentioning

confidence: 99%

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Monitoring the implementation of a Municipal Policy on Complementary and Integrative Practices: the main challenges

Ignatti

Nakamura

2021

Physis

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This paper is an excerpt of an ethnographic study conducted within a doctoral program in a Complementary and Integrative Practices referral unit located in Peruíbe-SP, Brazil. It presents an analysis of the implementation of a Municipal Policy on Complementary and Integrative Practices (MPCIP), including participant observation of meetings held with workers and managers, field diaries, documents from the Brazilian Ministry of Health and the World Health Organization, legislation, and reports of those involved. The analysis was based on hermeneutic interpretation (GEERTZ, 1989), and the main challenges faced during the process are presented. Even though the format of the MPCIP in Peruíbe meets national and international requirements, it only warranted legal-institutional aspects. Despite advancements in policy development, there remain political and operational challenges to its implementation and expansion, which shall be overcome to fully implement Complementary and Integrative Practices in the city’s health service.

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Section: The Relationship Between the Cip National And Municipal Policiesmentioning

confidence: 99%

Section: The Mpcip Implementation Process: Actors Narratives and Facts Observedmentioning

confidence: 99%

Monitoring the implementation of a Municipal Policy on Complementary and Integrative Practices: the main challenges

Ignatti

Nakamura

2021

Physis

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“…Las PIC's constituyen un conjunto de prácticas que tienen por objetivo fortalecer los principios del Sistema Único de Salud a través de la prevención de enfermedades, promoción de la salud y tratamiento del sujeto teniendo como base el modelo biopsicosocial. Con la implementación de mencionadas prácticas fue posible ofrecer de forma gratuita otras racionalidades médicas que solo estaban disponibles en las instituciones privadas, entre esas prácticas, se encuentra la auriculoterapia, modalidad de la Medicina Tradicional China (MTC) que estimula puntos del pabellón auricular, anexo con muchos nervios que al recibir estimulo provoca reacciones en el sistema neurovegetativo, en órganos o regiones debido a los meridianos y restablece el equilibrio homeostático (6,(8)(9)(10)(11) .…”

Section: Introductionunclassified

A auriculoterapia no controle da ansiedade e do estresse

et al. 2021

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Introducción: La posmodernidad requiere del individuo una conciencia crítica y, en consecuencia, cambios en el sector educacional, favoreciendo el desencadenamiento de problemas de salud mental en los docentes, principal contribuyente en la formación de esa conciencia. La auriculoterapia es una práctica fácil de aplicar que puede aliviar estos problemas.Objetivo: Analizar el efecto de la auriculoterapia en los puntajes de ansiedad y estrés de los maestros de primaria I y II y del programa de Educación de Jóvenes y Adultos en una escuela primaria municipal de João Pessoa, capital del estado de Paraíba.Método: Estudio de intervención del tipo antes y después, aprobado por el Comité de Ética e Investigación de la Universidad Federal de Paraíba bajo CAAE: 16803119.3.0000.5188. Se aplicaron cinco instrumentos de recolección de datos, tres cuestionarios semiestructurados y dos escalas (escala de ansiedad de Hamilton y escala de estrés percibido). Al aplicar los criterios de exclusión, se analizaron los datos de 11 docentes, los cuales fueron organizados en hojas de cálculo estadístico y analizados mediante análisis descriptivo, prueba de Tukey, ANOVA y Wald.Resultados: La auriculoterapia tuvo un efecto estadísticamente significativo sobre la ansiedad entre la primera y cuarta sesiones de auriculoterapia, y para el estrés, entre la primera y la novena sesiones, y para la ansiedad, este efecto se intensificó en los docentes que impartían clases en dos instituciones educativas.Conclusiones: La auriculoterapia ha actuado con éxito en la reducción de las puntuaciones de estrés y ansiedad, ha contribuido a la mejora de los principales síntomas de estos trastornos y ha actuado en la promoción de la autopercepción. Introduction: Post-modernity requires from individual critical awareness and, consequently, changes in the educational sector, favoring the triggering of mental disorders in professors, main contributor in the creation of this awareness. Auriculotherapy is an easy-to-apply practice that can be useful in these problems.Objective: To analyze the effect of auriculotherapy in the anxiety and stress scores of professors working in Elementary School I and II and in the Youth and Adult Education program of a municipal Elementary School in João Pessoa, capital of the state of Paraíba. Method: An intervention study of the before-and-after type, approved by the Ethics and Research Committee of the Federal University of Paraíba under CAAE: 16803119.3.0000.5188. Five data collection instruments were applied: three semi-structured questionnaires and two scales (Hamilton Anxiety Scale and Perceived Stress Scale). By applying the exclusion criteria, data of 11 professors were analyzed, which were organized in statistical spreadsheets and analyzed through descriptive analysis, Tukey's test, ANOVA, and Wald. Results: Auriculotherapy attained a statistically significant effect on anxiety between the first and fourth sessions and, for stress, between the first and ninth sessions, given that, for anxiety, this effect was intensified in the professors who worked in two educational institutions. Conclusions: Auriculotherapy was successful in the reduction of the stress and anxiety scores, contributed to the improvement in the main symptoms of these disorders, and promoted self-perception. Introdução: A pós-modernidade requer do indivíduo uma consciência crítica e consequentemente mudanças no setor educacional, favorecendo o desencadeamento de agravos de saúde mental nos professores, principal contribuinte na formação dessa consciência. A auriculoterapia é uma prática de fácil aplicação que pode atuar nesses agravos.Objetivo: Analisar o efeito da auriculoterapia nos escores de ansiedade e estresse dos professores do ensino fundamental I e II e do programa Educação de jovens e adultos de uma escola municipal de Ensino Fundamental em João Pessoa, capital do estado da Paraíba. Método: Estudo de intervenção do tipo antes e depois, aprovado pelo Comitê de ética e pesquisa da Universidade Federal da Paraíba sob CAAE: 16803119.3.0000.5188. Foram aplicados cinco instrumentos de coleta de dados, três questionários semiestruturados e duas escalas (escala de ansiedade de Hamilton e escala de estresse percebido). Ao aplicar os critérios de exclusão foram analisados os dados de 11 professores, os quais foram organizados em planilhas estatísticas e analisados através da análise descritiva, teste de Tukey, ANOVA e Wald. Resultados: A auriculoterapia obteve efeito estatisticamente significativo na ansiedade entre a primeira e quarta sessão de auriculoterapia, e para o estresse, entre a primeira e nona sessão, sendo que para a ansiedade esse efeito foi intensificado nos professores que lecionavam em duas instituições de ensino. Conclusões: A auriculoterapia atuou com êxito na redução dos escores de estresse e ansiedade, contribuiu na melhora dos principais sintomas desses agravos e atuou na promoção da auto percepção.

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“…The National PIC Policy in Brazil seeks to develop training and qualification strategies in these practices for health professionals working in SUS, especially in Primary Health Care (PHC), in order to expand the forms of care and cure (6) . Therefore, it is essential to stimulate changes in health services, based on reflections on the work process, polishing concepts and habits, in order to modify the look and culture immersed in health, adding to professional understanding, popular and familiar knowledge and practices.…”

Section: Introductionmentioning

confidence: 99%

Integrative and complementary practices in Primary Care: unveiling health promotion

Dalmolin

Heidemann

2020

Rev. Latino-Am. Enfermagem

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Objective: to understand the use of integrative and complementary practices as a health promotion action. Method: qualitative study, action-participant type, with the application of Paulo Freire’s Research Itinerary, in which 30 Primary Health Care professionals participated. Thematic research was developed with two Primary Care Units, one that used integrative and complementary practices in daily life and another that focused more on allopathic concepts of assistance. To carry out the three stages of the method used, seven Culture Yarning Circles took place. The critical unveiling took place concurrently with the participation of those surveyed. Results: integrative and complementary practices constitute a form of health care, with the purpose of understanding the human being in the health-disease process, making it possible to work with the different aspects that involve them. In this way, they reduce damages resulting from the excessive use of medications, stimulate comprehensiveness and promote health. Conclusion: integrative and complementary practices are resources for health promotion, through comprehensive care and reducing the use of medications.

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Política Nacional de Práticas Integrativas e Complementares no Sistema Único de Saúde 10 anos: avanços e perspectivas

Cited by 25 publications

References 4 publications

Monitoring the implementation of a Municipal Policy on Complementary and Integrative Practices: the main challenges

Monitoring the implementation of a Municipal Policy on Complementary and Integrative Practices: the main challenges

A auriculoterapia no controle da ansiedade e do estresse

Integrative and complementary practices in Primary Care: unveiling health promotion

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