1505/2011 - O conhecimento de gestores municipais de saúde sobre a Política Nacional de Prática Integrativa e Complementar e sua influência para a oferta de homeopatia no Sistema Único de Saúde local Knowledge health managers on the National Policy on Integrative and Complementary and influence for the supply homeopathy in the Local Health System
• Wania Maria Papile Galhardi - Galhardi, WMP - Jundiaí, São PAULO - Fac. Medicina de Jundiaí; Faculdade de Ciências Médicas Unicamp – Dep. Med. Preventiva e Social – Lapacis - <waniapg@terra.com.br>
Coautor(es):
• Nelson Filice de Barros - Barros, N.F. - Campinas, SP - Faculdade de Ciências Médicas Unicamp – Dep. Med. Preventiva e Social – Lapacis - <nelfel@uol.com.br>
• Ana Cláudia Moraes Barros Leite-Mor - Mor-Leite, A.C.M.B. - Faculdade de Ciências Médicas Unicamp – Dep. Med. Preventiva e Social – Lapacis - <mor.anaclaudia@gmail.com>
Área Temática:
Políticas em Saúde
Resumo:
Os determinantes sociais do processo saúde-doença e o desafio da integralidade do cuidado levaram a Organização Mundial da Saúde a propor as Medicinas Alternativas e Complementares para comporem as políticas de saúde. No Brasil em 2006 foi publicada a Política Nacional de Práticas Integrativas e Complementares (PNPIC); ferramenta para a institucionalização da homeopatia no Sistema Único de Saúde (SUS). Este trabalho analisa o conhecimento dos gestores da saúde de municípios de São Paulo sobre a PNPIC e sua influência na atenção em homeopatia. Em 2008 foram identificados no DATASUS os municípios que realizaram consultas homeopáticas de 2000-2007, os gestores foram entrevistados e os resultados analisados quanti-qualitativamente: dos 645 municípios, 47 ofertaram homeopatia e com 42 foram realizadas entrevistas. Desses, 26% conhecem a PNPIC, 31% a conhecem pouco e 41% a desconhecem. Destaca-se que aqueles conhecedores afirmaram utilizar a PNPIC para: instruir o governo municipal sobre a homeopatia; a construção de legislação própria e o incremento dos serviços homeopáticos. Conclui-se que a PNPIC é desconhecida pelos gestores da saúde e aqueles que a conhecem utilizam-na para tornar conhecida a racionalidade médica homeopática e justificar sua indicação no SUS.
Palavras-chave:
Homeopatia
Sistema Único de Saúde
Integrativa
Abstract:
The social determinants of health-disease process and the challenge of comprehensive care have led the World Health Organization to propose the complementary and alternative medicine to make up the health policy. In Brazil in 2006 was published the National Policy on Integrative and Complementary Practices (PNPIC) tool for the institutionalization of homeopathy in the National Health System (SUS). This paper analyzes the knowledge of health managers of municipalities of São Paulo on PNPIC, and its influence on Homeopathy attention. In 2008 DATASUS were identified in the municipalities that took homeopathic consultations for 2000-2007, managers were interviewed and the results were analyzed quantitatively and qualitatively, of the 645 municipalities, 47 had offered homeopathy and 42 were interviewed. Of those, 26% know the PNPIC, 31% know little, 41% do not know. It is noteworthy that those experts said PNPIC to use: instructing the local government about homeopathy, the construction of specific legislation and the increase in homeopathic services. We conclude that the PNPIC is unknown by health managers and those in the know use it to make known the homeopathic medical rationale and justify his statement in the SUS.
Knowledge health managers on the National Policy on Integrative and Complementary and influence for the supply homeopathy in the Local Health System
Resumo (abstract):
The social determinants of health-disease process and the challenge of comprehensive care have led the World Health Organization to propose the complementary and alternative medicine to make up the health policy. In Brazil in 2006 was published the National Policy on Integrative and Complementary Practices (PNPIC) tool for the institutionalization of homeopathy in the National Health System (SUS). This paper analyzes the knowledge of health managers of municipalities of São Paulo on PNPIC, and its influence on Homeopathy attention. In 2008 DATASUS were identified in the municipalities that took homeopathic consultations for 2000-2007, managers were interviewed and the results were analyzed quantitatively and qualitatively, of the 645 municipalities, 47 had offered homeopathy and 42 were interviewed. Of those, 26% know the PNPIC, 31% know little, 41% do not know. It is noteworthy that those experts said PNPIC to use: instructing the local government about homeopathy, the construction of specific legislation and the increase in homeopathic services. We conclude that the PNPIC is unknown by health managers and those in the know use it to make known the homeopathic medical rationale and justify his statement in the SUS.
Galhardi, WMP, Barros, N.F., Mor-Leite, A.C.M.B.. O conhecimento de gestores municipais de saúde sobre a Política Nacional de Prática Integrativa e Complementar e sua influência para a oferta de homeopatia no Sistema Único de Saúde local. Cien Saude Colet [periódico na internet] (2011/Out). [Citado em 06/10/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/o-conhecimento-de-gestores-municipais-de-saude-sobre-a-politica-nacional-de-pratica-integrativa-e-complementar-e-sua-influencia-para-a-oferta-de-homeopatia-no-sistema-unico-de-saude-local/8732?id=8732
