IPTSP - Instituto de Patologia Tropical e Saúde Pública

URI Permanente desta comunidade

http://200.137.215.59/tede/handle/tde/146

Navegar

Navegando IPTSP - Instituto de Patologia Tropical e Saúde Pública por Por Programa "Programa de Pós-graduação em Saúde Coletiva (IPTSP)"

Agora exibindo 1 - 1 de 1
  • Nenhuma Miniatura disponível
    Item
    Práticas integrativas e complementares na atenção primária à saúde: percepções dos profissionais sobre a oferta dos serviços na Região Metropolitana de Goiânia
    (Universidade Federal de Goiás, 2019-04-29) Silva, Pedro Henrique Brito da; Oliveira, Ellen Synthia Fernandes de; http://lattes.cnpq.br/3128365764211694; Oliveira, Ellen Synthia Fernandes de; Teixeira, Ricardo Antônio Gonçalves; Barros, Nelson Filici de
    Researches involving Complementary and Alternative Medicine (CAM) have been increasingly encouraged in order to understand how these unconventional care practices are provided in Primary Health Care (PHC). They acquire even more relevance from the perception of professionals who use them. They are important so that professionals can know the reality of these services in order to support planning and management strategies. CAM are in accordance with what is recommended at work in the field of Collective Health and in the Unified Health System, since they aim at the integrality, conection and protagonism of users regarding their care, being health promotion the structuring axis in a dialogical, creative and innovative perspective. The objective of this study was to understand the perception of health professionals who provide CAM on their use in PHC services in the Metropolitan Region of Goiânia. This is a descriptive, exploratory study with a qualitative approach. Twenty professionals who used to provide CAM took part of our study in 14 PHC services in three cities in the Metropolitan Region of Goiânia between January and August, 2018. Data were collected through semi-structured interviews, which were transcribed and analyzed through Content Analysis with the aid of NVivo© software to identify thematic categories. Most of them were nurses, aged between 31 and 40 years, and auriculotherapy was the most common complementary and alternative practice provided. The results were grouped into three categories: a) Training and qualification of professionals in CAM; b) Working with CAM; c) Conceptions of health and care. We could demonstrate that provision of ICP depended on the prior competence of the professionals or on their training in service. CAM were being organized and inserted into PHC by professionals from the Family Health Strategy (FHS), the Family Health Support Center (NASF) and the Health Academy, in a complementary way to the biomedical model. Such professionals have suffered from the disregard and ignorance of their work as well as from the lack of discussion about CAM in team meetings and lack of notes in the patients' medical records, which lends public invisibility and social humiliation to those professionals, who work within the limits imposed by the current biomedical model. On the other hand, CAM showed some change in health practices since they have contributed with a holistic perspective, individual empowerment, and a possibility of social de-medicalization, which have been enhancing the work between the Family Health teams and the Family Health Support Centers. However, there is still a concept of health and care that is rooted in disease prevention and in stimulating users’ behavioral changes. In this perspective, CAM are present in PHC, but we confirm that they have found barriers for their legitimacy, even in the presence of a national policy that establishes them.