Oferta de Práticas Integrativas e Complementares em Saúde na Estratégia Saúde da Família no Brasil
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7228 |
Resumo: | The article analyzes the supply of Integrative and Complementary Health Practices in the Family Health Strategy (FHS), based on the agreement between answers by administrators and health professionals. This was a quantitative descriptive-exploratory study using two databases, the National Survey on Integrative and Complementary Practices in Health in the Unified National Health System (SUS) and the National Program for Improvement of Access and Quality of Basic Care (PMAQ). According to the administrators, the supply of Integrative and Complementary Health Practices was present in the FHS in 26.7% of the municipalities participating in the National Survey, compared to 25.5% of the municipalities according to the health professionals in the PMAQ. Of the 1,478 municipalities that participated in both surveys, in 8.6% there was an agreement of answers on the supply of Integrative and Complementary Health Practices in the FHS. The municipalities with the greatest agreement in the supply were those with small populations and greater coverage of basic care. The small proportion of municipalities with this supply according to both administrators and health professionals supports the hypothesis that the health professionals are the main force responsible for the expansion of Integrative and Complementary Health Practices in the SUS, as compared to initiatives by administrators. This scenario reflects the need for administrators to take greater stock of what is developed in the FHS to strengthen Integrative and Complementary Health Practices and to mobilize the institutional resources for their maintenance and expansion. |
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Oferta de Práticas Integrativas e Complementares em Saúde na Estratégia Saúde da Família no BrasilAtenção Primária à SaúdeTerapias ComplementaresEstratégia Saúde da FamíliaThe article analyzes the supply of Integrative and Complementary Health Practices in the Family Health Strategy (FHS), based on the agreement between answers by administrators and health professionals. This was a quantitative descriptive-exploratory study using two databases, the National Survey on Integrative and Complementary Practices in Health in the Unified National Health System (SUS) and the National Program for Improvement of Access and Quality of Basic Care (PMAQ). According to the administrators, the supply of Integrative and Complementary Health Practices was present in the FHS in 26.7% of the municipalities participating in the National Survey, compared to 25.5% of the municipalities according to the health professionals in the PMAQ. Of the 1,478 municipalities that participated in both surveys, in 8.6% there was an agreement of answers on the supply of Integrative and Complementary Health Practices in the FHS. The municipalities with the greatest agreement in the supply were those with small populations and greater coverage of basic care. The small proportion of municipalities with this supply according to both administrators and health professionals supports the hypothesis that the health professionals are the main force responsible for the expansion of Integrative and Complementary Health Practices in the SUS, as compared to initiatives by administrators. This scenario reflects the need for administrators to take greater stock of what is developed in the FHS to strengthen Integrative and Complementary Health Practices and to mobilize the institutional resources for their maintenance and expansion.El artículo presenta un análisis de la oferta de Prácticas Integradoras y Complementarias en Salud (PICS), dentro la Estrategia Salud de la Familia (ESF), a partir de la convergencia en la respuesta de gestores y profesionales. Se trata de una investigación cuantitativa descriptiva-exploratoria, utilizando dos bancos de datos: la Encuesta Nacional de Prácticas Integradoras y Complementarias de Salud en el SUS y el Programa Nacional de Mejora de Acceso y Calidad de la Atención Básica (PMAQ). De acuerdo con los gestores, la oferta de PICS estuvo presente en la ESF de un 26,7% de los municipios participantes en la Encuesta Nacional y en un 25,5% de los municipios del PMAQ, según los profesionales. De los 1.478 municipios que participaron en las dos investigaciones, en un 8,6% de ellos hubo convergencia de la oferta de PICS en la ESF. Los municipios con mayor convergencia en la oferta son de pequeño porte poblacional y con mayor cobertura de atención básica. La pequeña cantidad de municipios con oferta reconocida por gestores y profesionales refuerza la presuposición de que son los profesionales los principales responsables de la expansión de las PICS en el SUS, en detrimento de iniciativas de la gestión. Este escenario caracteriza la necesidad de apropiación por parte de los gestores de lo que se desarrolla en la ESF, para el fortalecimiento de las PICS y la movilización de recursos institucionales para su mantenimiento y ampliación.O artigo apresenta análise da oferta das Práticas Integrativas e Complementares em Saúde (PICS) na Estratégia Saúde da Família (ESF), a partir da convergência da resposta de gestores e profissionais. Trata-se de uma pesquisa quantitativa descritivo-exploratória, utilizando dois bancos de dados: o Inquérito Nacional de Práticas Integrativas e Complementares em Saúde no SUS e o Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ). De acordo com os gestores, a oferta de PICS esteve presente na ESF de 26,7% dos municípios participantes do Inquérito e em 25,5% dos municípios do PMAQ, segundo os profissionais. Dos 1.478 municípios que participaram das duas pesquisas, em 8,6% deles houve convergência da oferta de PICS na ESF. Os municípios com maior convergência na oferta são de pequeno porte populacional e com maior cobertura de atenção básica. A pequena quantidade de municípios com oferta reconhecida por gestores e profissionais reforça o pressuposto de que são os profissionais os principais responsáveis pela expansão das PICS no SUS, em detrimento de iniciativas da gestão. Esse cenário caracteriza a necessidade de apropriação por parte dos gestores do que é desenvolvido na ESF, para o fortalecimento das PICS e a mobilização de recursos institucionais para sua manutenção e ampliação.Reports in Public HealthCadernos de Saúde Pública2019-12-20info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7228Reports in Public Health; Vol. 36 No. 1 (2020): JanuaryCadernos de Saúde Pública; v. 36 n. 1 (2020): Janeiro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7228/15858https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7228/15859Fernanda Elizabeth Sena BarbosaMaria Beatriz Lisboa GuimarãesCarlos Renato dos SantosAdriana Falangola Benjamin BezerraCharles Dalcanale TesserIslandia Maria Carvalho de Sousainfo:eu-repo/semantics/openAccess2024-03-06T15:29:49Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/7228Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:08:19.593062Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Oferta de Práticas Integrativas e Complementares em Saúde na Estratégia Saúde da Família no Brasil |
title |
Oferta de Práticas Integrativas e Complementares em Saúde na Estratégia Saúde da Família no Brasil |
spellingShingle |
Oferta de Práticas Integrativas e Complementares em Saúde na Estratégia Saúde da Família no Brasil Fernanda Elizabeth Sena Barbosa Atenção Primária à Saúde Terapias Complementares Estratégia Saúde da Família |
title_short |
Oferta de Práticas Integrativas e Complementares em Saúde na Estratégia Saúde da Família no Brasil |
title_full |
Oferta de Práticas Integrativas e Complementares em Saúde na Estratégia Saúde da Família no Brasil |
title_fullStr |
Oferta de Práticas Integrativas e Complementares em Saúde na Estratégia Saúde da Família no Brasil |
title_full_unstemmed |
Oferta de Práticas Integrativas e Complementares em Saúde na Estratégia Saúde da Família no Brasil |
title_sort |
Oferta de Práticas Integrativas e Complementares em Saúde na Estratégia Saúde da Família no Brasil |
author |
Fernanda Elizabeth Sena Barbosa |
author_facet |
Fernanda Elizabeth Sena Barbosa Maria Beatriz Lisboa Guimarães Carlos Renato dos Santos Adriana Falangola Benjamin Bezerra Charles Dalcanale Tesser Islandia Maria Carvalho de Sousa |
author_role |
author |
author2 |
Maria Beatriz Lisboa Guimarães Carlos Renato dos Santos Adriana Falangola Benjamin Bezerra Charles Dalcanale Tesser Islandia Maria Carvalho de Sousa |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Fernanda Elizabeth Sena Barbosa Maria Beatriz Lisboa Guimarães Carlos Renato dos Santos Adriana Falangola Benjamin Bezerra Charles Dalcanale Tesser Islandia Maria Carvalho de Sousa |
dc.subject.por.fl_str_mv |
Atenção Primária à Saúde Terapias Complementares Estratégia Saúde da Família |
topic |
Atenção Primária à Saúde Terapias Complementares Estratégia Saúde da Família |
description |
The article analyzes the supply of Integrative and Complementary Health Practices in the Family Health Strategy (FHS), based on the agreement between answers by administrators and health professionals. This was a quantitative descriptive-exploratory study using two databases, the National Survey on Integrative and Complementary Practices in Health in the Unified National Health System (SUS) and the National Program for Improvement of Access and Quality of Basic Care (PMAQ). According to the administrators, the supply of Integrative and Complementary Health Practices was present in the FHS in 26.7% of the municipalities participating in the National Survey, compared to 25.5% of the municipalities according to the health professionals in the PMAQ. Of the 1,478 municipalities that participated in both surveys, in 8.6% there was an agreement of answers on the supply of Integrative and Complementary Health Practices in the FHS. The municipalities with the greatest agreement in the supply were those with small populations and greater coverage of basic care. The small proportion of municipalities with this supply according to both administrators and health professionals supports the hypothesis that the health professionals are the main force responsible for the expansion of Integrative and Complementary Health Practices in the SUS, as compared to initiatives by administrators. This scenario reflects the need for administrators to take greater stock of what is developed in the FHS to strengthen Integrative and Complementary Health Practices and to mobilize the institutional resources for their maintenance and expansion. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-12-20 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7228 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7228 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7228/15858 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7228/15859 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 36 No. 1 (2020): January Cadernos de Saúde Pública; v. 36 n. 1 (2020): Janeiro 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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1798943390692278272 |