Homeopathy in the public network of the São Paulo State: facilitating and hindering factors

Detalhes bibliográficos
Autor(a) principal: Galhardi, Wania Maria Papile
Data de Publicação: 2012
Outros Autores: Barros, Nelson Filice de, Leite-Mor, Ana Cláudia Moraes Barros
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/413
Resumo: Introduction: The challenge of health care integrity, concerning the functional and structural settlement of care itself, has caused the World Health Organization to propose the consolidation of Conventional Medicine with Alternative Medicine, in order to devise the health care intended for developing countries. Although the offer of non-conventional practice is not exactly recent in the Brazilian basic care, in May 2006, with the publishing of the Ordinance #971, Brazil was given many guidelines referring to the addition of Complementary and Integrative Medicine into the primary level mostly. The purpose of this study was to analyze the factors that facilitate and hinder the implementation of homeopathy into the Single Health System in some municipalities in the State of Sao Paulo. Methodology: In 2008, the DATASUS index identified towns that had offered homeopathy appointments from 2000 to 2007. These data were submitted to quantitative research that unleashed questions that composed the interviews with the city manager of each town. Data and results were analyzed through quantitative and qualitative research. Results: Out of the 645 municipalities in the State of Sao Paulo, 47 offered homeopathic assistance during that period, and the aiding factors for such offer were related to the presence of homeopaths in the health system; city managers with commitment and availability for developing homeopathy in their towns; the demand of users who are sensitive to the homeopathy proposal; the actions taken by Health Councils; the existence of referral services which support homeopathy therapy; and the low cost of homeopathic medicines. On the other hand, the hindering factors are related to obstacles in hiring homeopaths, as the lack of studies to guide the management; issues regarding the purchase of medicines; the priority given to other medical specialties; and the plain unfamiliarity with homeopathy, as well as the prejudice and difficulties of implementing anything new. Conclusion: The facilitating factors have been subsumed to the difficulties here presented.
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spelling Homeopathy in the public network of the São Paulo State: facilitating and hindering factorsLa homeopatía en el sector público del Estado de São Paulo: factores facilitadores y obstaculizadoresA homeopatia na rede pública do Estado de São Paulo: facilitadores e dificultadoresPublic HealthHomeopathyHealth CareSalud PúblicaHomeopatíaCuidado de La SaludSaúde PúblicaHomeopatiaAtenção à SaúdeHomeopatiaIntroduction: The challenge of health care integrity, concerning the functional and structural settlement of care itself, has caused the World Health Organization to propose the consolidation of Conventional Medicine with Alternative Medicine, in order to devise the health care intended for developing countries. Although the offer of non-conventional practice is not exactly recent in the Brazilian basic care, in May 2006, with the publishing of the Ordinance #971, Brazil was given many guidelines referring to the addition of Complementary and Integrative Medicine into the primary level mostly. The purpose of this study was to analyze the factors that facilitate and hinder the implementation of homeopathy into the Single Health System in some municipalities in the State of Sao Paulo. Methodology: In 2008, the DATASUS index identified towns that had offered homeopathy appointments from 2000 to 2007. These data were submitted to quantitative research that unleashed questions that composed the interviews with the city manager of each town. Data and results were analyzed through quantitative and qualitative research. Results: Out of the 645 municipalities in the State of Sao Paulo, 47 offered homeopathic assistance during that period, and the aiding factors for such offer were related to the presence of homeopaths in the health system; city managers with commitment and availability for developing homeopathy in their towns; the demand of users who are sensitive to the homeopathy proposal; the actions taken by Health Councils; the existence of referral services which support homeopathy therapy; and the low cost of homeopathic medicines. On the other hand, the hindering factors are related to obstacles in hiring homeopaths, as the lack of studies to guide the management; issues regarding the purchase of medicines; the priority given to other medical specialties; and the plain unfamiliarity with homeopathy, as well as the prejudice and difficulties of implementing anything new. Conclusion: The facilitating factors have been subsumed to the difficulties here presented.Introducción: El desafío de la integridad en la atención de la salud, tales como el establecimiento funcional y estructural de la atención, llevó a la Organización Mundial de la Salud propuso la incorporación de la medicina tradicional y medicina complementaria y alternativa para componer cuidado de la salud, especialmente para los países en desarrollo . En Brasil, la oferta de prácticas poco ortodoxas en la atención primaria de salud no es nueva, pero en mayo de 2006 fue publicado en la Ordenanza nº 971 que propone directrices para la incorporación de las Prácticas Integradoras Complementares, especialmente en el nivel primario. Este estudio tiene como objetivo analizar los factores que facilitan o limitan la aplicación de la homeopatía en el Sistema Único de Salud de los municipios de São Paulo. Metodología: En el año 2008, em lo DATASUS fueron identificados los municipios que ofrecen consultas homeopáticas el período 2000-2007, y estos datos fueron analizados cuantitativa y preguntas fueron generado y se utilizaron para las entrevistas con los responsables de los municipios, cuyos resultados fueron cuantitativa y cualitativamente trabajado a su análisis. Resultados: De los 645 municipios de São Paulo, de 47 ofrece la homeopatía y los gerentes de los 42 fueron entrevistados. Qué indicó que los factores que facilitan son relacionada con la presencia de los médicos homeópatas en el servicio, el cumplimiento y la disponibilidad de los gerentes en desarrollo la homeopatía, hay demanda de los usuarios la percepción de la homeopatía, la acción del Consejo de Salud, podrá hacer referencia a servicios sede del tratamiento homeopático y el bajo costo de las medicinas homeopáticos.Y, lo que obstaculiza, son los obstáculos, como la falta de estúdios para orientar la gestión, en la contratación de médicos homeópatas, las cuestiones relacionadas con la adquisición de las medicinas, la priorización de otras especialidades médicas, la ignorancia en racionalidad homeopática, y los prejuicios y las dificultades en la aplicación de lo que es nuevo. Conclusión: los factores que facilitan se subsumen a las dificultades presentadas. Introdução: O desafio da integralidade na atenção à saúde, como configuração funcional e estrutural do cuidado, levou a Organização Mundial da Saúde a propor a incorporação das Medicinas Tradicionais e Medicinas Alternativas e Complementares para comporem a atenção à saúde, principalmente para os países em desenvolvimento. No Brasil, a oferta de práticas não ortodoxas nos serviços de atenção básica não é recente, mas em maio de 2006 foi publicada a Portaria nº 971 que propõe diretrizes para a incorporação das Práticas Integrativas e Complementares, sobretudo no nível primário. Este trabalho tem como objetivo analisar os fatores facilitadores e dificultadores da implementação da homeopatia no Sistema Único de Saúde dos municípios de São Paulo. Metodologia: Em 2008 foram identificados no DATASUS os municípios que ofereceram consultas homeopáticas de 2000-2007; estes dados foram analisados quantitativamente e, desencadearam questionamentos que foram utilizados para entrevistas com os gestores dos municípios, cujos resultados foram trabalhados quantiqualitativamente para a análise. Resultados: Dos 645 municípios de São Paulo, 47 ofertaram homeopatia e os gestores de 42 foram entrevistados. Estas últimas entrevistas indicaram que os fatores facilitadores estão relacionados à presença de médicos homeopatas no serviço; à adesão e disponibilidade do gestor em desenvolver a homeopatia; haver demanda de usuários perceptivos para a homeopatia; à ação dos Conselhos de Saúde; haver serviços de referência capazes de acolher a terapêutica homeopática e o baixo custo dos medicamentos homeopáticos. E, os dificultadores, com empecilhos como falta de estudos para a orientação dos gestores para a contratação de médicos homeopatas; a questões relacionadas à aquisição dos medicamentos; à priorização de outras especialidades médicas; ao desconhecimento da racionalidade médica homeopática; e preconceitos e dificuldades na implantação daquilo que é novo. Conclusão: os fatores facilitadores estão subsumidos às dificuldades apresentadas.Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)2012-03-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos Originais; Original ArticlesMetodologia quanti-qualitativaapplication/pdfhttps://www.rbmfc.org.br/rbmfc/article/view/41310.5712/rbmfc7(22)413Revista Brasileira de Medicina de Família e Comunidade; Vol. 7 No. 22 (2012); 35-43Revista Brasileira de Medicina de Família e Comunidade; Vol. 7 Núm. 22 (2012); 35-43Revista Brasileira de Medicina de Família e Comunidade; v. 7 n. 22 (2012); 35-432179-79941809-5909reponame:Revista Brasileira de Medicina de Família e Comunidade (Online)instname:Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)instacron:SBMFCporhttps://www.rbmfc.org.br/rbmfc/article/view/413/454Copyright (c) 2012 Wania Maria Papile Galhardi, Nelson Filice de Barros, Ana Cláudia Moraes Barros Leite-Morinfo:eu-repo/semantics/openAccessGalhardi, Wania Maria PapileBarros, Nelson Filice deLeite-Mor, Ana Cláudia Moraes Barros2020-05-21T20:59:57Zoai:ojs.rbmfc.org.br:article/413Revistahttp://www.rbmfc.org.br/index.php/rbmfchttps://www.rbmfc.org.br/rbmfc/oai||david@sbmfc.org.br2179-79941809-5909opendoar:2020-05-21T20:59:57Revista Brasileira de Medicina de Família e Comunidade (Online) - Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)false
dc.title.none.fl_str_mv Homeopathy in the public network of the São Paulo State: facilitating and hindering factors
La homeopatía en el sector público del Estado de São Paulo: factores facilitadores y obstaculizadores
A homeopatia na rede pública do Estado de São Paulo: facilitadores e dificultadores
title Homeopathy in the public network of the São Paulo State: facilitating and hindering factors
spellingShingle Homeopathy in the public network of the São Paulo State: facilitating and hindering factors
Galhardi, Wania Maria Papile
Public Health
Homeopathy
Health Care
Salud Pública
Homeopatía
Cuidado de La Salud
Saúde Pública
Homeopatia
Atenção à Saúde
Homeopatia
title_short Homeopathy in the public network of the São Paulo State: facilitating and hindering factors
title_full Homeopathy in the public network of the São Paulo State: facilitating and hindering factors
title_fullStr Homeopathy in the public network of the São Paulo State: facilitating and hindering factors
title_full_unstemmed Homeopathy in the public network of the São Paulo State: facilitating and hindering factors
title_sort Homeopathy in the public network of the São Paulo State: facilitating and hindering factors
author Galhardi, Wania Maria Papile
author_facet Galhardi, Wania Maria Papile
Barros, Nelson Filice de
Leite-Mor, Ana Cláudia Moraes Barros
author_role author
author2 Barros, Nelson Filice de
Leite-Mor, Ana Cláudia Moraes Barros
author2_role author
author
dc.contributor.author.fl_str_mv Galhardi, Wania Maria Papile
Barros, Nelson Filice de
Leite-Mor, Ana Cláudia Moraes Barros
dc.subject.por.fl_str_mv Public Health
Homeopathy
Health Care
Salud Pública
Homeopatía
Cuidado de La Salud
Saúde Pública
Homeopatia
Atenção à Saúde
Homeopatia
topic Public Health
Homeopathy
Health Care
Salud Pública
Homeopatía
Cuidado de La Salud
Saúde Pública
Homeopatia
Atenção à Saúde
Homeopatia
description Introduction: The challenge of health care integrity, concerning the functional and structural settlement of care itself, has caused the World Health Organization to propose the consolidation of Conventional Medicine with Alternative Medicine, in order to devise the health care intended for developing countries. Although the offer of non-conventional practice is not exactly recent in the Brazilian basic care, in May 2006, with the publishing of the Ordinance #971, Brazil was given many guidelines referring to the addition of Complementary and Integrative Medicine into the primary level mostly. The purpose of this study was to analyze the factors that facilitate and hinder the implementation of homeopathy into the Single Health System in some municipalities in the State of Sao Paulo. Methodology: In 2008, the DATASUS index identified towns that had offered homeopathy appointments from 2000 to 2007. These data were submitted to quantitative research that unleashed questions that composed the interviews with the city manager of each town. Data and results were analyzed through quantitative and qualitative research. Results: Out of the 645 municipalities in the State of Sao Paulo, 47 offered homeopathic assistance during that period, and the aiding factors for such offer were related to the presence of homeopaths in the health system; city managers with commitment and availability for developing homeopathy in their towns; the demand of users who are sensitive to the homeopathy proposal; the actions taken by Health Councils; the existence of referral services which support homeopathy therapy; and the low cost of homeopathic medicines. On the other hand, the hindering factors are related to obstacles in hiring homeopaths, as the lack of studies to guide the management; issues regarding the purchase of medicines; the priority given to other medical specialties; and the plain unfamiliarity with homeopathy, as well as the prejudice and difficulties of implementing anything new. Conclusion: The facilitating factors have been subsumed to the difficulties here presented.
publishDate 2012
dc.date.none.fl_str_mv 2012-03-26
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Artigos Originais; Original Articles
Metodologia quanti-qualitativa
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dc.identifier.uri.fl_str_mv https://www.rbmfc.org.br/rbmfc/article/view/413
10.5712/rbmfc7(22)413
url https://www.rbmfc.org.br/rbmfc/article/view/413
identifier_str_mv 10.5712/rbmfc7(22)413
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv https://www.rbmfc.org.br/rbmfc/article/view/413/454
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
publisher.none.fl_str_mv Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
dc.source.none.fl_str_mv Revista Brasileira de Medicina de Família e Comunidade; Vol. 7 No. 22 (2012); 35-43
Revista Brasileira de Medicina de Família e Comunidade; Vol. 7 Núm. 22 (2012); 35-43
Revista Brasileira de Medicina de Família e Comunidade; v. 7 n. 22 (2012); 35-43
2179-7994
1809-5909
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