A acupuntura no Sistema Único de Saúde no município de São Paulo: História Oral e Memória
Data
2013
Autores
Rocha, Sabrina Pereira 
Orientadores
Gallian, Dante Marcello Claramonte
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
A acupuntura e uma modalidade de tratamento da Medicina Tradicional Chinesa que visa a terapia das doencas e desarmonias pela aplicacao de estimulos em locais anatomicos definidos. O presente estudo objetivou explorar as diversas fases que a acupuntura atravessou ate sua aceitacao no meio medico e insercao no Sistema Unico de Saúde no Municipio de São Paulo, tomando como base as experiencias de vida dos profissionais praticantes desta tecnica. Analisou, atraves das narrativas, como ocorre a mediacao entre a visao da Medicina Tradicional Chinesa e da Medicina Ocidental no espaco publico, bem como o posicionamento dos diferentes praticantes de acupuntura quanto a necessidade da regulamentacao desta pratica no Brasil. Utilizamos a Historia Oral de Vida como metodo, pois tal abordagem metodologica demonstrou ser a mais adequada frente aos objetivos propostos de acessarmos a dimensao das experiencias humanas envolvidas nesta trajetoria de lutas e desafios, possibilitando a construcao de uma historia mais humanizada, que concordou tambem com os objetivos mais amplos desta pesquisa que se insere na linha de pesquisa de Humanidades e Humanizacao em Saúde. A Historia Oral segue um rigoroso conjunto de procedimentos para a constituicao das narrativas, que garantem a etica e a validade das mesmas como documentos a serem analisados. Realizamos dez entrevistas, as quais foram realizadas seguindo o conjunto de procedimentos exigidos pela Historia Oral: gravacao das entrevistas; confeccao do documento escrito: transcricao, textualizacao e transcriacao; conferencia e validacao do documento escrito; analise; devolucao do produto. As informacoes contidas nas narrativas foram analisadas e, posteriormente, tomando como referencial a abordagem de interpretacao denominada imersao/cristalizacao, como sugerida por Borkan (1999), foram estabelecidas as categorias de analise, visando compreender as questoes centrais do trabalho. Os resultados confirmaram nossas expectativas de que a utilizacao da Historia Oral de Vida foi a abordagem mais adequada a este estudo. Atraves das historias de vida dos colaboradores foi possivel observar que: a escolha pela acupuntura esteve intimamente relacionada a crise do modelo medico ocidental; frente a crise da medicina e a emergencia de um novo paradigma na Saúde, a acupuntura vem exercendo um importante papel neste cenario, perpassando sua funcao central e inegavel de proporcionar beneficios a Saúde da populacao; a implementacao e a consolidacao da acupuntura constitui-se um complexo processo que, apesar de ser uma realidade cada vez mais presente, existe ainda um extenso caminho para sua implementacao e consolidacao no Sistema Unico de Saúde. Desta maneira, o interessante e uma proposta de complementaridade entre as praticas ocidentais e orientais, atraves do estabelecimento de um caminho intermediario de saberes e praticas construidas a partir de uma concepcao holistica, nao centralizada na doenca, mas sim no individuo.
Acupuncture is a treatment modality of Traditional Chinese Medicine which aims to therapy of diseases and inharmonies by the application of stimuli in defined anatomical sites. The present study aimed to explore the various stages that acupuncture crossed to its acceptance in the medical and inclusion in the Unified Health System in the Municipality of São Paulo, based on the life experiences of practitioners of this technique. Examined, through the narrative, how is the mediation between the vision of Chinese Medicine and Western Medicine in the public space, as well as the positioning of different acupuncture practitioners on the need for regulation of this practice in Brazil. We use the Oral History as a method and this methodological approach proved to be the most appropriate forward the proposed objectives we access the dimension of human experience involved in this path of struggles and challenges, allowing the construction of a more human story, which also agreed with the broader goals of this research that inserts into the search line of Humanities and Health Humanization. Oral History follows a strict set of procedures for the establishment of the narratives, which ensure the ethics and validity of the same as documents to be scanned. We made nine interviews, which were conducted by following a set of procedures required by Oral History: recording interviews, making document written transcript, textualization and trans-creation, conference and validation of the written document analysis; product return. The information contained in the narratives were analyzed, taking as reference the interpretive approach called immersion / crystallization, as suggested by Borkan (1999), were established categories of analysis, to understand the core issues of the work. The results confirmed our expectations that the use of Oral History was the most suitable approach to this study. Through the life stories of acupuncture practitioners was observed that: the choice of acupuncture was closely related to the crisis of Western medical model, with the crisis of the biomedical model and the emergence of a new paradigm in health, acupuncture has been playing an important role in this scenario, passing its core function of providing undeniable benefits to health of the population; the implementation and consolidation of acupuncture is a complex process that, despite being a reality increasingly present, there is still a long way to its implementation and consolidation in Unified Health System. In this way, the interesting proposal is a complementarity between the Western and Eastern practices, through the establishment of an intermediate knowledge and practices built from a holistic approach, not centered on disease, but on the individual.
Acupuncture is a treatment modality of Traditional Chinese Medicine which aims to therapy of diseases and inharmonies by the application of stimuli in defined anatomical sites. The present study aimed to explore the various stages that acupuncture crossed to its acceptance in the medical and inclusion in the Unified Health System in the Municipality of São Paulo, based on the life experiences of practitioners of this technique. Examined, through the narrative, how is the mediation between the vision of Chinese Medicine and Western Medicine in the public space, as well as the positioning of different acupuncture practitioners on the need for regulation of this practice in Brazil. We use the Oral History as a method and this methodological approach proved to be the most appropriate forward the proposed objectives we access the dimension of human experience involved in this path of struggles and challenges, allowing the construction of a more human story, which also agreed with the broader goals of this research that inserts into the search line of Humanities and Health Humanization. Oral History follows a strict set of procedures for the establishment of the narratives, which ensure the ethics and validity of the same as documents to be scanned. We made nine interviews, which were conducted by following a set of procedures required by Oral History: recording interviews, making document written transcript, textualization and trans-creation, conference and validation of the written document analysis; product return. The information contained in the narratives were analyzed, taking as reference the interpretive approach called immersion / crystallization, as suggested by Borkan (1999), were established categories of analysis, to understand the core issues of the work. The results confirmed our expectations that the use of Oral History was the most suitable approach to this study. Through the life stories of acupuncture practitioners was observed that: the choice of acupuncture was closely related to the crisis of Western medical model, with the crisis of the biomedical model and the emergence of a new paradigm in health, acupuncture has been playing an important role in this scenario, passing its core function of providing undeniable benefits to health of the population; the implementation and consolidation of acupuncture is a complex process that, despite being a reality increasingly present, there is still a long way to its implementation and consolidation in Unified Health System. In this way, the interesting proposal is a complementarity between the Western and Eastern practices, through the establishment of an intermediate knowledge and practices built from a holistic approach, not centered on disease, but on the individual.
Descrição
Citação
ROCHA, Sabrina Pereira. A Acupuntura no Sistema Único de Saúde no Município de São Paulo: História Oral e Memória. 2013. 215 f. Dissertação (Mestrado em Saúde Coletiva) – Escola Paulista de Medicina, Universidade Federal de São Paulo. São Paulo, 2013.