O cuidado em homeopatia e a integralidade na atenção à saúde pública
Data
2008
Autores
Carneiro, Pedro Carlos da Silva 
Orientadores
Ribeiro, Sandra Aparecida
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
O objetivo do estudo foi apreender como determinadas características da homeopatia podem favorecer a integralidade na rede pública de atenção a saúde. Utilizando abordagem qualitativa foram realizados procedimentos como: observação participante, registro em diário de campo e entrevistas a usuários de homeopatia e médicos/gerentes, baseadas em roteiro semi-estruturado, em duas Unidades Básicas de Saúde (UBS), com atendimento em Homeopatia, no município de São Paulo no período de dezembro de 2007 a março de 2008. Entrevistaram-se dez pacientes, sendo cinco em cada uma das UBS e nove médicos, dentre eles os dois gerentes das UBS. As entrevistas foram gravadas, transcritas e analisadas pela agregação dos dados em unidades ou temas, a partir dos quais surgiram as categorias teóricas relacionadas ao objeto da pesquisa: medicina natural; autocuidado; cuidado integral e atenção as necessidades. As entrevistas aos usuários de homeopatia da rede pública de saúde evidenciaram a preocupação destes para com atividades de prevenção e promoção de saúde, sugerindo que entre eles exista uma consciência ampliada do conceito de saúde e doença. Além disso, tanto nos relatos dos usuários como dos médicos e gerentes houve a percepção e valorização da totalidade sintomatica, "visão do todo", que favorece amplo exercício da integralidade no âmbito da relação médico-paciente, estimula o autocuidado e um estilo de vida mais saudável, no decorrer do processo de tratamento de uma medicina considerada mais "natural" que inclui medicamentos menos agressivos. Foi observado que a comunicação entre os homeopatas e outras especialidades médicas, seja dentro dos serviços onde estão inseridos ou na rede de saúde e, ainda, bastante precária, evidenciando a insuficiente informação e divulgação da homeopatia como uma opção terapêutica na rede pública de saúde. Podemos considerar que a homeopatia pode contribuir para integralidade na rede de saúde pública privilegiando uma abordagem centrada no sujeito e suas necessidades, estimulando o vínculo entre médico-usuário e usuário-serviço como forma de melhorar a qualidade do cuidado na rede de atenção básica. No entanto, ha que se promover maior estímulo ao trabalho em equipe e integração dos diferentes segmentos da atenção básica, sem os quais o conceito de integralidade não pode ser plena mente atingido.
The objective of this study is to understand how some characteristics of Homeopathy may favor integration in the public health system. Using a qualitative approach, the following procedures were made: participant observation, registration in a field diary, interviews with Homeopathy users, doctors/managers, following a semi-structured script, in two UBS (Basic Health Units) which medicates Homeopathic drugs in the São Paulo District, from December 2007 to March 2008. Ten patients were interviewed, five of them in each UBS and nine doctors, among these, two UBS managers. The interviews were recorded, transcribed and analyzed, grouping them according to units or themes, from which the following theoretical categories were devised: Natural Medicine, personal health maintenance, integral care and attention to necessities. The interviews with the users of Homeopathy of the Public Health System showed their concern with prevention activities and health promotion, suggesting that they are conscious of the significance of health and disease. Moreover, the users’ reports as well as the doctors’ and managers’ reports showed the perception and the valorization of symptoms as a whole that favors integration as far doctors and patients are concerned, stimulating self care and a healthier life style, in the process of being treated with a more natural medicine that uses less aggressive drugs. It was noticed that the communication between homeopath doctors and those of other specialties, privately or working in the public system is still very precarious, evidencing the insufficient information and divulgation of Homeopathy as a therapeutic option in the public health system. Homeopathy can contribute to the integration of the public health system privileging an approach focused on the patient and his necessities, stimulating the link doctor- patient – public health system in order to improve the quality of basic attention system. However, in order to attain integration, group work and the integration of the many segments of basic attention should be stimulated.
The objective of this study is to understand how some characteristics of Homeopathy may favor integration in the public health system. Using a qualitative approach, the following procedures were made: participant observation, registration in a field diary, interviews with Homeopathy users, doctors/managers, following a semi-structured script, in two UBS (Basic Health Units) which medicates Homeopathic drugs in the São Paulo District, from December 2007 to March 2008. Ten patients were interviewed, five of them in each UBS and nine doctors, among these, two UBS managers. The interviews were recorded, transcribed and analyzed, grouping them according to units or themes, from which the following theoretical categories were devised: Natural Medicine, personal health maintenance, integral care and attention to necessities. The interviews with the users of Homeopathy of the Public Health System showed their concern with prevention activities and health promotion, suggesting that they are conscious of the significance of health and disease. Moreover, the users’ reports as well as the doctors’ and managers’ reports showed the perception and the valorization of symptoms as a whole that favors integration as far doctors and patients are concerned, stimulating self care and a healthier life style, in the process of being treated with a more natural medicine that uses less aggressive drugs. It was noticed that the communication between homeopath doctors and those of other specialties, privately or working in the public system is still very precarious, evidencing the insufficient information and divulgation of Homeopathy as a therapeutic option in the public health system. Homeopathy can contribute to the integration of the public health system privileging an approach focused on the patient and his necessities, stimulating the link doctor- patient – public health system in order to improve the quality of basic attention system. However, in order to attain integration, group work and the integration of the many segments of basic attention should be stimulated.
Descrição
Citação
CARNEIRO, Pedro Carlos da Silva. O cuidado em homeopatia e a integralidade na atenção a Saúde Pública. 2008. 68 f. Dissertação (Mestrado em Saúde Coletiva) - Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP). São Paulo, 2008.