Spatial Analysis of the Offer of Integrative and Complementary Practices in Primary Health Care in Brazil

Authors

DOI:

https://doi.org/10.18316/sdh.v10i1.8017

Keywords:

Complementary Therapies, Integrative Medicine, Primary Health Care, Health Policy

Abstract

Introduction: The use of therapeutic resources related to Integrative and Complementary Practices (ICP) in the Unified Health System has become a reality in Brazilian Primary Health Care.

Objective: To analyze the offer of Integrative and Complementary Practices in Primary Health Care in Brazil.

Material and Methods: Cross-sectional analytical study with secondary data from the External Evaluation of the second cycle of the Access and Quality Improvement Program in Primary Care. There was inferential analysis among the Primary Care Teams (PCT) by Brazilian geographic regions using the chi-square test using the z-test adjusted by the Bonferroni method (p <0.05). The descriptive analysis by municipality was performed to make the thematic map by the Kernel Density Estimator.

Results: A total of 19.0% of the PCT offered ICP in Brazil, being higher in the Southeast (32.3%), followed by the South (19.2%) and lower in the North (6.8%) (p<0.001). The Body and / or Mental Practices (6.9%), Medicinal Plants and Phytotherapy (6.2%) and Acupuncture (5.3%) were the ICP most performed in Brazil. The map showed non-homogeneous areas and concentration between municipalities in the Southeast, South and Northeast.

Conclusion: The ICP were present in part of the PHC teams and in the Brazilian municipalities, but presented marked regional inequalities.

Author Biographies

Mariana Aparecida Rodrigues Valente, Enfermeira, Prefeitura Municipal de Limeira, Limeira-SP, Brasil.

Mestre em Gestão e Saúde Coletiva pela Faculdade de Odontologia de Piracicaba – Universidade Estadual de Campinas (FOP/UNICAMP).

Manoelito Ferreira Silva-Junior, Professor do Departamento de Odontologia da Universidade Estadual de Ponta Grossa, Ponta Grossa-PR, Brasil.

Cirurgião-Dentista - Universidade Federal do Espírito Santo (Ufes) Especialista em Saúde Coletiva e da Família - Faculdade de Odontologia de Piracicaba (FOP-Unicamp)Mestre e Doutor em Odontologia (Saúde Coletiva) - FOP-UnicampPós-doutor em Ciências da Saúde - UEPGPós-doutorando em Odontologia - UEPG

João Peres Neto, Cirurgião-dentista. Hospital Israelita Albert Einstein, São Paulo, Brasil.

Cirurgião- dentista no Hospital Albert Einstein Especialista em Saúde da Família - UNIFESPMestre em Odontologia em Saúde Coletiva - FOP-UnicampDoutor em Odontologia (Saúde Coletiva) - FOP-Unicamp

Maria da Luz Rosário de Sousa, Professora Titular do Departamento de Ciências da Saúde e Odontologia Infantil da Faculdade de Odontologia de Piracicaba – Universidade Estadual de Campinas (FOP/UNICAMP).

Graduação em Odontologia pela Universidade Estadual de Campinas (1986).

Mestrado (1992) e Doutorado (1995) em Saúde Pública pela Universidade de São Paulo.

Pós Doutorado pela University College of London na área de Epidemiologia (1997). 

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Published

2022-03-14

Issue

Vol. 10 No. 1 (2022)

Section

Artigos Originais

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