Pontes Ana Lucia de Moura, Rego Sergio, Garnelo Luiza
Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil,
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Brasil.
Cien Saude Colet. 2015 Oct;20(10):3199-210. doi: 10.1590/1413-812320152010.18292014.
The implementation of the National Policy for Healthcare of Indigenous Peoples (Pnaspi) in the Alto Rio Negro Amazon region was analyzed based on the principles of the differentiated care model. This theme was investigated from three perspectives, namely the formulation of the guidelines, the therapeutic itineraries in indigenous villages, and the work routines of the Indigenous Community Health Agents (AIS). It involved qualitative research based on the anthropological perspective of Eduardo Menéndez. The techniques used were participant observation, interviews, and, document analysis. The formulation of the guidelines of differentiated care emphasizes the adaptation of technologies and professionals, minimizing the coexistence and disputes among healthcare models. Menéndez's perspective focused on the viewpoint of the subjects was crucial for identifying the coexistence and articulation among different forms of care in the villages through the healthcare itineraries. Nevertheless, it was not possible to identify the inclusion of indigenous health practices and representations through the work routines of the Indigenous Community Health Agents (AIS). The focus was on self-care developed and practiced by the subjects and their families.
基于差异化护理模式的原则，对亚马逊州里奥内格罗地区的《原住民医疗保健国家政策》（Pnaspi）的实施情况进行了分析。从三个角度对这一主题进行了调查，即指南的制定、原住民村庄的治疗流程以及原住民社区健康代理人（AIS）的工作常规。研究采用了基于爱德华多·梅嫩德斯人类学视角的定性研究方法。使用的技术包括参与观察、访谈和文件分析。差异化护理指南的制定强调技术和专业人员的适应性，尽量减少医疗模式之间的共存和争议。梅嫩德斯关注主体观点的视角对于通过医疗流程识别村庄中不同护理形式之间的共存和衔接至关重要。然而，通过原住民社区健康代理人（AIS）的工作常规，无法确定是否纳入了原住民的健康实践和观念。重点是主体及其家庭发展和实践的自我护理。
