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[初级卫生保健中补充与整合疗法的使用、护理及政策]

[The use, care and policy of complementary and integrative practices in primary health care].

作者信息

Contatore Octávio Augusto, de Barros Nelson Filice, Durval Melissa Rossati, Barrio Pedro Cristóvão Carneiro da Cunha, Coutinho Bernardo Diniz, Santos Júlia Amorim, do Nascimento Juliana Luporini, Oliveira Silene de Lima, Peres Silvia Miguel de Paula

机构信息

Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, São Paulo, Brasil,

Departamento de Fisioterapia, Universidade Federal do Ceará, Brasil.

出版信息

Cien Saude Colet. 2015 Oct;20(10):3263-73. doi: 10.1590/1413-812320152010.00312015.

Abstract

The use of Complementary and Integrative Practices (CIP) is on the increase and its institutionalization in Primary Health Care (PHC) is a challenge. This article discusses the use, care, and policies of CIP at international and national levels found in the indexed literature. A review of the literature in PubMed/Medline and the Virtual Health Library was conducted using the key search words "Homeopathy", "Acupuncture", "Herbal Medicine", "Body Practices", "Primary Health Care" and other related terms in English, Spanish and Portuguese between 2002 and 2011. The use in the literature of CIP for the treatment of specific diseases from a biomedical perspective was observed, as well as evaluations of its use for the treatment of specific diseases focused on the reaction of the users and professionals and the analysis of the political, economic and social viability of CIP in health services. The conclusion drawn is that what is predominant in the literature is the quest for the scientific validation of CIP and a biomedical methodological bias in the designs of the studies, which does not contribute to clarifying the potential care of CIP in PHC.

摘要

补充与整合性疗法(CIP)的使用正在增加,将其纳入初级卫生保健(PHC)体系是一项挑战。本文讨论了索引文献中在国际和国家层面上CIP的使用、护理及政策。2002年至2011年间,使用关键词“顺势疗法”、“针灸”、“草药医学”、“身体疗法”、“初级卫生保健”以及其他相关英文、西班牙文和葡萄牙文术语,对PubMed/Medline和虚拟健康图书馆中的文献进行了综述。观察到文献中从生物医学角度对CIP治疗特定疾病的使用情况,以及对其治疗特定疾病的使用情况的评估,重点关注使用者和专业人员的反应,以及CIP在卫生服务中的政治、经济和社会可行性分析。得出的结论是,文献中占主导地位的是对CIP进行科学验证的追求以及研究设计中的生物医学方法偏见,这无助于阐明CIP在初级卫生保健中的潜在护理作用。

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