Sousa Leandra Andréia de, Barros Nelson Filice de, Pigari Jéssica de Oliveira, Braghetto Glaucia Tamburú, Karpiuck Luciana Brondi, Pereira Maria José Bistafa
Departamento Materno Infantil e Saúde Pública, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo de Ribeirão Preto. Av. Bandeirantes 3900, Monte Alegre. 14040-902 Ribeirão Preto SP Brasil.
Programa de Pós-Graduação em Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. Campinas SP Brasil.
Cien Saude Colet. 2017 Jan;22(1):301-310. doi: 10.1590/1413-81232017221.10342015.
The integration of Integrative and Complementary Practices into public health systems has been the subject of national and international debate. In Brazil, the National Policy on Integrative and Complementary Practices guides the integration of acupuncture into the Unified Health System (UHS). This article explored the availability and/or accessibility of acupuncture in the UHS in 26 municipalities in the XIII Health Region of the State of São Paulo between 2001 and 2011, based on the analysis of Municipal Health Plans, Annual Management Reports and complementary data obtained from Information Systems. The data was analyzed using a framework for policy analysis based on: context, process, content and actors. Results show that the legislative framework provides a favorable environment; however public funding for these activities is particularly limited. Only government actors participated in the decision-making processes; the plans and reports contained inconsistencies both in structure and in the references made to acupuncture; the process showed that the policy helped to describe the organization of the provision of acupuncture services. The study concludes that the integration of acupuncture and use of health management and planning tools is limited in the 26 municipalities and that this precludes monitoring and maintains these practices on the periphery of the system.
将综合与补充医学实践纳入公共卫生系统一直是国内和国际辩论的主题。在巴西，综合与补充医学实践国家政策指导针灸纳入统一卫生系统（SUS）。本文基于对市政卫生计划、年度管理报告以及从信息系统获得的补充数据的分析，探讨了2001年至2011年期间圣保罗州第十三卫生区域26个市统一卫生系统中针灸的可用性和/或可及性。使用基于背景、过程、内容和行为者的政策分析框架对数据进行了分析。结果表明，立法框架提供了有利环境；然而，这些活动的公共资金特别有限。只有政府行为者参与了决策过程；计划和报告在结构以及对针灸的提及方面都存在不一致之处；过程表明该政策有助于描述针灸服务提供的组织情况。研究得出结论，26个市针灸与健康管理及规划工具的整合有限，这妨碍了对这些实践的监测并使其维持在系统边缘。
