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综合性互补实践在初级医疗保健中的缺失。

The Invisibility of Integrative and Complementary Practices in Primary Healthcare.

机构信息

Secretaria de Saúde do Município de Senador Canedo. Go 403 Km 9 - Morada do Morro. 75250-000 Senador Canedo GO Brasil.

Secretaria de Saúde do Distrito Federal. Brasília DF Brasil.

出版信息

Cien Saude Colet. 2024 Aug;29(8):e05132024. doi: 10.1590/1413-81232024298.05132024. Epub 2024 Mar 28.

DOI:10.1590/1413-81232024298.05132024
PMID:39140533
Abstract

Invisibility is an issue that requires more attention among healthcare professionals, as some activities in Primary Care go unnoticed. One example is the offer of complementary therapies, whose implementation has been frail and, consequently, can be overlooked in the Unified Health System. This study aims to understand the factors contributing to the public invisibility of Integrative and Complementary Practices in Primary Care. It is a descriptive, exploratory, and qualitative research involving semi-structured interviews with 20 professionals in the Metropolitan Region of Goiânia. Thematic content analysis was applied to the interviews, revealing elements indicating the public invisibility of these practices, such as insufficient discussion in team meetings, inconsistency in the recording in user files, and low prioritization in implementation. In the interviews, social humiliation, a product of public invisibility, can also be perceived due to overload, embarrassments, and lack of physical space for the provision of practices to the users. It is concluded that Integrative and Complementary Practices are often overlooked in Primary Care.

摘要

隐形问题需要医疗保健专业人员给予更多关注,因为初级保健中的某些活动未被察觉。一个例子是补充疗法的提供,其实施一直很脆弱,因此在统一卫生系统中可能被忽视。本研究旨在了解导致综合和补充疗法在初级保健中公众隐形的因素。这是一项描述性、探索性和定性研究,涉及对戈亚尼亚大都市区 20 名专业人员的半结构化访谈。对访谈进行了主题内容分析,揭示了表明这些实践公众隐形的要素,例如团队会议上讨论不足、用户档案记录不一致以及实施优先级低。在访谈中,由于工作量过大、尴尬和为用户提供实践的物理空间不足,也可以感受到社会羞辱,这是公众隐形的产物。研究得出结论,综合和补充疗法在初级保健中经常被忽视。

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