Práticas integrativas e complementares - análise documental e o olhar de profissionais da saúde

Objective: To investigate the implementation of integrative and complementary practices and assess the use, training and acceptance of these practices by professionals working in Primary Health Care (PHC). Methods: The study was held in two stages: (a) a retrospective documentary analysis was done through systematic reading of the reports of the Municipal Health Conferences (2005-2015) held in Curitiba, Parana, Brazil to identify proposals related to the National Integrative and Complementary Practices Policy (Politica Nacional de Praticas Integrativas e Complementares – PNPIC); (b) a cross-sectional quantitative study was conducted in a Sanitary District located in the analyzed municipality in 2017 with 240 professionals in eight PHC centers. Data were collected through semi-structured interviews that addressed socioeconomic variables and integrative and complementary practices (ICP): knowledge of PNPIC; ICP training; ICP practice in PHC; access to referral; being a user of ICP; opinion on benefits of ICP in PHC. The results were analyzed using frequencies and percentages. Results: Of the 2,975 proposals analyzed, 20 were related to the PINPIC, which represents 0.71% of the total. Primary data indicate that 81.3% (n=195) of professionals are unaware of the PNPIC, 98.7% (n=237) believe in the benefits of its provision in PHC, 5.8% (n=14) have been trained and 2.1% (n=5) of these offer ICP in PHC. Conclusion: The proposal for the implementation of ICP in the analyzed municipality is incipient. Although there is a growing interest and acceptance of PIC by health professionals working in PHC, it is little used in the analyzed Sanitary District.