RESUMO Objetiva-se analisar o processo de implantação, situação atual e perspectivas do Programa de Homeopatia, Acupuntura e Medicina Antroposófica (PRHOAMA) da rede pública de saúde de Belo Horizonte (Brasil) segundo as diretrizes da Política Nacional de Práticas Integrativas e Complementares (PNPIC). Realizou-se estudo de caso por meio de análise documental de 32 textos oficiais; dados secundários obtidos pelo número de profissionais e procedimentos ofertados em sistemas de informação em saúde; e realização de um grupo focal com profissionais do PRHOAMA. O programa foi implantado em 1994 nas Unidades Básicas de Saúde (UBS), configurando-se uma experiência pioneira no Brasil. As práticas são realizadas exclusivamente por médicos, o que diverge das recomendações da PNPIC, cujo modelo preconizado é o multiprofissional. O processo de institucionalização do PRHOAMA é parcial, não se configurando uma política pública consolidada. O PRHOAMA atende às diretrizes da PNPIC, tais como ênfase na Atenção Primária, divulgação e informação sobre as Práticas Integrativas e Complementares em Saúde (Pics). Entretanto, é necessário avançar na promoção do acesso aos medicamentos homeopáticos, na definição de mecanismos de financiamento e na ampliação da equipe gestora e de profissionais.
BACKGROUND AND OBJECTIVES: Use of Integrative andComplementary Health Practices (ICHP) in pain management has increased, mainly due to the biopsychosocial nature of pain. The objective of this work is to evaluate the knowledge and use of ICHP in patients with orofacial pain and describe the sociodemographic profile of patients that use these therapies. METHODS: This is a cross-sectional study and data collection was performed through a questionnaire about knowledge, use and interest in ICHP in a sample of patients with orofacial pain. Adult patients of both sexes under treatment from August 2018 to July 2019 at orofacial pain specialized services were included. RESULTS: Fifty-six patients (84.8%) were female and among those 97% had previous knowledge of complementary practices, with acupuncture being the most known (89.6%). In addition, 59% of participants used therapies for orofacial pain, mainly phytotherapy (28.8%). Ninety-seven percent showed interest in knowledge and use of complementary therapies. Among users, the majority was female. CONCLUSION: The patients know and use ICHP to relieve orofacial pain and show great interest in the field which justifies inclusion of complementary practices for management of orofacial pain.
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