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Resumo(s)
RESUMO - Introdução: Nas últimas décadas, tem-se assistido, a nível europeu, ao aumento da
utilização das Terapêuticas Não Convencionais (TNC). Em Portugal, estima-se que
mais de 2 milhões de cidadãos procurem regularmente as TNC. A sua
complementaridade com a medicina convencional e a eventual integração plena no
Serviço Nacional de Saúde (SNS), pode traduzir-se em ganhos em saúde para os
cidadãos e benefícios para o país enquanto sistema global.
Enquadramento: A Organização Mundial da Saúde (OMS) publicou a “Estratégia para
a Medicina Tradicional 2014-2023” para ajudar os estados membros a determinar como
podem promover a saúde e proteger os consumidores que tencionam utilizar as TNC.
Muitos países já reconhecem a necessidade de desenvolver uma abordagem coesa e
integradora de cuidados de saúde que permita o acesso às TNC de forma segura,
eficiente e eficaz. Em Portugal e desde 2003, tem sido percorrido um longo caminho.
Objetivos: O presente estudo, que analisou a utilização das TNC e a sua possível
integração no SNS, posiciona-se como um novo tema no atual panorama da gestão em
saúde e da Administração Hospitalar, pretendendo ser uma mais-valia para estas áreas,
em particular, e para o SNS, em geral.
Metodologia: Foram distribuídos dois questionários (um criado para o estudo e o
SF12v2®) aos utilizadores da Associação Mama Help, 24 no Porto e 76 em Lisboa.
Resultados: Constatou-se que 41% dos inquiridos tinha idade compreendida entre os
18 e os 49 anos, 70% tinha nível de habilitações literárias superiores e 74% era do sexo
feminino. A Osteopatia e a Acupuntura são as TNC mais utilizadas, por razões de
aumento da qualidade de vida, de redução da ansiedade, stress e sintomas depressivos.
Verificou-se que 67% decidiram utilizar as TNC sem indicação de um profissional da
medicina convencional ou das TNC. Constatou-se que 96% dos inquiridos sente-se
melhor ou muito melhor e 96% considera que as TNC devem ser integradas no SNS.
Conclusão: Atento o exposto, preconiza-se a disponibilização das TNC, em pleno, no
SNS, na ótica complementar com a medicina convencional, dado serem potencialmente
benéficas à luz da evidência disponível, garantindo a qualidade e o acesso a todos os
cidadãos. A expectativa é que esta integração melhore os resultados obtidos no
tratamento dos utentes, reduzindo os custos e aumentando a sua satisfação.
ABSTRACT - Introduction: In recent decades, there has been an increase in the use of Conventional and Alternative Medicine (CAM), at european level. In Portugal, it is estimated that more than 2 million citizens regularly seek CAM. Its complementarity with conventional medicine and eventual full integration into the National Health Service (NHS) can translate into health gains for citizens and benefits for the country as a global system. Framework: The World Health Organization (WHO) has published the Strategy for Traditional Medicine 2014-2023 to help member states determine how they can promote health and protect consumers who intend to use CAM. Many countries already recognize the need to develop a cohesive and inclusive approach to health care that allows access to TNCs in a safe, efficient and effective manner. In Portugal, and since 2003, a long pathway has been done. Objectives: The present study, which analyzed the use of CAM and their possible integration in the NHS, positions itself as a new topic in the current panorama of health management and Hospital Administration, aiming to be an asset for these areas and for the NHS in general. Methodology: Two questionnaires (one created for the study and SF12v2®) were distributed to users of the Mama Help Association, 24 in Porto and 76 in Lisbon. Results: It was found that 41% of respondents were aged between 18 and 49, 70% had a higher education level and 74% were female. Osteopathy and Acupuncture are the most commonly used CAM, for reasons of increased quality of life, reduced anxiety, stress and depressive symptoms. It was found that 67% decided to use CAM without the indication of a professional of conventional medicine or CAM. It was found that 96% of the respondents felt better or much better and 96% considered that CAM should be integrated into the NHS. Conclusion: In view of the above, it is recommended that the CAM be made available in full in the NHS, in the complementary perspective with conventional medicine, since they are potentially beneficial in the light of available evidence, guaranteeing quality and access to all citizens. The expectation is that this integration improves the results obtained in the treatment of users, reducing costs and increasing their satisfaction.
ABSTRACT - Introduction: In recent decades, there has been an increase in the use of Conventional and Alternative Medicine (CAM), at european level. In Portugal, it is estimated that more than 2 million citizens regularly seek CAM. Its complementarity with conventional medicine and eventual full integration into the National Health Service (NHS) can translate into health gains for citizens and benefits for the country as a global system. Framework: The World Health Organization (WHO) has published the Strategy for Traditional Medicine 2014-2023 to help member states determine how they can promote health and protect consumers who intend to use CAM. Many countries already recognize the need to develop a cohesive and inclusive approach to health care that allows access to TNCs in a safe, efficient and effective manner. In Portugal, and since 2003, a long pathway has been done. Objectives: The present study, which analyzed the use of CAM and their possible integration in the NHS, positions itself as a new topic in the current panorama of health management and Hospital Administration, aiming to be an asset for these areas and for the NHS in general. Methodology: Two questionnaires (one created for the study and SF12v2®) were distributed to users of the Mama Help Association, 24 in Porto and 76 in Lisbon. Results: It was found that 41% of respondents were aged between 18 and 49, 70% had a higher education level and 74% were female. Osteopathy and Acupuncture are the most commonly used CAM, for reasons of increased quality of life, reduced anxiety, stress and depressive symptoms. It was found that 67% decided to use CAM without the indication of a professional of conventional medicine or CAM. It was found that 96% of the respondents felt better or much better and 96% considered that CAM should be integrated into the NHS. Conclusion: In view of the above, it is recommended that the CAM be made available in full in the NHS, in the complementary perspective with conventional medicine, since they are potentially beneficial in the light of available evidence, guaranteeing quality and access to all citizens. The expectation is that this integration improves the results obtained in the treatment of users, reducing costs and increasing their satisfaction.
Descrição
Trabalho Final do Curso de Especialização em Administração Hospitalar
Palavras-chave
Terapêuticas Não Convencionais Serviço Nacional de Saúde Administração hospitalar Bem-estar Promoção da saúde Prevenção Complementary and Alternative Medicine Complementary and Integrative Medicine (CIM) National Health Service Hospital management Well-being Health promotion Prevention
Contexto Educativo
Citação
Editora
Universidade Nova de Lisboa. Escola Nacional de Saúde Pública