A method for the implementation and promotion of access to comprehensive and complementary primary healthcare practices/Um metodo para a implantacao e promocao de acesso as Praticas Integrativas e Complementares na atencao primaria a saude

The rendering of integrated and complementary practices in the Brazilian Unified Health System is fostered to increase the comprehensiveness of care and access to same, though it is a challenge to incorporate them into the services. Our objective is to provide a simple method of implementation of such practices in Primary Healthcare, derived from analysis of experiences in municipalities, using partial results of a master's thesis that employed research-action methodology. The method involves four stages: 1--defininition of a nucleus responsible for implementation and consolidation thereof; 2--situational analysis, with definition of the existing competent professionals; 3--regulation, organization of access and legitimation; and 4--implementation cycle: local plans, mentoring and ongoing education in health. The phases are described, justified and briefly discussed. The method encourages the development of rational and sustainable actions, sponsors participatory management, the creation of comprehensivenessand the broadening of care provided in Primary Healthcare by offering progressive and sustainable comprehensive and complementary practices. Key words: Health management, Complementary therapies, Comprehensive medicine, Health policy A oferta de Praticas Integrativas e Complementares no Sistema Unico de Saude e estimulada para ampliar a integralidade da atencao e o acesso as mesmas, mas e um desafio incorpora-las aos servicos. Nosso objetivo e apresentar um metodo de implantacao das PIC na Atencao Primaria a Saude, derivado da analise de experiencias municipais, resultado parcial de estudo de mestrado cuja metodologia foi a pesquisa-acao. O metodo envolve 4 fases: 1--definicao do nucleo responsavel pela implantacao e sua solidificacao; 2 analise situacional, com mapeamento de profissionais competentes ja existentes; 3--regulamentacao, organizacao do acesso e legitimacao; 4--ciclo de implantacao: pactuacao de planos locais, tutoria e atividades de educacao permanente em saude. As fases sao descritas, fundamentadas e sucintamente discutidas. O metodo estimula o desenvolvimento de acoes racionais e sustentaveis, fomenta a gestao participativa, a construcao da integralidade e a ampliacao responsavel do cuidado realizado na Atencao Primaria a Saude atraves da oferta progressiva e sustentavel de Praticas Integrativas e Complementares. Palavras-chave: Gestao em saude, Terapias complementares, Medicina integrativa, Politica de saude