Avaliação da assistência farmacêutica homeopática na dispensação dos medicamentos no Sistema Único de Saúde

Abstract

The increasing movement of society looking for the therapeutic pluralism in public services refers to the gradual context of insertion of Complementary and Integrative Health Practices from the scope of the Unified Health System. Homeopathy is a PIC that has medication as an essential tool for the effectiveness of therapy. In this way, Pharmaceutical Assistance seeks to guarantee SUS users' access to homeopathic medicines. This study has aimed to analyze Homeopathic Pharmaceutical Assistance in public health service from the perspective of the effectiveness of the population's access to homeopathic medicines. A cross-sectional study was carried out of individuals assisted by the Complementary and Integrative Health Practices Services of Juiz de Fora/MG, from the sampling of 405 prescriptions and the respective medical records from October 2018 to June 2019. Descriptive analyses of clinical, demographic data, as well as, dispensed and non-dispensed medicines have been done. The age groups in higher demand for the service were adults-30 to 59 years (39.1%) and elderly-over 60 years (34.9%), (34.9%), being predominantly in the female population (83%). The most common clinical conditions were: “Mental and behavioral disorders” (17.4%) and Diseases related to the respiratory system (16.5%). Only 34.81% of patients had their treatment guaranteed by SUS, with full compliance regarding their prescriptions. The main reason for not complying with the prescription was the inclusion of unavailable substances on the standardized list of the municipal health service (56.8%). What leads to dispense medications is the diversity observed in medical prescription practice – several branches of homeopathy guides the prescriptions, in contrast to the unavailability of the substance on the list standardized by the service. Although this heterogeneity of prescriptions is a beneficial factor in the sense of individualizing the treatment, the specificity of the homeopathic treatment and the results indicate the need for planning, management and evaluation of the service regarding the protocol, standardized list and work processes to guarantee access to medication and effectiveness of homeopathic treatment in Unified Health System.