Medicina tradicional e neurologia na China: reflexões para o sistema de saúde público brasileiro
DOI:
https://doi.org/10.34024/rnc.2019.v27.9653Palavras-chave:
medicina tradicional chinesa, medicina integrative, China, neurologia, acupunturaResumo
Introdução. A medicina Tradicional chinesa foi incluída no Sistema Único de Saúde brasileiro, e no setor de investigação de doenças neuromusculares da Unifesp, sendo objeto de pesquisas desde 2003. Atualmente, a China integra a medicina ocidental e chinesa, incluindo em neurologia. Objetivo. Descrever o sistema de saúde chinês; a medicina integrativa (medicina tradicional chinesa e ocidental) e a neurologia na China, bem como o processo de formação profissional em medicina. Método. revisão de literatura com as palavras-chave: China, saúde pública, medicina tradicional, medicina chinesa, medicina integrativa, neurologia, em português, espanhol, inglês, nas bases Pubmed, Cochrane, Lilacs, Google scholar, entre 2002-2018. Resultados. Foram selecionados 34 artigos sobre o saúde pública, medicina integrada e processo de formação em medicina, e neurologia na China. A medicina chinesa vem sofrendo grandes modificações, com ocidentalização iniciada em 1917. A medicina integrada na China busca desenvolvimento técnico-científico em universidades, financiada pelo governo. A formação médica, incluindo de neurologistas, está sendo padronizada, seguindo modelos internacionais. Conclusão. A medicina integrada na China tem características especiais, e segue em desenvolvimento. A ocidentalização das pesquisas no pais aumentará o intercâmbio entre o Oriente e Ocidente, ampliando e abrindo perspectivas no campo científico.
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Política Nacional de Práticas Integrativas e Complementares no SUS - PNPIC no SUS (Endereço na Internet). Brasil: Ministério da Saúde; 2006 (acessado 2018). Dsiponível em: http://dab.saude.gov.br/docs/publicacoes/geral/pnpic.pdf
PORTARIA Nº 971, DE 3 DE MAIO DE 2006 - Aprova a Política Nacional de Práticas Integrativas e Complementares (PNPIC) no Sistema Único de Saúde (Endereço na Internet). Brasil: Ministério da Saúde; 2006. (acessado 2018). Dsiponível em: http://portal.saude.gov.br/portal/arquivos/pdf/PNPIC.pdf
Carneiro NM. Fundamentos da acupuntura médica. Florianópolis: Editora Sistema; 2001, 147p.
Abe GC, Ramos PE, Fontes SV, Yonamine BTS, Mello CAdS, Quadros AAJ, et al. Poliomielite e síndrome pós-polio pela medicina tradicional chinesa: da fisiopatologia ao diagnóstico. Rev Neurocienc 2011;19:365-81. http://www.revistaneurociencias.com.br/edicoes/2011/RN1902/revisao%2019%2002/471%20revisao.pdf
Luz MT. Medicina e racionalidades médicas: estudo comparativo da medicina ocidental contemporânea, homeopática, chinesa e ayurvédica. In: Canesqui AM (ed.). Ciências sociais e saúde para o ensino médico. São Paulo: Hucitec/FAPESP; 2000, p.181-200.
Dong J. The relationship between Traditional Chinese Medicine and Modern Medicine. J Evid Based Complementary Altern Med 2013:1-10. http://dx.doi.org/10.1155/2013/153148
Fong G, Cheng T, Lam K, Cheng W, Mok K, Cheung C, et al. An epidemiological study of motor neuron disease in Hong Kong. Amyotroph Lateral Scler Other Motor Neuron Disord 2005;6:164-8. http://dx.doi.org/10.1080/14660820510028412a
China CB (endereço na internet). São Paulo: CCIBC, 2015. (acessado em 2018). Disponível em: www.camarabrasilchina.com.br
Ponte Y. Uma perspectiva chinesa sobre os fatores culturais a serem considerados pelo brasileiro no processo de negociação com o chinês. [Dissertação de mestrado]. São Paulo: Fundação Getúlio Vargas; 2007.
Hesketh T, Zhu WX. Health in China. Traditional Chinese Medicine: one country, two systems. BMJ 1997;315:115-7. http://dx.doi.org/10.1136/bmj.315.7100.115
Zhang X, Kanbur R. Spatial inequality in education and health care in China. China Economic Rev 2005;16:189-204.
http://dx.doi.org/10.1016/j.chieco.2005.02.002
Meng Q, Xu L, Zhang Y, Qian J, Cai M, Xin Y, et al. Trends in access to health services and financial protection in China between 2003 and 2011: a cross-sectional study. Lancet 2012;379:805-14. http://dx.doi.org/10.1016/S0140-6736(12)60278-5
Ramesh M, Wu X. Health policy reform in China: lessons from Asia. Soc Sci Med 2009;68:2256-62.
http://dx.doi.org/10.1016/j.socscimed.2009.03.038
Tang S, Meng Q, Chen L, Bekedam H, Evans T, Whitehead M. Tackling the challenges to health equity in China. Lancet 2008;372:1493-501. http://dx.doi.org/10.1016/S0140-6736(08)61364-1
Wang H. A dilemma of Chinese healthcare reform: How to re-define government roles? China Economic Rev 2009;20:598-604. https://doi.org/10.1016/j.chieco.2009.04.001
Yang Y, Yang D. Community health service centers in China, not always trusted by the populations they serve? China Economic Rev 2009;20:620-4. https://doi.org/10.1016/j.chieco.2009.04.004
Han Q, Chen L, Evans T, Horton R. China and global health. Lancet 2008;372:1439-41. https://doi.org/10.1016/S0140-6736(08)61350-1
Dong Z, Phillips M. Evolution of China’s health-care system. Lancet 2008;372:1715-6. https://doi.org/10.1016/S0140-6736(08)61351-3
Drummer T, Cook I. Health in China and India: A cross-country comparison in a context of rapid globalisation. Soc Sci Med 2008;67:590-605. https://doi.org/10.1016/j.socscimed.2008.04.019
Ma J, Lu M, Quan H. From a national, centrally planned health system to a system based on the market: lessons from China. Health Aff 2008;27:937-48. https://doi.org/10.1377/hlthaff.27.4.937
Yang G, Kong L, Zhao W, Wan X, Zhai Y, Chen L, et al. Emergence of chronic non-communicable diseases in China. Lancet 2008;372:1697-705. https://doi.org/10.1016/S0140-6736(08)61366-5
Biato Junior O. A parceria estratégica sino-brasileira: origens, evolução e perspectivas (1993-2006). Brasília: FUNAG; 2010, 440p.
Anand S, Fan V, Zhang J, Zhang L, Ke Y, Dong Z, et al. China’s human resources for health: quantity, quality, and distribution. Lancet 2008;372:1774-81. https://doi.org/10.1016/S0140-6736(08)61363-X
Zhang J, Yan F, Tang S. The incoherence of China's national health development strategies. Am J Public Health 2012;102:14-6. https://doi.org/10.2105/AJPH.2012.301046
National Bureau of Statistics of China: National Bureau of Statiscs of China (endereço na internet). China: TPsRo. 2018 (acessado em 2018). Disponível em: http://www.stats.gov.cn/english/
Robinson N. Integrated traditional Chinese medicine. Complement Ther Clin Pract 2006;12:132-40.
https://doi.org/10.1016/j.ctcp.2006.01.006
Bhattacharyya O, Delu Y, Wong S, Bowen C. Evolution of primary care in China 1997-2009. Health Policy 2011;100:174-80. https://doi.org/10.1016/j.healthpol.2010.11.005
中国. 中医药立法的相关法律法規: 参考資料. [Zhōngguó. Zhōngyīyào lìfǎ de xiāngguān fǎlǜ fǎguī: Cānkǎo zīliào. Běijīng shì: Zhōng yī guǎnlǐ jú bàngōngshì biān yìn]: 北京市: 中医管理局办公室编印 1998.
Lu A-P, Chen K-J. Chinese medicine pattern diagnosis could lead to inovation in medical sciences. Chin J Integr Med 2011;17:811-7. https://doi.org/10.1007/s11655-011-0891-z
Dobos G, Tao I. The model of Western integrative medicine: the role of Chinese medicine. Chin J Integr Med 2011;17:11-20. https://doi.org/10.1007/s11655-011-0601-x
Park H, Lee H, Shin B, Liu J, Shang Q. Traditional Chinese medicine in China, Korea, and Japan: a brief introduction and comparison. Evid Based Complement Alternant Med 2012;2012:429103. https://doi.org/10.1155/2012/429103
Xu J, Yang Y. Traditional Chinese medicine in the Chinese health care system. Health Policy 2009;90:133-9.
https://doi.org/10.1016/j.healthpol.2008.09.003
Wang J, Kushner K, Frey JJ 3rd, Ping Du X, Qian N. Primary care reform in the Peoples' Republic of China: implications for training family physicians for the world's largest country. Fam Med 2007;39:639-43. https://fammedarchives.blob.core.windows.net/imagesandpdfs/fmhub/fm2007/October/Jie639.pdf
Ren X, Yin J, Wang B, Roy Schwarz M. A descriptive analysis of medical education in China. Med Teach 2008;30:667-72. https://doi.org/10.1080/01421590802155100
Yang J, Guo A, Wang Y, Zhao Y, Yang X, Li H, et al. Human resource staffing and service functions of community health services organizations in China. Ann Fam Med 2008;6:421-7. https://doi.org/10.1370/afm.888
Shi FD, Jia JP. Neurology and neurologic practice in China. Neurology 2011;77:1986-92.
https://doi.org/10.1212/WNL.0b013e31823a0ed3
Gao PF, Watanabe K. Introduction of the World Health Organization project of the International Classification of Traditional Medicine. Zhong Xi Yi Jie He Xue Bao 2011;9:1161-4. https://doi.org/10.3736/jcim20111101
Wang J, Xiong X. Current situation and perspectives of clinical study in integrative medicine in china. Evid Based Complement Alternat Med 2012;2012:268542.
https://doi.org/10.1155/2012/268542
Jiang M, Zhang C, Zheng G, Guo H, Li L, Yang J, et al. Traditional chinese medicine zheng in the era of evidence-based medicine: a literature analysis. Evid Based Complement Alternat Med 2012;2012:409568. https://doi.org/10.1155/2012/409568
Xu H, Chen KJ. Integrating traditional medicine with biomedicine towards a patient-centered healthcare system. Chin J Integr Med 2011;17:83-4. https://doi.org/10.1007/s11655-011-0641-2
Zhang D, Yin P, Freemantle N, Jordan R, Zhong N, Cheng KK. An assessment of the quality of randomised controlled trials conducted in China. Trials 2008;9:22. https://doi.org/10.1186/1745-6215-9-22
Nogales-Gaete J. Medicina alternativa y complementaria Complementary and alternative medicine. Rev Chil Neuro-Psiquiat 2004;42:243-50. http://dx.doi.org/10.4067/S0717-92272004000400001
Fan R. Modern western science as a standard for TCM: a critical appraisal. J Law Med Ethics 2003;31:213-21.
https://doi.org/10.1111/j.1748-720X.2003.tb00082.x
Fan R, Holliday I. Which medicine? Whose standard? Critical reflections on medical integration on China. J Med Ethics 2007;33:454-61. https://doi.org/10.1136/jme.2006.017483
Li H, Yu W. Enhancing community system in China's recent health reform: an effort to improve equity in essencial health care. Health Pol 2011;99:167-73.
https://doi.org/10.1016/j.healthpol.2010.08.006
Zhao XF, Su SJ, Yun G, Guo YH, Wang S. Mortality and recurrence of vascular disease among stroke patients treated with combined TCM therapy. J Tradit Chin Med 2012;32:173-8.
https://doi.org/10.1016/s0254-6272(13)60007-2
Gong X, Sucher NJ. Stroke therapy in traditional Chinese medicine (TCM): prospects for drug discovery and development. Phytomedicine 2002;9:478-84. https://doi.org/10.1078/09447110260571760
Li LM, Tang JL, Li J, Jiang Y, Griffiths SM. The need for integration in health sciences sets the future direction for public health education. Public Health 2011;125.
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Aceito: 2019-10-15
Publicado: 2019-12-26
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