Challenges for the expansion of Integrative and Complementary Health Practices in the care pathways of the Brazilian National Health System (SUS)

Abstract

The National Policy on Integrative and Complementary Practices (PNPIC) represented a milestone for the recognition of integrative practices in Brazil. However, almost 20 years later, challenges remain for its expansion in the Brazilian National Health System (SUS). This article proposes a critical analysis of the PNPIC, questioning the organizational mechanisms of care. It seeks to reflect on the influence that public health network references may have on the expansion of Integrative and Complementary Practices (PICS) in Brazil. The theoretical frameworks are linked to the critical study of the authors' accumulated experience in an institutional development project for the implementation of PICS in comprehensive care lines, carried out in 2024, with tripartite participation. As a contribution, some paths and methodological offerings are presented that aim to expand access and integrate PICS into comprehensive care for users.

Keywords
Complementary and integrative health practices; Community networks; Patient-centered care; Comprehensive health care; Health policy