Chronic pain in primary health care: historical and conceptual perspectives on the health and disease process and the development of health care strategies
1
Programa Pós Graduação Saúde Coletiva, Universidade Federal do Espírito Santo, Vitória/ES, Brazil
2
Escola de Saúde Pública, Instituto Capixaba de Ensino, Pesquisa e Inovação em Saúde/ Secretaria de Estado da Saúde do Espírito Santo, Vitória/ES, Brazil
3
Curso de Medicina, Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória, Vitória/ES, Brazil
4
Enfermagem, Universidade Federal Fluminense, Rio das Ostras, Brazil
Popul. Med. 2026;8(Supplement Supplement 1):A1796
ABSTRACT
INTRODUCTION:
Chronic pain is understood as a complex condition that requires a multidimensional approach, and its understanding must encompass social, biological, psychological, and physical contexts1,2. As it represents a significant problem and challenge for public health in Brazil3 and worldwide2, population estimates for its prevalence vary widely according to case definition and research methods, time, location, and population4. The objective of this study was to understand historical and conceptual aspects of chronic pain and strategies related to the provision of care, especially in Primary Health Care (PHC).
METHODS:
This is a reflective study based on institutional and regulatory documents on chronic pain and anchored in the critical analysis of scientific articles with a bibliographic survey in the LILACS, PubMed, and SciELO databases, combining the descriptors “chronic pain,” “public health,” “Primary Health Care,” and “Unified Health System.”
RESULTS:
The analysis and theoretical construction followed three guiding principles: 1. Conceptual retrospective of the health-illness process: with dynamic ideas that reflect the influence of the sociocultural conditions of each period in history on the conceptual conception of health and illness5; 2. The body-mind-social recovery in the understanding of pain and the provision of care: bringing the advent of the biopsychosocial model to health as well as its role in shaping the contemporary experience of pain 6,7; 3. The Care of People with Chronic Pain in PHC: with an emphasis on PHC in the coordination and qualification of comprehensive and longitudinal care, with a focus on disease prevention and health promotion in the management of chronic diseases 8.
CONCLUSIONS:
It is necessary to question the ethical-political and epistemological issues regarding the legitimacy and treatment of people with chronic pain, discussing more decisive modes of health intervention that are oriented towards comprehensiveness and the expanded health needs of this population.
Chronic pain is understood as a complex condition that requires a multidimensional approach, and its understanding must encompass social, biological, psychological, and physical contexts1,2. As it represents a significant problem and challenge for public health in Brazil3 and worldwide2, population estimates for its prevalence vary widely according to case definition and research methods, time, location, and population4. The objective of this study was to understand historical and conceptual aspects of chronic pain and strategies related to the provision of care, especially in Primary Health Care (PHC).
METHODS:
This is a reflective study based on institutional and regulatory documents on chronic pain and anchored in the critical analysis of scientific articles with a bibliographic survey in the LILACS, PubMed, and SciELO databases, combining the descriptors “chronic pain,” “public health,” “Primary Health Care,” and “Unified Health System.”
RESULTS:
The analysis and theoretical construction followed three guiding principles: 1. Conceptual retrospective of the health-illness process: with dynamic ideas that reflect the influence of the sociocultural conditions of each period in history on the conceptual conception of health and illness5; 2. The body-mind-social recovery in the understanding of pain and the provision of care: bringing the advent of the biopsychosocial model to health as well as its role in shaping the contemporary experience of pain 6,7; 3. The Care of People with Chronic Pain in PHC: with an emphasis on PHC in the coordination and qualification of comprehensive and longitudinal care, with a focus on disease prevention and health promotion in the management of chronic diseases 8.
CONCLUSIONS:
It is necessary to question the ethical-political and epistemological issues regarding the legitimacy and treatment of people with chronic pain, discussing more decisive modes of health intervention that are oriented towards comprehensiveness and the expanded health needs of this population.
| eISSN: | 2654-1459 |
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