Physiotherapy in Primary Care in Brazil based on a Quality Assessment Program: cross-sectional study
DOI:
https://doi.org/10.33448/rsd-v10i2.12389Keywords:
Physical Therapists; Primary Health Care; Physical Therapy Speciality; Cross-sectional studies.Abstract
Objectives: analyze the presence of physical therapists in the minimum Primary Health Care teams in the five regions of Brazil and to compare the presence of equipment directed to their performance. Methods: a cross-sectional study using data from Module I of the 3rd Cycle of the Quality Assessment Program in Primary Care from Primary Care Units where physical therapists worked in. The association between the presence of physiotherapist and greater equipment in the units was assessed using the Chi-Square Test. Results: In all of Brazil, 26.3% of the Units had another professional working in addition to the Primary Care Team, and among these, 24.8% was physiotherapist. It was observed that, compared to the national proportion, the Northeast Region had the highest proportion of inserted professionals (p = 0.017). An association was observed between the presence of the professional and equipment, with some specific ones more present in places with physiotherapists (p < 0.05). Conclusions: The number of physiotherapists working together with the Primary Care Teams in Brazil is low. However, their work with the population signals new professional possibilities for action.
References
Barbazza E., Kringos D., Kruse I., Klazinga N. S., & Tello J.E. (2019) Creating performance intelligence for primary health care strengthening in Europe. BMC Health Service Research. 19(1):1006. https://doi.org/10.1186/s12913-019-4853-z
Bath B., Gabrush J., Fritzler R., Dickson N., Bisaro D., Bryan K., & Shah T. I. (2015) Mapping the Physiotherapy Profession in Saskatchewan: Examining Rural versus Urban Practice Patterns. Physiotherapy Canadian. 67(3): 221–231. https://doi.org/10.3138/enc.2014-53
Braghini C. C., Ferretti F., & Ferraz L. (2017) Physiotherapist's performance in the context of family health support centers. Fisioterapia em Movimento. 30(4): 703-713. http://dx.doi.org/10.1590/1980-5918.030.004.ao05.
Carvalho, D. F. F., & Siqueira-Batista, R. (2017) Physiotherapy and Family Health: insertion, work process and conflicts. Vittalle: Revista de Ciências da Saúde. 29(2): 135-145. https://doi.org/10.14295/vittalle.v29i2.6698
Carvalho F. C. D., Vasconcelos T. B., Arruda G. M. M. S, & Macena R. H. M. Changes in social indicators of the northeastern region after the implementation of primary health care. (2019). Trabalho, Educação e Saúde. 17(2): e0018925. http://dx.doi.org/10.1590/1981-7746-sol00189
Conselho Nacional de Educação. Departamento de Educação Superior. Publicado em CNE / CES 1.210 / 2001, of December 7, 2001. Institui as Diretrizes Curriculares Nacionais para o Curso de Fisioterapia. Diário Oficial da União. Brasília, DF, Brasil, 2001
Faria L. R., & Alves C. A. (2015) On caring: preliminaries of a comparative study of primary health care in Brazil / Canada. Saúde e Sociedade. 24(1):1 – 14. https://doi.org/10.1590/S0104-12902015000100006
Fernandes J. M., Rios T. A., Sanches V. S., & Santos M. L. M. (2016) NASF's tools and practices in health of physical therapists. Fisioterapia em Movimento. 29(4): 741-750. https://doi.org/10.1590/1980-5918.029.004.ao10
Ferreira, L. T., Ferreti, F., Teo C. R. P. A., & Pivetta, H. M. F. (2020) Professional training in physiotherapy: primary care practices. Fisioterapia em. Movimento. 33: e003346. http://dx.doi.org/10.1590/1980-5918.033.AO46
Ferretti F., Nierotka R.P., Braghini C.C., Teo C.R.P.A., Ferraz L., Fanticelli M.L. (2015)Physical therapist insertion in the Family Health Strategy team: the users’ view. Fisioterapia em Movimento. v. 28, n. 3, p. 485-493. http: //dx.doi.org.10.1590/0103-5150.028.003.AO07
Fonseca J.M.A., Rodrigues M.T.P., Mascarenhas M.D.M., Lima L.H.O.(2016) Physical Therapy In Primary Health Care: An Integrative Review. Brazilian Journal of Health Promotion. 29(2): 288-294. http://dx.doi.org/10.5020/18061230.2016.p288
Freire L. P. V., Sales W. B., Barbosa D. S., & Morais J. D. (2020) The duties of the physiotherapist at the Extended Nucleus for Family Health and Primary Care in the city of Lucena-PB. Archives of Health Investigation. 34(4): 345- 351. https://doi.org/10.21270/archi.v9i1.4928
Garnelo L., Lima J. G., Rocha E. S. C., & Herkrath F. J. (2018) Access and coverage of Primary Health Care for rural and urban populations in the northern region of Brazil. Saúde em Debate. 42(1):81-99. https://doi.org/10.1590/0103-11042018S106
Gibson W., Wand B. M., Meads C., Catley M. J., & O'Connell N. E. (2019). Transcutaneous electrical nerve stimulation (TENS) for chronic pain - an overview of Cochrane Reviews. Cochrane Database System Review. http://dx.doi.org/10.1002/14651858.CD011890.pub3
Giovanella L. (2006) Primary health care in European Union countries: organizational configurations and reforms in the 1990s. Cadernos de Saúde Pública 22(5):951-963. https://doi:10.1590/s0102-311x2006000500008
Lima A. J., Aley N. R. L., Brito G. E. G., Goyatá S. T. L., & Silva S. L. A. Resolutibity of physiotherapy in Primary Health Care (PHC): the perception of physiotherapists. (2017) Cadernos de Educação, Saúde e Fisioterapia 4(8):14-22. https://doi.org/10.18310/2358-8306.v4n8.p14
Long J. (2019) European region of the WCPT statement on physiotherapy in primary care. Primary Health Care Research Development. 4(20): e147. https://doi.org/10.1017/S1463423619000811
Malta M., Cardoso L. O., Bastos F. I., Magnanini M. M. F., & Silva C. M. F. P. (2010). Iniciativa STROBE: subsídios para comunicação de estudos observacionais. Revista de Saúde Pública. 44(3):559-65.
Massuda A. (2020) Primary health care financing changes in the Brazilian Health System: advance ou setback? Ciencia & Saude Coletiva. 25(4):1181-1188. http://dx.doi.org/10.1590/1413-81232020254.01022020
Matsumura E. S. S., Júnior A. S. S., Guedes J. A., Teixeira R. C., Kietzer S. K., & Castro L. S. F. (2018) Geographical distribution of physiotherapists in Brazil. Fisioterapia e Pesquisa. 25(3): 309-314. https://doi.org/10.1590/1809-2950/17027025032018
Mendes A., Carnut L., & Guerra, L. D. (2018) Reflexões acerca do financiamento federal da Atenção Básica no Sistema Único de Saúde. Saúde em Debate. 42(supl.1): 224-243. https://doi.org/10.1590/0103-11042018s115
Meneses A. S., Silva J. S. M., & Silva L. E. (2020). Financial Perspective on Queuing Regulation for Physiotherapy in Primary Health Care. SciELO Preprints. https://doi.org/10.1590/SciELOPreprints.590
Ministério da Saúde. Portaria No. 154 de 24 de Janeiro de 2008. Cria os Núcleos de Apoio à Saúde da Família (NASF). Diário Oficial da União. Brasília, DF, Brasil, 2008. https://bvsms.saude.gov.br/bvs/saudelegis/gm/2008/prt0154_24_01_2008.html.
Ministério da Saúde. Portaria No. 2,436 de 21 de setembro de 2017. Aprova a Política Nacional de Atenção Primária, estabelecendo revisão das diretrizes da organização da Atenção Primária no âmbito do Sistema Único de Saúde (SUS). Brasília, DF, Brasil, 2017. https://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/prt2436_22_09_2017.html.
Ministério da Saúde. Portaria No. 3.124 de 28 de Dezembro de 2012. Redefine parâmetros para associação dos NASF modalidades 1 e 2 às Equipes de Saúde da Família ou Equipes de Atenção Primária e cria o NASF 3, além de outros arranjos. Diário Oficial da União. Brasília, DF, Brasil, 2013. https://bvsms.saude.gov.br/bvs/saudelegis/gm/2012/prt3124_28_12_2012.html.
Ministério da Saúde. Portaria No. 1,645 de 2 de Outubro de 2015. Instaura o Programa Nacional de Melhoria do Acesso e Qualidade da Atenção Básica (PMAQ-AB). Brasilia DF, Brasil, 2015. http://bvsms.saude.gov.br/bvs/saudelegis/gm/2015/prt1645_01_10_2015.html.
Moretti P. G. S., & Fedosse E. (2016) Family Health Support Center: Impact on Ambulatory Care Sensitive Conditions. Fisioterapia e Pesquisa. 23(3): 241-247. https://doi.org/10.1590/1809-2950/14662023032016
Pinto L. F., Soranz D., Ponka D., Pisco L. A., & Hartz Z. M. (2020)40 years of Alma-Ata: Challenges of Primary Health Care in Brazil and in the World. Ciência & Saúde Coletiva. 25(4):1178. http://dx.doi.org/10.1590/1413-81232020254.01012020
Ribeiro C. D., & Flores-Soares M. C. (2015) Challenges for the insertion of the physiotherapist in primary care: the view of managers. Revista de Salud Pública. 17 (3): 379-393 http://dx.doi.org/10.15446/rsap.v17n3.44076
Sousa P. H. C., Pinheiro D. G. M., Arruda G. M. M. S., & Coutinho B. D.(2020) From the challenges to the overcoming strategies of the NASF physiotherapist: a look from the resident. Bahia Journal of Public Health. 21(1): 20-27. https://doi.org/10.22278/2318-2660.2018.v42.n4.a2795.
Silva G. G., & Sirena S. A. (2015) Profile of referrals to physiotherapy by a Primary Health Care service. Epidemiologia e Serviços de Saúde. 24(1):123-133. http://dx.doi.org/10.5123/S1679-49742015000100014
Silva S. L. A., Aley N. R. L., Lima A. J., & Almeida A. P. (2017) Proposal for an eligibility protocol and referral to a Physiotherapy service in a Municipal Health Care Network. Revista Científica CIF Brasil. 7(7):12-26.
Tavares L. R. C., Costa J. L. R., Oishi J., & Driusso P. (2018) Insertion of physiotherapy in primary health care: analysis of the national registry of health establishments in 2010. Fisioterapia & Pesquisa. 25(1):9-19. http://dx.doi.org/10.1590/1809-2950/15774625012018
World Confederation For Physical Therapy. Primary Health Care and Community Based Rehabilitation: Implications for physical therapy based on a survey of WCPT’s Member Organisations and a literature review. London, UK: World Confederation For Physical Therapy, 2003. http://citeseerx.ist.psu.edu/viewdoc/download,jsessionid=CF934D125CA64DD420B7F3A9E2C8DF8D?doi=10.1.1.126.9788&rep=rep1&type=pdf.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Silvia Lanziotti Azevedo da Silva; Angélica Pereira da Cruz; Júlio César Guimarães Freire; Anderson Martins Silva; Fabiana Gondim Gomes de Vasconcelos; Gabriel Alves dos Santos; Matheus Vinícius Dias da Silva Lima; Maria Patrícia Cavalcante de Oliveira; Geraldo Eduardo Guedes de Brito
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.