The workforce for rehabilitation in primary health care in Brazil

Silva, Debora Bernardo da; Sixel, Taciana Rocha dos Santos; Medeiros, Arthur de Almeida; Mota, Paulo Henrique dos Santos; Bousquat, Aylene; Schmitt, Ana Carolina Basso

doi:10.1186/s12960-021-00669-x

Cited by 7 publications

(7 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The WHO Rehabilitation 2030 initiative expects rehabilitation should be available at all stages of life and builds a comprehensive rehabilitation service delivery model to achieve equitable access to quality services ( 17 ). However, the speed and volume of development were slower in this country than the rehabilitation in other comparable regions of the world ( 18 , 19 ).…”

Section: Resultsmentioning

confidence: 71%

Relations between indoor rehabilitation and basic health services in a developing country

Uddin

Ahmed

Shoma

2023

Front. Rehabil. Sci.

View full text Add to dashboard Cite

Backgroundand Introduction: Physical rehabilitation is vital for patients to regain maximum function. Approximately 80% of people with a disability live in developing countries, where they face multiple challenges in rehabilitation. The goal of the study was to conduct an analysis of indoor rehabilitation programs based on the demographics and medical conditions of the admitted patients and to relate to the available basic health and rehabilitation facilities.MethodsThis was a mixed method study conducted in an inpatient rehabilitation ward of a tertiary level academic university hospital in a developing country. All admitted patients who stayed for a period of minimum two weeks were included in the study. Demographic and clinical data were obtained by means of a retrospective medical record review utilizing a standardized data extraction form. The study was further strengthened by an online literature search for the available documents for analysis, relation, and discussion.ResultsAmong the 1,309 admitted patients was male- female ratio was 10:7, with the majority (31.4%) cases falling between the ages of 46 and 60yrs. Rehabilitation outpatient department was the principal mode of admission (78%), and musculoskeletal and neurological conditions represented the maximum number (79.8%). Majority of patients (60.8%) were discharged home on completion of the rehabilitation program with a large number of patients who were absconded. Poor health budget allocation and lack of prioritization of the rehabilitation sector face multiple challenges, including the rehabilitation team functioning resources, space crisis for expansion which was further impacted by the COVID-19 pandemic.ConclusionsThe country's current health-related rehabilitation process and socio-demographic variables have a negative relationship. There was a large number of missing data in the medical records and many patients were lost prematurely from the indoor rehabilitation program. Musculoskeletal disorders were common, and the majority of patients were discharged home once the program was completed.

show abstract

Section: Resultsmentioning

confidence: 71%

Relations between indoor rehabilitation and basic health services in a developing country

Uddin

Ahmed

Shoma

2023

Front. Rehabil. Sci.

View full text Add to dashboard Cite

show abstract

“…Public policies can direct more resources for the development of the health workforce, however, as pointed out by Silva et al 32 , it is harmful to have the expansion of the supply of care and after some time to have a measure that disquali es them as the MS/GM Ordinance No. 3992/2017 33 , there was a change in the form of transfer of resources for actions and public health services, with the reduction of six to two blocks of funding of the Uni ed Health System, which implies risks to the expansion of the supply of services and human resources in health.…”

Section: Discussionmentioning

confidence: 99%

The rehabilitation workforce in Brazil

Sixel,

Bernardo,

Medeiros

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

Background: Demand for rehabilitation services has been increasing due to the increase of individuals with functional impairment. It is essential to know the supply of the rehabilitation workforce to better plan the health system to meet the health needs of the population. Objective: To investigate the spatial and temporal distribution of physical therapists, speech therapists, psychologists and occupational therapists across the levels of care within the Brazilian Unified Health System and its regions. Method: This is an ecological time series study on the supply of rehabilitation professionals. Data were obtained from the National Register of Health Establishments from 2007 to 2020. The density of professionals was calculated per 10,000 inhabitants per year for Brazil and its five regions. The Joinpoint regression model was used to analyze the temporal trends of the density of professionals, considering the 95% confidence interval. Results: In 2020, the most notable concentrations of psychologists, speech therapists, and occupational therapists in Brazil were observed in the domain of Specialized Health Care, with densities of 0.60, 0.20, and 0.16 professionals per 10,000 inhabitants, respectively. Conversely, the highest density of physical therapists was found in the context of Hospital Health Care, with a density of 1.19 professionals per 10,000 inhabitants. Notably, variations in professional distribution across different regions were apparent. Primary Health Care exhibited the highest density of professionals in the Northeast region, while the Southern region accounted for the highest densities in all professional categories within Specialized Health Care. The southeast region demonstrated the largest workforce within Hospital Health Care. A considerable increase in the availability of professionals was observed across all categories, with the most substantial growth seen in the occupational therapy sector within hospital care (AAPC: 30.8), despite its low density. Conclusion: The implementation of public health policies has played a significant role in the expansion of the rehabilitation workforce at all three levels of care in Brazil and its various regions from 2007 to 2020. Consequently, regional disparities and densities of professionals have emerged, resembling patterns observed in low-income countries.

show abstract

“…In a population-based study developed in Brazil, it was identified that the availability of occupational therapists was the lowest compared to other rehabilitation professionals, such as physical therapists in Brazilian primary health care. 39 In the Brazilian public health system, primary health care is the main care provider for individuals with stroke after hospital discharge. 3 Therefore, the low availability of occupational therapists at this level of healthcare may partly explain the high difference between the number of referrals and access to occupational therapy observed in this study.…”

Section: Discussionmentioning

confidence: 99%