de Lima Maria Luiza Carvalho, Deslandes Suely Ferreira, de Souza Edinilsa Ramos, de Lima Maria Luiza Lopes Timóteo, Barreira Alice Kelly
Departamento de Medicina Social, Cidade Universitária, UFPE, Recife, PE.
Cien Saude Colet. 2009 Sep-Oct;14(5):1817-24. doi: 10.1590/s1413-81232009000500023.
This paper aims to analyze the rehabilitation services in Recife, Brazil, confronting it with what the National Policy for Decreasing Morbimortality from Accidents and Violence (NPDMAV) professes. Six units of rehabilitation services were analyzed; five were from municipal administration and the other was an ONG on an agreement with SUS. A partial structured interview was conducted with the person in charge for the Attention to the Disable Person's Health aiming to map the network. Also a questionnaire was applied to the managers of the six services aiming to identify the unit and its activities, structure and organization. The Rehabilitation Assistance network in Recife do not meet the NPDMAV guidelines as it presents: decreased number of services/programs; lack of a multidisciplinary team; lack of technological support; deficient joint intra and inter sectors; little interaction between the victim and his family to reinsertion into family and social life; and still incipient prevention and promotion actions. In conclusion, there is an effort to adequate the actions to this population group; however there are relevant covering deficits of people, equipments, information and articulation registers among the various levels of this health network.
本文旨在分析巴西累西腓的康复服务情况，并将其与《国家减少事故和暴力导致的病残死亡率政策》（NPDMAV）的主张进行对比。对六个康复服务单位进行了分析，其中五个来自市政管理部门，另一个是与巴西统一卫生系统（SUS）达成协议的非政府组织。针对负责残疾人健康照护的人员进行了部分结构化访谈，以绘制该网络。还向这六个服务机构的管理人员发放了问卷，旨在确定各单位及其活动、结构和组织情况。累西腓的康复援助网络不符合NPDMAV的指导方针，具体表现为：服务/项目数量减少；缺乏多学科团队；缺乏技术支持；部门内部和部门之间的联合不足；受害者及其家庭在重新融入家庭和社会生活方面互动较少；预防和促进行动仍处于初期阶段。总之，针对这一人群的行动正在努力改进；然而，在这个卫生网络的各个层面，人员、设备、信息和协调记录方面仍存在显著的覆盖不足问题。
