巴西的言语治疗服务与初级卫生保健：基于社会经济发展的分析
Speech-language therapy offer and primary health care in Brazil: an analysis based on socioeconomic development.
作者信息
Rech Rafaela Soares, Hugo Fernando Neves, Schmidt Jeanne Gabriele, Goulart Bárbara Niegia Garcia de, Hilgert Juliana Balbinot
机构信息
Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre (RS), Brasil.
出版信息
Codas. 2019 Feb 11;31(1):e20180083. doi: 10.1590/2317-1782/20182018083.
PURPOSE
To describe the presence of speech-language therapists (SLT) in the primary health care (PHC) in Brazil and its association with socioeconomic inequalities.
METHODS
Cross-sectional study with 17,157 PHC services in all Brazilian states. Based on the NASF External Assessment Questionnaire sub-item "speech-language therapist", which was used to answer the question "What NASF professionals support your PHC service?", in addition to contextual data (regional population, number of registered SLP, speech therapy college courses, city HDI and Gini Index).
RESULTS
From all the PHC services supported by NASF, 50.8% (8713/17,157) has SLPs as part of the team. Brazil's Southeast region has the higher prevalence of SLP at the team (57.4%; 5,575). South Region has the lower prevalence (28.9%; 625). The presence of SLP support is directly proportional to HDI stratum and Gini Index (average and high).
CONCLUSION
There is an important limitation of public care to treat communication and swallowing disorders in Brazil.
目的
描述巴西初级卫生保健（PHC）中言语治疗师（SLT）的存在情况及其与社会经济不平等的关联。
方法
对巴西所有州的17157个初级卫生保健服务机构进行横断面研究。基于NASF外部评估问卷子项目“言语治疗师”，该项目用于回答“哪些NASF专业人员支持您的初级卫生保健服务？”这一问题，此外还包括背景数据（区域人口、注册言语病理学家数量、言语治疗学院课程、城市人类发展指数和基尼指数）。
结果
在NASF支持的所有初级卫生保健服务机构中，50.8%（8713/17157）的团队中有言语病理学家。巴西东南部地区团队中言语病理学家的患病率最高（57.4%；5575）。南部地区患病率最低（28.9%；625）。言语病理学家支持的存在与人类发展指数阶层和基尼指数（平均和高）成正比。
结论
巴西公共医疗在治疗沟通和吞咽障碍方面存在重要局限性。
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