Programa de Pós-Graduação em Tecnologia em Saúde, Pontifícia Universidade Católica do Paraná (PUCPR). R. Euclides Bandeira 500/1203, Centro Cívico. 80530-020 Curitiba PR Brasil.
Departamento de Fisioterapia, PUCPR. Curitiba PR Brasil.
Cien Saude Colet. 2020 Jul 8;25(7):2859-2870. doi: 10.1590/1413-81232020257.12682018.
This study aims to identify the factors that hinder physically disabled children and adolescent's access to physiotherapy in establishments accredited by the Unified Health System in Curitiba, Paraná, Brazil. This is a cross-sectional study that interviewed managers, physiotherapists, parents or guardians of children with physical disabilities. The perception of difficulties of each interviewed group was compared through descriptive statistics, considering the following realms: availability, purchasing power, information and acceptability. Considering the realm of availability, we identified the following hindrances: distance between the physiotherapy location and user's residence, inadequate supply of services and waiting list. Regarding the purchasing power, we observed the lack of financial resources among parents. Regarding information and acceptability, the lack of information about diagnosis and denial were reported by participants. We can conclude that the physiotherapy service has not been timely assured to children's motor development, so it is necessary to review the organization and distribution of services, and effective policies are required to ensure their use.
本研究旨在确定巴西巴拉那州库里蒂巴市经统一卫生系统认证的机构中，阻碍残疾儿童和青少年获得物理治疗的因素。这是一项横断面研究，对管理人员、物理治疗师、残疾儿童的家长或监护人进行了访谈。通过描述性统计，比较了每个访谈组对困难的看法，考虑了以下领域：可及性、购买力、信息和可接受性。考虑到可及性领域，我们发现了以下障碍：物理治疗地点与用户住所之间的距离、服务供应不足和等待名单。关于购买力，我们观察到家长缺乏经济资源。关于信息和可接受性，参与者报告了对诊断和否认的信息缺乏。我们可以得出结论，物理治疗服务未能及时保障儿童的运动发育，因此有必要审查服务的组织和分配，并制定有效的政策来确保其使用。
