Departamento de Fonoaudiologia, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.
Codas. 2021 Apr 12;33(1):e20190184. doi: 10.1590/2317-1782/20202019184. eCollection 2021.
to analyze the composition of teams and the geographical distribution of the services and professionals of the Health Care Network for People with Disabilities (RCPD, initials in Portuguese).
cross-sectional observational study developed from secondary data on the specialized component in rehabilitation, with a sample of 3,271 professionals.
half of the services was observed in three broad regions; there is a greater representation of Specialized Services in Intellectual Disability Rehabilitation (SERDI, initials in Portuguese), private services and physiotherapists. We observed that most services had full teams; however, most of them do not comply with the minimum workload established by national policy. The Enlarged Health Regions of Jequitinhonha, Norte and the Centros Especializados em Reabilitação (CER, initials in Portuguese) modality presented the highest averages in terms of professionals and workload. Our results show a significant statistical association between full teams and private services.
these results have the potential to contribute to the development of strategies to minimize the disparities found in the geographical distribution, in rehabilitation modalities, and public service investments.
分析残疾人士保健护理网络(RCPD)的团队构成和服务及专业人员的地域分布。
这是一项基于康复专业部分的二次数据开展的横断面观察性研究,样本量为 3271 名专业人员。
三分之一的服务分布在三大区域;特殊服务中智力残疾康复(SERDI)、私营服务和物理治疗师的代表性更强。我们发现,大多数服务都有完整的团队,但大多数团队不符合国家政策规定的最低工作量。杰济济尼哈、北诺特和康复专门中心(CER)大区在专业人员和工作量方面的平均值最高。我们的结果表明,完整的团队与私营服务之间存在显著的统计学关联。
这些结果有可能有助于制定策略,以尽量减少在地域分布、康复模式和公共服务投资方面存在的差异。