巴西的康复工作者队伍。

The rehabilitation workforce in Brazil.

作者信息

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

机构信息

Department of Physiotherapy, Speech Therapy and Occupational Therapy, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil.

Integrated Health Institute, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil.

出版信息

Arch Public Health. 2024 Feb 26;82(1):25. doi: 10.1186/s13690-024-01249-w.

DOI:10.1186/s13690-024-01249-w

PMID:38409101

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10895827/

Abstract

BACKGROUND

The surge in individuals facing functional impairments has heightened the demand for rehabilitation services. Understanding the distribution of the rehabilitation workforce is pivotal for effective health system planning to address the population's health needs.

OBJECTIVE

To investigate the spatial and temporal dispersion of physical therapists, speech therapists, psychologists and occupational therapists across various tiers of care within Brazil's 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 annually for Brazil and its five regions. The Joinpoint regression model was used to analyze the temporal trends of the density of professionals, considering a 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 within Hospital Health Care, with a density of 1.19 professionals per 10,000 inhabitants. Notably, variations in professional dispersion 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 exhibited the largest workforce within Hospital Health Care. A marked upsurge in professional availability was noted across all categories, notably in the occupational therapy sector within hospital care (AAPC: 30.8), despite its initial low density.

CONCLUSION

The implementation of public health policies 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, mirroring patterns observed in low-income countries.

摘要

背景

面临功能障碍的人数激增，使得对康复服务的需求增加。了解康复劳动力的分布对于有效规划卫生系统以满足民众的健康需求至关重要。

目的

调查巴西统一卫生系统及其各地区不同护理层级中物理治疗师、言语治疗师、心理学家和职业治疗师的时空分布情况。

方法

这是一项关于康复专业人员供应的生态时间序列研究。数据取自2007年至2020年的国家卫生机构登记册。计算巴西及其五个地区每年每10000名居民的专业人员密度。使用Joinpoint回归模型分析专业人员密度的时间趋势，考虑95%的置信区间。

结果

2020年，巴西心理学家、言语治疗师和职业治疗师最显著的集中领域是专科医疗保健领域，每10000名居民中的专业人员密度分别为0.60、0.20和0.16。相反，物理治疗师密度最高的是医院医疗保健领域，每10000名居民中有1.19名专业人员。值得注意的是，不同地区的专业人员分布存在明显差异。初级卫生保健在东北地区的专业人员密度最高，而南部地区在专科医疗保健的所有专业类别中密度最高。东南部地区在医院医疗保健领域的劳动力最多。所有类别的专业人员供应量均显著增加，尤其是医院护理中的职业治疗部门（年度百分比变化率：30.8），尽管其初始密度较低。