Factors associated with waiting for physiotherapy service: analysis from the Access and Quality Improvement Program (PMAQ)
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Fisioterapia em Movimento |
Texto Completo: | https://periodicos.pucpr.br/fisio/article/view/29724 |
Resumo: | Introduction: Historically, the difficulty of referrals to specialized health services has been discussed. Objective: To analyze the factors associated with waiting time for specialized physio-therapy services. Methods: Cross-sectional, multilevel study, with secondary data, based on the external evaluation of the second cycle of the Access and Quality Improvement Program and the United Nations Development Program. The explanatory variables for the outcome "Estimated waiting time of users for specialized consultations – Physiotherapy" were grouped according to the characteristics of the family health teams and contextual factors. In the statistical analysis, Poisson’s Multilevel Regression was used. A significance level of 5% was adopted (p < 0.05). Results: Observed association of the time of referral to physiotherapy with the health teams that receive support for the planning of the work process (n = 25.476; 83,4%; p < 0.0001), that the management provides information about the health situation (n = 26.505; 86,8%; p < 0.0016), receives support for the discussion of monitoring data (n = 24.149; 79,1%; p < 0.0001), receives permanent institutional support (n = 25.140; 82,3%; p < 0.0001), gets feedback from the evaluation carried out by the special-ists (n = 22.801; 76,6%; p < 0.0001) and in the teams that are supported by the NASF physiotherapist (n = 5.666; 18,6%; p < 0.0001), with an association for the Gini Index (p < 0.044) and the HDI (p < 0.0001). Conclusion: The referral time to the specialized physiotherapy service was shown to be associated with both system organization and management factors, as well as contextual variables. |
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Factors associated with waiting for physiotherapy service: analysis from the Access and Quality Improvement Program (PMAQ) Fatores associados à espera para o serviço de fisioterapia: análise a partir do Programa de Melhoria do Acesso e da Qualidade (PMAQ)Introduction: Historically, the difficulty of referrals to specialized health services has been discussed. Objective: To analyze the factors associated with waiting time for specialized physio-therapy services. Methods: Cross-sectional, multilevel study, with secondary data, based on the external evaluation of the second cycle of the Access and Quality Improvement Program and the United Nations Development Program. The explanatory variables for the outcome "Estimated waiting time of users for specialized consultations – Physiotherapy" were grouped according to the characteristics of the family health teams and contextual factors. In the statistical analysis, Poisson’s Multilevel Regression was used. A significance level of 5% was adopted (p < 0.05). Results: Observed association of the time of referral to physiotherapy with the health teams that receive support for the planning of the work process (n = 25.476; 83,4%; p < 0.0001), that the management provides information about the health situation (n = 26.505; 86,8%; p < 0.0016), receives support for the discussion of monitoring data (n = 24.149; 79,1%; p < 0.0001), receives permanent institutional support (n = 25.140; 82,3%; p < 0.0001), gets feedback from the evaluation carried out by the special-ists (n = 22.801; 76,6%; p < 0.0001) and in the teams that are supported by the NASF physiotherapist (n = 5.666; 18,6%; p < 0.0001), with an association for the Gini Index (p < 0.044) and the HDI (p < 0.0001). Conclusion: The referral time to the specialized physiotherapy service was shown to be associated with both system organization and management factors, as well as contextual variables.Introdução: Historicamente, discute-se a dificuldade de enca-minhamentos para o serviço especializado de saúde. Objetivo: Analisar os fatores associados ao tempo de espera para os serviços especializados de fisioterapia. Métodos: Estudo trans-versal, multinível, realizado a partir do Programa de Melhoria do Acesso e da Qualidade e do Programa das Nações Unidas para o Desenvolvimento. Adotou-se a variável desfecho: tempo estimado de espera dos usuários para atendimento especiali-zado de consultas de fisioterapia. Na análise estatística, utilizou-se a regressão multível de Poisson e adotou-se nível de signifi-cância de 5% (p < 0,05). Resultados: Observou-se associação do tempo de encaminhamento para fisioterapia com as equipes de saúde que recebem apoio para o planejamento do proces-so de trabalho (n = 25,48; 83,4%; p < 0,0001), como também para a gestão que disponibiliza informações sobre a situação de saúde (n = 26,55; 86,8%; p < 0,0016), recebe apoio para a discussão dos dados de monitoramento (n = 24,149; 79,1%; p < 0,0001), recebe apoio institucional permanente (n = 25,14; 82,3%; p < 0,0001) e obtém retorno da avaliação realizada pelos especialistas (n = 22,80; 76,6%; p < 0,0001). Nas equipes que são apoiadas por fisioterapeutas do Núcleo de Apoio à Saúde da Família (n = 5,67; 18,6%; p < 0,0001), verificou-se associação entre o Índice de Gini (p < 0,044) e o Índice de Desenvolvimento Humano (p < 0,0001). Conclusão: O tempo de encaminhamento para o serviço especializado de fisioterapia mostrou-se associado tanto com fatores de organização e gestão do sistema quanto com variáveis contextuais.Editora PUCPRESS2022-10-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://periodicos.pucpr.br/fisio/article/view/2972410.1590/fm.2023.36135Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 36 (2023): n. cont.Fisioterapia em Movimento; v. 36 (2023): n. cont.1980-5918reponame:Fisioterapia em Movimentoinstname:Pontifícia Universidade Católica do Paraná (PUC-PR)instacron:PUC_PRengporhttps://periodicos.pucpr.br/fisio/article/view/29724/26369https://periodicos.pucpr.br/fisio/article/view/29724/26370de Assis, Sanderson José Costa de Souza, Clecio Gabriel Sanchis, Geronimo José Bouzsa Roncalli, Angelo Giuseppe info:eu-repo/semantics/openAccess2023-12-15T17:39:13Zoai:ojs.periodicos.pucpr.br:article/29724Revistahttps://periodicos.pucpr.br/fisioPRIhttps://periodicos.pucpr.br/fisio/oairubia.farias@pucpr.br||revista.fisioterapia@pucpr.br1980-59180103-5150opendoar:2023-12-15T17:39:13Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)false |
dc.title.none.fl_str_mv |
Factors associated with waiting for physiotherapy service: analysis from the Access and Quality Improvement Program (PMAQ) Fatores associados à espera para o serviço de fisioterapia: análise a partir do Programa de Melhoria do Acesso e da Qualidade (PMAQ) |
title |
Factors associated with waiting for physiotherapy service: analysis from the Access and Quality Improvement Program (PMAQ) |
spellingShingle |
Factors associated with waiting for physiotherapy service: analysis from the Access and Quality Improvement Program (PMAQ) de Assis, Sanderson José Costa |
title_short |
Factors associated with waiting for physiotherapy service: analysis from the Access and Quality Improvement Program (PMAQ) |
title_full |
Factors associated with waiting for physiotherapy service: analysis from the Access and Quality Improvement Program (PMAQ) |
title_fullStr |
Factors associated with waiting for physiotherapy service: analysis from the Access and Quality Improvement Program (PMAQ) |
title_full_unstemmed |
Factors associated with waiting for physiotherapy service: analysis from the Access and Quality Improvement Program (PMAQ) |
title_sort |
Factors associated with waiting for physiotherapy service: analysis from the Access and Quality Improvement Program (PMAQ) |
author |
de Assis, Sanderson José Costa |
author_facet |
de Assis, Sanderson José Costa de Souza, Clecio Gabriel Sanchis, Geronimo José Bouzsa Roncalli, Angelo Giuseppe |
author_role |
author |
author2 |
de Souza, Clecio Gabriel Sanchis, Geronimo José Bouzsa Roncalli, Angelo Giuseppe |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
de Assis, Sanderson José Costa de Souza, Clecio Gabriel Sanchis, Geronimo José Bouzsa Roncalli, Angelo Giuseppe |
description |
Introduction: Historically, the difficulty of referrals to specialized health services has been discussed. Objective: To analyze the factors associated with waiting time for specialized physio-therapy services. Methods: Cross-sectional, multilevel study, with secondary data, based on the external evaluation of the second cycle of the Access and Quality Improvement Program and the United Nations Development Program. The explanatory variables for the outcome "Estimated waiting time of users for specialized consultations – Physiotherapy" were grouped according to the characteristics of the family health teams and contextual factors. In the statistical analysis, Poisson’s Multilevel Regression was used. A significance level of 5% was adopted (p < 0.05). Results: Observed association of the time of referral to physiotherapy with the health teams that receive support for the planning of the work process (n = 25.476; 83,4%; p < 0.0001), that the management provides information about the health situation (n = 26.505; 86,8%; p < 0.0016), receives support for the discussion of monitoring data (n = 24.149; 79,1%; p < 0.0001), receives permanent institutional support (n = 25.140; 82,3%; p < 0.0001), gets feedback from the evaluation carried out by the special-ists (n = 22.801; 76,6%; p < 0.0001) and in the teams that are supported by the NASF physiotherapist (n = 5.666; 18,6%; p < 0.0001), with an association for the Gini Index (p < 0.044) and the HDI (p < 0.0001). Conclusion: The referral time to the specialized physiotherapy service was shown to be associated with both system organization and management factors, as well as contextual variables. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-10-07 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/29724 10.1590/fm.2023.36135 |
url |
https://periodicos.pucpr.br/fisio/article/view/29724 |
identifier_str_mv |
10.1590/fm.2023.36135 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/29724/26369 https://periodicos.pucpr.br/fisio/article/view/29724/26370 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Editora PUCPRESS |
publisher.none.fl_str_mv |
Editora PUCPRESS |
dc.source.none.fl_str_mv |
Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 36 (2023): n. cont. Fisioterapia em Movimento; v. 36 (2023): n. cont. 1980-5918 reponame:Fisioterapia em Movimento instname:Pontifícia Universidade Católica do Paraná (PUC-PR) instacron:PUC_PR |
instname_str |
Pontifícia Universidade Católica do Paraná (PUC-PR) |
instacron_str |
PUC_PR |
institution |
PUC_PR |
reponame_str |
Fisioterapia em Movimento |
collection |
Fisioterapia em Movimento |
repository.name.fl_str_mv |
Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR) |
repository.mail.fl_str_mv |
rubia.farias@pucpr.br||revista.fisioterapia@pucpr.br |
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1799138749965139968 |