Physiotherapy practices in primary health care

Detalhes bibliográficos
Autor(a) principal: Bim, Cíntia Raquel
Data de Publicação: 2021
Outros Autores: Carvalho, Brígida Gimenez de, Trelha, Celita Salmaso, Ribeiro, Kátia Suely Queiroz Silva, Baduy, Rossana Staevie, González, Alberto Durán
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Fisioterapia em Movimento
Texto Completo: https://periodicos.pucpr.br/fisio/article/view/28050
Resumo: Introduction: Physiotherapy was included in primary health care (PHC) in order to expand access and provide comprehensive care to the population. Objective: To understand the routine and tools used by physiotherapists in primary health care and analyze the determining factors in providing care in a municipality where every basic health unit (BHU) has a physiotherapist. Methods: This is a qualitative study of nineteen physiotherapists conducted in a city of Southern Brazil, using a semistructured interview and a methodological framework for discourse analysis. Results: The main tools routinely used in the physiotherapy service are individual appointments, home visits and group work. Physiotherapy practices are influenced by public health, municipal management and BHU policies, physiotherapy profile in addition to the characteristics of the coverage area and the population being treated. Introducing health promotion measures and implementing relational technologies are the main challenges for physiotherapists, and many of these professionals already recognize their importance in promoting comprehensive care. Conclusion: Physio-therapy practices and the tools used are in line with the Primary Care Family Health Support Center (NASF-AB) model of action recommended by public policies and have been effective for many health conditions. Knowing the routine of PHC physiotherapy services may help professional training and service management, with a view to producing physiotherapy care aimed at the principle of comprehensiveness and consolidating the role of physiotherapists at this level of care.
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spelling Physiotherapy practices in primary health carePráticas fisioterapêuticas para a produção do cuidado na atenção primária à saúdeComprehensive health care. Physiotherapy. Primary health care. Professional practice. Public health policies.Assistência integral à saúde. Fisioterapia. Atenção primária à saúde. Prática profissional. Políticas públicas de saúde.Introduction: Physiotherapy was included in primary health care (PHC) in order to expand access and provide comprehensive care to the population. Objective: To understand the routine and tools used by physiotherapists in primary health care and analyze the determining factors in providing care in a municipality where every basic health unit (BHU) has a physiotherapist. Methods: This is a qualitative study of nineteen physiotherapists conducted in a city of Southern Brazil, using a semistructured interview and a methodological framework for discourse analysis. Results: The main tools routinely used in the physiotherapy service are individual appointments, home visits and group work. Physiotherapy practices are influenced by public health, municipal management and BHU policies, physiotherapy profile in addition to the characteristics of the coverage area and the population being treated. Introducing health promotion measures and implementing relational technologies are the main challenges for physiotherapists, and many of these professionals already recognize their importance in promoting comprehensive care. Conclusion: Physio-therapy practices and the tools used are in line with the Primary Care Family Health Support Center (NASF-AB) model of action recommended by public policies and have been effective for many health conditions. Knowing the routine of PHC physiotherapy services may help professional training and service management, with a view to producing physiotherapy care aimed at the principle of comprehensiveness and consolidating the role of physiotherapists at this level of care.Introdução: A fisioterapia foi inserida no contexto da atenção primária à saúde (APS) como forma de ampliar o acesso da população e proporcionar a integralidade do atendimento à saúde das pessoas. Objetivo: Compreender a rotina e as ferramentas utilizadas por fisioterapeutas na atenção primária à saúde e analisar seus determinantes para a produção do cuidado em um município que possui fisioterapeutas em todas as unidades básicas de saúde. Métodos: Realizou-se pesquisa qualitativa em uma cidade do sul do Brasil, com 19 fisioterapeutas, através de entrevista semiestruturada e referencial metodológico de análise do discurso. Resultados: As principais ferramentas utilizadas na rotina do serviço de fisioterapia no contexto estudado são: atendimentos individuais, visitas domiciliares e trabalho em grupos. As práticas fisioterapêuticas são influenciadas por políticas públicas de saúde, gestão municipal e da unidade de serviço, perfil dos fisioterapeutas e características do território e da população assistida. Realizar ações de promoção em saúde e implementar tecnologias relacionais são desafios para o fisioterapeuta, mas muitos profissionais já reconhecem essas práticas para promover o cuidado integral. Conclusão: As ações fisioterapêuticas realizadas e ferramentas utilizadas estão em consonância com o modelo de atuação do Núcleo Ampliado de Saúde da Família e Atenção Básica preconizado pelas políticas públicas e têm sido resolutivas para muitas condições de saúde. Conhecer a rotina de serviços de fisioterapia na APS pode subsidiar discussões no âmbito da formação profissional e de gestão de serviços, com vistas à produção do cuidado fisioterapêutico pautado no princípio da integralidade e a consolidar a atuação do fisioterapeuta neste nível de atenção.Editora PUCPRESS2021-01-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://periodicos.pucpr.br/fisio/article/view/2805010.1590/fm.2021.34109Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 34 (2021): n. cont.Fisioterapia em Movimento; v. 34 (2021): n. cont.1980-5918reponame:Fisioterapia em Movimentoinstname:Pontifícia Universidade Católica do Paraná (PUC-PR)instacron:PUC_PRengporhttps://periodicos.pucpr.br/fisio/article/view/28050/pdfhttps://periodicos.pucpr.br/fisio/article/view/28050/pdf_1Copyright (c) 2022 PUCPRESSinfo:eu-repo/semantics/openAccessBim, Cíntia RaquelCarvalho, Brígida Gimenez deTrelha, Celita SalmasoRibeiro, Kátia Suely Queiroz SilvaBaduy, Rossana StaevieGonzález, Alberto Durán2022-03-07T19:02:53Zoai:ojs.periodicos.pucpr.br:article/28050Revistahttps://periodicos.pucpr.br/fisioPRIhttps://periodicos.pucpr.br/fisio/oairubia.farias@pucpr.br||revista.fisioterapia@pucpr.br1980-59180103-5150opendoar:2022-03-07T19:02:53Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)false
dc.title.none.fl_str_mv Physiotherapy practices in primary health care
Práticas fisioterapêuticas para a produção do cuidado na atenção primária à saúde
title Physiotherapy practices in primary health care
spellingShingle Physiotherapy practices in primary health care
Bim, Cíntia Raquel
Comprehensive health care. Physiotherapy. Primary health care. Professional practice. Public health policies.
Assistência integral à saúde. Fisioterapia. Atenção primária à saúde. Prática profissional. Políticas públicas de saúde.
title_short Physiotherapy practices in primary health care
title_full Physiotherapy practices in primary health care
title_fullStr Physiotherapy practices in primary health care
title_full_unstemmed Physiotherapy practices in primary health care
title_sort Physiotherapy practices in primary health care
author Bim, Cíntia Raquel
author_facet Bim, Cíntia Raquel
Carvalho, Brígida Gimenez de
Trelha, Celita Salmaso
Ribeiro, Kátia Suely Queiroz Silva
Baduy, Rossana Staevie
González, Alberto Durán
author_role author
author2 Carvalho, Brígida Gimenez de
Trelha, Celita Salmaso
Ribeiro, Kátia Suely Queiroz Silva
Baduy, Rossana Staevie
González, Alberto Durán
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Bim, Cíntia Raquel
Carvalho, Brígida Gimenez de
Trelha, Celita Salmaso
Ribeiro, Kátia Suely Queiroz Silva
Baduy, Rossana Staevie
González, Alberto Durán
dc.subject.por.fl_str_mv Comprehensive health care. Physiotherapy. Primary health care. Professional practice. Public health policies.
Assistência integral à saúde. Fisioterapia. Atenção primária à saúde. Prática profissional. Políticas públicas de saúde.
topic Comprehensive health care. Physiotherapy. Primary health care. Professional practice. Public health policies.
Assistência integral à saúde. Fisioterapia. Atenção primária à saúde. Prática profissional. Políticas públicas de saúde.
description Introduction: Physiotherapy was included in primary health care (PHC) in order to expand access and provide comprehensive care to the population. Objective: To understand the routine and tools used by physiotherapists in primary health care and analyze the determining factors in providing care in a municipality where every basic health unit (BHU) has a physiotherapist. Methods: This is a qualitative study of nineteen physiotherapists conducted in a city of Southern Brazil, using a semistructured interview and a methodological framework for discourse analysis. Results: The main tools routinely used in the physiotherapy service are individual appointments, home visits and group work. Physiotherapy practices are influenced by public health, municipal management and BHU policies, physiotherapy profile in addition to the characteristics of the coverage area and the population being treated. Introducing health promotion measures and implementing relational technologies are the main challenges for physiotherapists, and many of these professionals already recognize their importance in promoting comprehensive care. Conclusion: Physio-therapy practices and the tools used are in line with the Primary Care Family Health Support Center (NASF-AB) model of action recommended by public policies and have been effective for many health conditions. Knowing the routine of PHC physiotherapy services may help professional training and service management, with a view to producing physiotherapy care aimed at the principle of comprehensiveness and consolidating the role of physiotherapists at this level of care.
publishDate 2021
dc.date.none.fl_str_mv 2021-01-26
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/28050
10.1590/fm.2021.34109
url https://periodicos.pucpr.br/fisio/article/view/28050
identifier_str_mv 10.1590/fm.2021.34109
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://periodicos.pucpr.br/fisio/article/view/28050/pdf
https://periodicos.pucpr.br/fisio/article/view/28050/pdf_1
dc.rights.driver.fl_str_mv Copyright (c) 2022 PUCPRESS
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 PUCPRESS
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. 34 (2021): n. cont.
Fisioterapia em Movimento; v. 34 (2021): 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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