Distribution of physiotherapy professionals and services in public health in Goiás: coverage according to socioeconomic variables
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/29466 |
Resumo: | Introduction: Public health in Brazil goes beyond social production, with an expanded view of health. Its complex structure includes physical therapy. Objective: To characterize physical therapy in Goiás based on the National Registry of Health Facilities (CNES in Portuguese). Methods: Data on specialty, municipality, place of employment, working hours, employment relationship, type of contract and establishment, number of physical therapists, administrative setting, macroregion and health region were tabulated. The following were correlated: municipal population; people dependent on the National Health System (SUS in Portuguese); municipal per capita gross domestic product (GDP); municipal Human Development Index (HDI); percentage of inhabitants dependent on the municipal SUS; number of people covered by municipal physiotherapy (NPCAF). Results: In the CNES, (reference July/2019) in Goiás, we found 2,187 physiotherapists in public/private facilities, in 3,353 workplaces. In establishments that serve the SUS, we identified 1,673 physiotherapists in 2,436 workplaces, 32.9% of which are linked to primary and 67.1% to specialized care. The weekly workload was 38 hours and 26 hours per workplace. Only 30.1% of the municipalities had adequate NPCAF. Health regions and macroregions had inadequate coverage. The NPCAF showed an inverse correlation with GDP (r = -0.20; p < 0.001) and HDI (r = -0.14; p = 0.02) and a direct correlation with the population (r = 0.46; p < 0.001). Conclusion: Goiás has inadequate coverage in 69.9% of the municipalities, in the macroregions and health regions. Expanding the number of workplaces available to physiotherapists is essential to achieve universal and comprehensive health care, reducing inequity and favoring equitable distribution. |
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Distribution of physiotherapy professionals and services in public health in Goiás: coverage according to socioeconomic variablesDistribuição dos profissionais e serviços de fisioterapia na saúde pública em Goiás: cobertura assistencial de acordo com variáveis socioeconômicasIntroduction: Public health in Brazil goes beyond social production, with an expanded view of health. Its complex structure includes physical therapy. Objective: To characterize physical therapy in Goiás based on the National Registry of Health Facilities (CNES in Portuguese). Methods: Data on specialty, municipality, place of employment, working hours, employment relationship, type of contract and establishment, number of physical therapists, administrative setting, macroregion and health region were tabulated. The following were correlated: municipal population; people dependent on the National Health System (SUS in Portuguese); municipal per capita gross domestic product (GDP); municipal Human Development Index (HDI); percentage of inhabitants dependent on the municipal SUS; number of people covered by municipal physiotherapy (NPCAF). Results: In the CNES, (reference July/2019) in Goiás, we found 2,187 physiotherapists in public/private facilities, in 3,353 workplaces. In establishments that serve the SUS, we identified 1,673 physiotherapists in 2,436 workplaces, 32.9% of which are linked to primary and 67.1% to specialized care. The weekly workload was 38 hours and 26 hours per workplace. Only 30.1% of the municipalities had adequate NPCAF. Health regions and macroregions had inadequate coverage. The NPCAF showed an inverse correlation with GDP (r = -0.20; p < 0.001) and HDI (r = -0.14; p = 0.02) and a direct correlation with the population (r = 0.46; p < 0.001). Conclusion: Goiás has inadequate coverage in 69.9% of the municipalities, in the macroregions and health regions. Expanding the number of workplaces available to physiotherapists is essential to achieve universal and comprehensive health care, reducing inequity and favoring equitable distribution.Introdução: A saúde pública no Brasil encontra na saúde coletiva uma transcendência com a produção social, com olhar ampliado à saúde. Na sua complexa estrutura, oferta assistência fisioterapêutica. Objetivo: Caracterizar a fisioterapia em Goiás a partir do Cadastro Nacional de Estabelecimentos de Saúde (CNES). Métodos: Tabularam-se dados de especialidade, município, estabelecimento laboral, carga horária, vinculação, tipo de contrato e estabelecimento, número de fisioterapeutas, esfera administrativa, macrorregião e região de saúde. Correlacionou-se: população geral municipal; pessoas dependente/Sistema Único de Saúde (SUS); Produto Interno Bruto (PIB) per capita municipal; Índice de Desenvolvimento Humano (IDH) municipal; percentual populacional de habitantes dependentes do SUS municipal; número de pessoas cobertas por assistência fisioterapêutica (NPCAF) municipal. Resultados: No CNES, referência julho/2019, foram encontrados 2187 fisioterapeutas em estabelecimentos públicos/privados de Goiás, em 3353 postos de trabalho. Nos estabelecimentos que atendem ao SUS foram detectados 1673 fisioterapeutas em 2436 postos de trabalho, sendo 32,9% vinculados à atenção básica e 67,1% à atenção especializada. A carga horária semanal foi de 38 horas e por postos de trabalho, 26 horas. Apenas 30,1% dos municípios tinham NPCAF adequados. As regiões e macrorregiões de saúde apresentaram cobertura inadequada. O NPCAF apresentou correlação inversa com o PIB (r = -0,20; p < 0,001) e IDH (r = -0,14; p = 0,02) e direta com a população (r = 0,46; p < 0,001). Conclusão: Goiás apresenta cobertura deficitária em 69,9% dos municípios, nas macrorregiões e regiões de saúde. Expandir postos de fisioterapia é fundamental para a efetivação da universalidade e integralidade da atenção à saúde, reduzindo iniquidade e favorecendo distribuição equânime.Editora PUCPRESS2022-06-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://periodicos.pucpr.br/fisio/article/view/2946610.1590/fm.2022.35131Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 35 (2022): n. cont.Fisioterapia em Movimento; v. 35 (2022): n. cont.1980-5918reponame:Fisioterapia em Movimentoinstname:Pontifícia Universidade Católica do Paraná (PUC-PR)instacron:PUC_PRengporhttps://periodicos.pucpr.br/fisio/article/view/29466/25751https://periodicos.pucpr.br/fisio/article/view/29466/25752Sousa, Kemil Rocha Barbosa, Aurélio de Melo Barros, Patrícia de Sáinfo:eu-repo/semantics/openAccess2022-10-07T13:31:55Zoai:ojs.periodicos.pucpr.br:article/29466Revistahttps://periodicos.pucpr.br/fisioPRIhttps://periodicos.pucpr.br/fisio/oairubia.farias@pucpr.br||revista.fisioterapia@pucpr.br1980-59180103-5150opendoar:2022-10-07T13:31:55Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)false |
dc.title.none.fl_str_mv |
Distribution of physiotherapy professionals and services in public health in Goiás: coverage according to socioeconomic variables Distribuição dos profissionais e serviços de fisioterapia na saúde pública em Goiás: cobertura assistencial de acordo com variáveis socioeconômicas |
title |
Distribution of physiotherapy professionals and services in public health in Goiás: coverage according to socioeconomic variables |
spellingShingle |
Distribution of physiotherapy professionals and services in public health in Goiás: coverage according to socioeconomic variables Sousa, Kemil Rocha |
title_short |
Distribution of physiotherapy professionals and services in public health in Goiás: coverage according to socioeconomic variables |
title_full |
Distribution of physiotherapy professionals and services in public health in Goiás: coverage according to socioeconomic variables |
title_fullStr |
Distribution of physiotherapy professionals and services in public health in Goiás: coverage according to socioeconomic variables |
title_full_unstemmed |
Distribution of physiotherapy professionals and services in public health in Goiás: coverage according to socioeconomic variables |
title_sort |
Distribution of physiotherapy professionals and services in public health in Goiás: coverage according to socioeconomic variables |
author |
Sousa, Kemil Rocha |
author_facet |
Sousa, Kemil Rocha Barbosa, Aurélio de Melo Barros, Patrícia de Sá |
author_role |
author |
author2 |
Barbosa, Aurélio de Melo Barros, Patrícia de Sá |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Sousa, Kemil Rocha Barbosa, Aurélio de Melo Barros, Patrícia de Sá |
description |
Introduction: Public health in Brazil goes beyond social production, with an expanded view of health. Its complex structure includes physical therapy. Objective: To characterize physical therapy in Goiás based on the National Registry of Health Facilities (CNES in Portuguese). Methods: Data on specialty, municipality, place of employment, working hours, employment relationship, type of contract and establishment, number of physical therapists, administrative setting, macroregion and health region were tabulated. The following were correlated: municipal population; people dependent on the National Health System (SUS in Portuguese); municipal per capita gross domestic product (GDP); municipal Human Development Index (HDI); percentage of inhabitants dependent on the municipal SUS; number of people covered by municipal physiotherapy (NPCAF). Results: In the CNES, (reference July/2019) in Goiás, we found 2,187 physiotherapists in public/private facilities, in 3,353 workplaces. In establishments that serve the SUS, we identified 1,673 physiotherapists in 2,436 workplaces, 32.9% of which are linked to primary and 67.1% to specialized care. The weekly workload was 38 hours and 26 hours per workplace. Only 30.1% of the municipalities had adequate NPCAF. Health regions and macroregions had inadequate coverage. The NPCAF showed an inverse correlation with GDP (r = -0.20; p < 0.001) and HDI (r = -0.14; p = 0.02) and a direct correlation with the population (r = 0.46; p < 0.001). Conclusion: Goiás has inadequate coverage in 69.9% of the municipalities, in the macroregions and health regions. Expanding the number of workplaces available to physiotherapists is essential to achieve universal and comprehensive health care, reducing inequity and favoring equitable distribution. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-29 |
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/29466 10.1590/fm.2022.35131 |
url |
https://periodicos.pucpr.br/fisio/article/view/29466 |
identifier_str_mv |
10.1590/fm.2022.35131 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/29466/25751 https://periodicos.pucpr.br/fisio/article/view/29466/25752 |
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. 35 (2022): n. cont. Fisioterapia em Movimento; v. 35 (2022): 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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1799138749905371136 |