Organization and offer of physiotherapeutic assistance in response to the COVID-19 pandemic in Brazil

Detalhes bibliográficos
Autor(a) principal: de Souza, Thiago Santos
Data de Publicação: 2021
Outros Autores: Aleluia, Ítalo Ricardo Santos, Pinto, Elen Beatriz, Pinto Junior, Elzo Pereira, Pedreira, Rhaine Borges Santos, Fraga-Maia, Helena, Pinto, Juliana Martins
Tipo de documento: preprint
Idioma: por
Título da fonte: SciELO Preprints
Texto Completo: https://preprints.scielo.org/index.php/scielo/preprint/view/2538
Resumo: The recovery of people affected by COVID-19 is a process that continues beyond the acute condition of infection by Sars-CoV-2. The impairment of several body systems can cause functional impacts and demand continuous Physical Therapy assistance both in outpatient care and in Primary Health Care (PHC). In this essay, we seek to discuss the challenges of organizing and offering Physical Therapy assistance in response to the COVID-19 pandemic in Brazil. The analysis was summarized in four dimensions: distribution of physical therapists in the country; offering physical therapy assistance in PHC and outpatient care; and provision of physical therapy care via telehealth. It is concluded that there is inequity in the regional distribution of physical therapists in Brazil; functional rehabilitation depends on the PHC's response capacity, which is threatened by the ongoing disruption process; there is a shortage of rehabilitation services that precedes the pandemic, and may not respond satisfactorily to the demands of the current epidemiological context; it is necessary to articulate the outpatient physiotherapy and PHC teams; telehealth, although a resource and an opportunity to increase the population's access to functional rehabilitation, requires caution; the physiotherapist plays a crucial role in the entire COVID-19 care continuum.
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spelling Organization and offer of physiotherapeutic assistance in response to the COVID-19 pandemic in BrazilOrganização e oferta da assistência fisioterapêutica em resposta a pandemia da COVID-19 no BrasilFisioterapiaCOVID-19Atenção Primária à SaúdeReabilitaçãoTelessaúdePhysiotherapyCOVID-19Primary Health CareRehabilitationTelehealthThe recovery of people affected by COVID-19 is a process that continues beyond the acute condition of infection by Sars-CoV-2. The impairment of several body systems can cause functional impacts and demand continuous Physical Therapy assistance both in outpatient care and in Primary Health Care (PHC). In this essay, we seek to discuss the challenges of organizing and offering Physical Therapy assistance in response to the COVID-19 pandemic in Brazil. The analysis was summarized in four dimensions: distribution of physical therapists in the country; offering physical therapy assistance in PHC and outpatient care; and provision of physical therapy care via telehealth. It is concluded that there is inequity in the regional distribution of physical therapists in Brazil; functional rehabilitation depends on the PHC's response capacity, which is threatened by the ongoing disruption process; there is a shortage of rehabilitation services that precedes the pandemic, and may not respond satisfactorily to the demands of the current epidemiological context; it is necessary to articulate the outpatient physiotherapy and PHC teams; telehealth, although a resource and an opportunity to increase the population's access to functional rehabilitation, requires caution; the physiotherapist plays a crucial role in the entire COVID-19 care continuum.A recuperação das pessoas acometidas pela COVID-19 é um processo que continua para além do quadro agudo da infecção pelo Sars-CoV-2. O comprometimento de diversos sistemas corporais pode acarretar impactos funcionais e demandar assistência fisioterapêutica contínua tanto na atenção ambulatorial quanto na Atenção Primária à Saúde (APS). Neste ensaio, busca-se discutir os desafios da organização e da oferta de assistência fisioterapêutica em resposta a pandemia da COVID-19 no Brasil. A análise foi sumarizada em quatro dimensões: distribuição de fisioterapeutas no país; oferta da assistência fisioterapêutica na APS e na atenção ambulatorial; e oferta de atenção fisioterapêutica por Telessaúde. Conclui-se haver iniquidade na distribuição regional de fisioterapeutas no Brasil; a reabilitação funcional depende da capacidade de resposta da APS, a qual se encontra ameaçada pelo processo de desestruturação em curso; existe um déficit de serviços de reabilitação que antecede a pandemia, e pode não responder satisfatoriamente às demandas do atual contexto epidemiológico; faz-se necessária a articulação entre as equipes de fisioterapia ambulatorial e da APS; a telessaúde embora seja um recurso e uma oportunidade para ampliar o acesso da população à reabilitação funcional exige cautela; o fisioterapeuta possui papel crucial em todo o continuum de cuidados da COVID-19.SciELO PreprintsSciELO PreprintsSciELO Preprints2021-07-06info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/253810.1590/SciELOPreprints.2538porhttps://preprints.scielo.org/index.php/scielo/article/view/2538/4369Copyright (c) 2021 Thiago Santos de Souza, Ítalo Ricardo Santos Aleluia, Elen Beatriz Pinto, Elzo Pereira Pinto Junior, Rhaine Borges Santos Pedreira, Helena Fraga-Maia, Juliana Martins Pintohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessde Souza, Thiago SantosAleluia, Ítalo Ricardo SantosPinto, Elen Beatriz Pinto Junior, Elzo Pereira Pedreira, Rhaine Borges SantosFraga-Maia, Helena Pinto, Juliana Martinsreponame:SciELO Preprintsinstname:SciELOinstacron:SCI2021-07-05T14:25:16Zoai:ops.preprints.scielo.org:preprint/2538Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2021-07-05T14:25:16SciELO Preprints - SciELOfalse
dc.title.none.fl_str_mv Organization and offer of physiotherapeutic assistance in response to the COVID-19 pandemic in Brazil
Organização e oferta da assistência fisioterapêutica em resposta a pandemia da COVID-19 no Brasil
title Organization and offer of physiotherapeutic assistance in response to the COVID-19 pandemic in Brazil
spellingShingle Organization and offer of physiotherapeutic assistance in response to the COVID-19 pandemic in Brazil
de Souza, Thiago Santos
Fisioterapia
COVID-19
Atenção Primária à Saúde
Reabilitação
Telessaúde
Physiotherapy
COVID-19
Primary Health Care
Rehabilitation
Telehealth
title_short Organization and offer of physiotherapeutic assistance in response to the COVID-19 pandemic in Brazil
title_full Organization and offer of physiotherapeutic assistance in response to the COVID-19 pandemic in Brazil
title_fullStr Organization and offer of physiotherapeutic assistance in response to the COVID-19 pandemic in Brazil
title_full_unstemmed Organization and offer of physiotherapeutic assistance in response to the COVID-19 pandemic in Brazil
title_sort Organization and offer of physiotherapeutic assistance in response to the COVID-19 pandemic in Brazil
author de Souza, Thiago Santos
author_facet de Souza, Thiago Santos
Aleluia, Ítalo Ricardo Santos
Pinto, Elen Beatriz
Pinto Junior, Elzo Pereira
Pedreira, Rhaine Borges Santos
Fraga-Maia, Helena
Pinto, Juliana Martins
author_role author
author2 Aleluia, Ítalo Ricardo Santos
Pinto, Elen Beatriz
Pinto Junior, Elzo Pereira
Pedreira, Rhaine Borges Santos
Fraga-Maia, Helena
Pinto, Juliana Martins
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv de Souza, Thiago Santos
Aleluia, Ítalo Ricardo Santos
Pinto, Elen Beatriz
Pinto Junior, Elzo Pereira
Pedreira, Rhaine Borges Santos
Fraga-Maia, Helena
Pinto, Juliana Martins
dc.subject.por.fl_str_mv Fisioterapia
COVID-19
Atenção Primária à Saúde
Reabilitação
Telessaúde
Physiotherapy
COVID-19
Primary Health Care
Rehabilitation
Telehealth
topic Fisioterapia
COVID-19
Atenção Primária à Saúde
Reabilitação
Telessaúde
Physiotherapy
COVID-19
Primary Health Care
Rehabilitation
Telehealth
description The recovery of people affected by COVID-19 is a process that continues beyond the acute condition of infection by Sars-CoV-2. The impairment of several body systems can cause functional impacts and demand continuous Physical Therapy assistance both in outpatient care and in Primary Health Care (PHC). In this essay, we seek to discuss the challenges of organizing and offering Physical Therapy assistance in response to the COVID-19 pandemic in Brazil. The analysis was summarized in four dimensions: distribution of physical therapists in the country; offering physical therapy assistance in PHC and outpatient care; and provision of physical therapy care via telehealth. It is concluded that there is inequity in the regional distribution of physical therapists in Brazil; functional rehabilitation depends on the PHC's response capacity, which is threatened by the ongoing disruption process; there is a shortage of rehabilitation services that precedes the pandemic, and may not respond satisfactorily to the demands of the current epidemiological context; it is necessary to articulate the outpatient physiotherapy and PHC teams; telehealth, although a resource and an opportunity to increase the population's access to functional rehabilitation, requires caution; the physiotherapist plays a crucial role in the entire COVID-19 care continuum.
publishDate 2021
dc.date.none.fl_str_mv 2021-07-06
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10.1590/SciELOPreprints.2538
url https://preprints.scielo.org/index.php/scielo/preprint/view/2538
identifier_str_mv 10.1590/SciELOPreprints.2538
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv https://preprints.scielo.org/index.php/scielo/article/view/2538/4369
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SciELO Preprints
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SciELO Preprints
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