A qualitative study analyzing access to physical rehabilitation for traffic accident victims with severe disability in Brazil

Detalhes bibliográficos
Autor(a) principal: Piuvezam, Grasiela
Data de Publicação: 2016
Outros Autores: Sousa, Kelienny de Meneses, Oliveira, Wagner Ivan Fonseca de, Melo, Laiza Oliveira Mendes de, Alves, Emanuel Augusto, Gama, Zenewton Andre da Silva
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFRN
Texto Completo: https://repositorio.ufrn.br/handle/123456789/55379
https://doi.org/10.3109/09638288.2016.1152606
Resumo: PurposeTo identify access barriers to physical rehabilitation for traffic accident (TA) victims with severedisability and build a theoretical model to provide guidance towards the improvement of these services.MethodsQualitative research carried out in the city of Natal (Northeast Brazil), with semi-structured inter-views with 120 subjects (19 key informer health professionals and 101 TA victims) identified in a databasemade available by the emergency hospital. The interviews were analyzed using Alceste software, version4.9.ResultsThe main barriers present in the interviews were: (1) related to services: bureaucratic adminis-trative practises, low offer of rehabilitation services, insufficient information on rehabilitation, lack of guide-lines that integrate hospital and ambulatory care and (2) related to patients: financial difficulties, functionallimitations, geographic distance, little information on health, association with low education levels and dis-belief in the system and in rehabilitation.ConclusionThe numerous access barriers were presented in atheoretical model with causes related to organizational structure, processes of care, professionals andpatients. This model must be tested by health policy-makers and managers to improve the quality of phys-ical rehabilitation and avoid unnecessary prolongation of the suffering and disability experienced by TAsurvivors
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spelling Piuvezam, GrasielaSousa, Kelienny de MenesesOliveira, Wagner Ivan Fonseca deMelo, Laiza Oliveira Mendes deAlves, Emanuel AugustoGama, Zenewton Andre da Silvahttps://orcid.org/0000-0002-2343-72512023-11-17T16:32:38Z2023-11-17T16:32:38Z2016PIUVEZAM, Grasiela; SOUSA, Kelienny de Meneses; OLIVEIRA, Wagner Ivan Fonsêca de; MELO, Laiza Oliveira Mendes de; ALVES, Emanuel Augusto; GAMA, Zenewton André da Silva. A qualitative study analyzing access to physical rehabilitation for traffic accident victims with severe disability in Brazil. Disability And Rehabilitation, [S.l.], v. 39, n. 6, p. 568-577, 17 mar. 2016. Informa UK Limited. DOI http://dx.doi.org/10.3109/09638288.2016.1152606. Disponível em: https://www.tandfonline.com/doi/full/10.3109/09638288.2016.1152606. Acesso em: 14 nov. 2023.https://repositorio.ufrn.br/handle/123456789/55379https://doi.org/10.3109/09638288.2016.1152606Taylor and FrancisBrazilhealth services accessibilityquality ofhealth carerehabilitationtraffic accidentsA qualitative study analyzing access to physical rehabilitation for traffic accident victims with severe disability in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlePurposeTo identify access barriers to physical rehabilitation for traffic accident (TA) victims with severedisability and build a theoretical model to provide guidance towards the improvement of these services.MethodsQualitative research carried out in the city of Natal (Northeast Brazil), with semi-structured inter-views with 120 subjects (19 key informer health professionals and 101 TA victims) identified in a databasemade available by the emergency hospital. The interviews were analyzed using Alceste software, version4.9.ResultsThe main barriers present in the interviews were: (1) related to services: bureaucratic adminis-trative practises, low offer of rehabilitation services, insufficient information on rehabilitation, lack of guide-lines that integrate hospital and ambulatory care and (2) related to patients: financial difficulties, functionallimitations, geographic distance, little information on health, association with low education levels and dis-belief in the system and in rehabilitation.ConclusionThe numerous access barriers were presented in atheoretical model with causes related to organizational structure, processes of care, professionals andpatients. This model must be tested by health policy-makers and managers to improve the quality of phys-ical rehabilitation and avoid unnecessary prolongation of the suffering and disability experienced by TAsurvivorsengreponame:Repositório Institucional da UFRNinstname:Universidade Federal do Rio Grande do Norte (UFRN)instacron:UFRNinfo:eu-repo/semantics/openAccessORIGINALQualitativeStudyAnalyzing_Piuvezam_2016.pdfQualitativeStudyAnalyzing_Piuvezam_2016.pdfapplication/pdf1444286https://repositorio.ufrn.br/bitstream/123456789/55379/1/QualitativeStudyAnalyzing_Piuvezam_2016.pdffc7dd7050ea5aa0a8039691197b4ac2cMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81484https://repositorio.ufrn.br/bitstream/123456789/55379/2/license.txte9597aa2854d128fd968be5edc8a28d9MD52123456789/553792023-11-17 13:32:39.048oai:https://repositorio.ufrn.br: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Repositório de PublicaçõesPUBhttp://repositorio.ufrn.br/oai/opendoar:2023-11-17T16:32:39Repositório Institucional da UFRN - Universidade Federal do Rio Grande do Norte (UFRN)false
dc.title.pt_BR.fl_str_mv A qualitative study analyzing access to physical rehabilitation for traffic accident victims with severe disability in Brazil
title A qualitative study analyzing access to physical rehabilitation for traffic accident victims with severe disability in Brazil
spellingShingle A qualitative study analyzing access to physical rehabilitation for traffic accident victims with severe disability in Brazil
Piuvezam, Grasiela
Brazil
health services accessibility
quality ofhealth care
rehabilitation
traffic accidents
title_short A qualitative study analyzing access to physical rehabilitation for traffic accident victims with severe disability in Brazil
title_full A qualitative study analyzing access to physical rehabilitation for traffic accident victims with severe disability in Brazil
title_fullStr A qualitative study analyzing access to physical rehabilitation for traffic accident victims with severe disability in Brazil
title_full_unstemmed A qualitative study analyzing access to physical rehabilitation for traffic accident victims with severe disability in Brazil
title_sort A qualitative study analyzing access to physical rehabilitation for traffic accident victims with severe disability in Brazil
author Piuvezam, Grasiela
author_facet Piuvezam, Grasiela
Sousa, Kelienny de Meneses
Oliveira, Wagner Ivan Fonseca de
Melo, Laiza Oliveira Mendes de
Alves, Emanuel Augusto
Gama, Zenewton Andre da Silva
author_role author
author2 Sousa, Kelienny de Meneses
Oliveira, Wagner Ivan Fonseca de
Melo, Laiza Oliveira Mendes de
Alves, Emanuel Augusto
Gama, Zenewton Andre da Silva
author2_role author
author
author
author
author
dc.contributor.authorID.pt_BR.fl_str_mv https://orcid.org/0000-0002-2343-7251
dc.contributor.author.fl_str_mv Piuvezam, Grasiela
Sousa, Kelienny de Meneses
Oliveira, Wagner Ivan Fonseca de
Melo, Laiza Oliveira Mendes de
Alves, Emanuel Augusto
Gama, Zenewton Andre da Silva
dc.subject.por.fl_str_mv Brazil
health services accessibility
quality ofhealth care
rehabilitation
traffic accidents
topic Brazil
health services accessibility
quality ofhealth care
rehabilitation
traffic accidents
description PurposeTo identify access barriers to physical rehabilitation for traffic accident (TA) victims with severedisability and build a theoretical model to provide guidance towards the improvement of these services.MethodsQualitative research carried out in the city of Natal (Northeast Brazil), with semi-structured inter-views with 120 subjects (19 key informer health professionals and 101 TA victims) identified in a databasemade available by the emergency hospital. The interviews were analyzed using Alceste software, version4.9.ResultsThe main barriers present in the interviews were: (1) related to services: bureaucratic adminis-trative practises, low offer of rehabilitation services, insufficient information on rehabilitation, lack of guide-lines that integrate hospital and ambulatory care and (2) related to patients: financial difficulties, functionallimitations, geographic distance, little information on health, association with low education levels and dis-belief in the system and in rehabilitation.ConclusionThe numerous access barriers were presented in atheoretical model with causes related to organizational structure, processes of care, professionals andpatients. This model must be tested by health policy-makers and managers to improve the quality of phys-ical rehabilitation and avoid unnecessary prolongation of the suffering and disability experienced by TAsurvivors
publishDate 2016
dc.date.issued.fl_str_mv 2016
dc.date.accessioned.fl_str_mv 2023-11-17T16:32:38Z
dc.date.available.fl_str_mv 2023-11-17T16:32:38Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv PIUVEZAM, Grasiela; SOUSA, Kelienny de Meneses; OLIVEIRA, Wagner Ivan Fonsêca de; MELO, Laiza Oliveira Mendes de; ALVES, Emanuel Augusto; GAMA, Zenewton André da Silva. A qualitative study analyzing access to physical rehabilitation for traffic accident victims with severe disability in Brazil. Disability And Rehabilitation, [S.l.], v. 39, n. 6, p. 568-577, 17 mar. 2016. Informa UK Limited. DOI http://dx.doi.org/10.3109/09638288.2016.1152606. Disponível em: https://www.tandfonline.com/doi/full/10.3109/09638288.2016.1152606. Acesso em: 14 nov. 2023.
dc.identifier.uri.fl_str_mv https://repositorio.ufrn.br/handle/123456789/55379
dc.identifier.doi.none.fl_str_mv https://doi.org/10.3109/09638288.2016.1152606
identifier_str_mv PIUVEZAM, Grasiela; SOUSA, Kelienny de Meneses; OLIVEIRA, Wagner Ivan Fonsêca de; MELO, Laiza Oliveira Mendes de; ALVES, Emanuel Augusto; GAMA, Zenewton André da Silva. A qualitative study analyzing access to physical rehabilitation for traffic accident victims with severe disability in Brazil. Disability And Rehabilitation, [S.l.], v. 39, n. 6, p. 568-577, 17 mar. 2016. Informa UK Limited. DOI http://dx.doi.org/10.3109/09638288.2016.1152606. Disponível em: https://www.tandfonline.com/doi/full/10.3109/09638288.2016.1152606. Acesso em: 14 nov. 2023.
url https://repositorio.ufrn.br/handle/123456789/55379
https://doi.org/10.3109/09638288.2016.1152606
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dc.publisher.none.fl_str_mv Taylor and Francis
publisher.none.fl_str_mv Taylor and Francis
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