Distribuição de fisioterapeutas entre estabelecimentos públicos e privados nos diferentes níveis de complexidade de atenção à saúde
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/S1413-35552012005000051 http://hdl.handle.net/11449/73543 |
Resumo: | Background: The Brazilian Health System is organized on a regional and hierarchical form with three levels of complexity of health care. The Primary Care represents the first element of a continuing health care process, complemented by specialized actions. However, the centrality of the specialized care is still a problem in Brazil, especially in the private sector. Studies on the distribution of professionals in the health system allowing the formulation of appropriate policies are needed. Objectives: To investigate the distribution of physical therapists in the levels of complexity of health care and between public and private establishments, according to data from the National Register of Health Service Providers (NRHSP). Method: A descriptive cross-sectional study was performed considering NRHSP-national bank data collected in March 2010 and demographic census 2010 data. Data were analyzed through descriptive statistics techniques. Results: We identified 53,181 registries of physical therapists, 60% linked to the private sector. Only 13% of all entries were linked to primary care. The predominance in specialized care occurred in the public sector (65%) and private sector (100%). The specialized establishments of private sector linked to the southeast region (16,043) were the main sites of physical therapists. Only the public sector in the south had a majority in the Primary Care. When considering the sizes of the cities, there is focus on specialist care in bigger cities. Conclusions: This study identified the concentration of physical therapists in the specialized care, mostly in metropolis and big cities and in the private sector, with restricted to participation in the primary care. |
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Distribuição de fisioterapeutas entre estabelecimentos públicos e privados nos diferentes níveis de complexidade de atenção à saúdeDistribution of physical therapists working on public and private establishments in different levels of complexity of health care in BrazilAmbulatory careHospital carePhysical therapyPrimary health carePrivate sectorPublic healthBackground: The Brazilian Health System is organized on a regional and hierarchical form with three levels of complexity of health care. The Primary Care represents the first element of a continuing health care process, complemented by specialized actions. However, the centrality of the specialized care is still a problem in Brazil, especially in the private sector. Studies on the distribution of professionals in the health system allowing the formulation of appropriate policies are needed. Objectives: To investigate the distribution of physical therapists in the levels of complexity of health care and between public and private establishments, according to data from the National Register of Health Service Providers (NRHSP). Method: A descriptive cross-sectional study was performed considering NRHSP-national bank data collected in March 2010 and demographic census 2010 data. Data were analyzed through descriptive statistics techniques. Results: We identified 53,181 registries of physical therapists, 60% linked to the private sector. Only 13% of all entries were linked to primary care. The predominance in specialized care occurred in the public sector (65%) and private sector (100%). The specialized establishments of private sector linked to the southeast region (16,043) were the main sites of physical therapists. Only the public sector in the south had a majority in the Primary Care. When considering the sizes of the cities, there is focus on specialist care in bigger cities. Conclusions: This study identified the concentration of physical therapists in the specialized care, mostly in metropolis and big cities and in the private sector, with restricted to participation in the primary care.Faculty of Physical Education and Physical Therapy Universidade Federal do Amazonas (UFA), Manaus, AMDepartment of Physical Education Universidade Estadual 'Júlio de Mesquita Filho' (UNESP), Rio Claro, SPPostgraduate Program in Occupattional Therapy Universidade Federal de São Carlos (UFSCar), São Carlos, SPPhysical Therapy Department UFSCar, São Carlos, SPDepartment of Physical Education Universidade Estadual 'Júlio de Mesquita Filho' (UNESP), Rio Claro, SPUniversidade Federal do Amazonas (UFAM)Universidade Estadual Paulista (Unesp)Universidade Federal de São Carlos (UFSCar)Costa, Larissa R.Costa, José L.R. [UNESP]Oishi, JorgeDriusso, Patricia2014-05-27T11:26:57Z2014-05-27T11:26:57Z2012-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article422-430application/pdfhttp://dx.doi.org/10.1590/S1413-35552012005000051Brazilian Journal of Physical Therapy, v. 16, n. 5, p. 422-430, 2012.1413-35551809-9246http://hdl.handle.net/11449/7354310.1590/S1413-35552012005000051S1413-35552012005000051WOS:0003103265000112-s2.0-848685922312-s2.0-84868592231.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengporBrazilian Journal of Physical Therapy1.6990,8020,802info:eu-repo/semantics/openAccess2023-12-06T06:18:13Zoai:repositorio.unesp.br:11449/73543Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T19:37:51.142354Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Distribuição de fisioterapeutas entre estabelecimentos públicos e privados nos diferentes níveis de complexidade de atenção à saúde Distribution of physical therapists working on public and private establishments in different levels of complexity of health care in Brazil |
title |
Distribuição de fisioterapeutas entre estabelecimentos públicos e privados nos diferentes níveis de complexidade de atenção à saúde |
spellingShingle |
Distribuição de fisioterapeutas entre estabelecimentos públicos e privados nos diferentes níveis de complexidade de atenção à saúde Costa, Larissa R. Ambulatory care Hospital care Physical therapy Primary health care Private sector Public health |
title_short |
Distribuição de fisioterapeutas entre estabelecimentos públicos e privados nos diferentes níveis de complexidade de atenção à saúde |
title_full |
Distribuição de fisioterapeutas entre estabelecimentos públicos e privados nos diferentes níveis de complexidade de atenção à saúde |
title_fullStr |
Distribuição de fisioterapeutas entre estabelecimentos públicos e privados nos diferentes níveis de complexidade de atenção à saúde |
title_full_unstemmed |
Distribuição de fisioterapeutas entre estabelecimentos públicos e privados nos diferentes níveis de complexidade de atenção à saúde |
title_sort |
Distribuição de fisioterapeutas entre estabelecimentos públicos e privados nos diferentes níveis de complexidade de atenção à saúde |
author |
Costa, Larissa R. |
author_facet |
Costa, Larissa R. Costa, José L.R. [UNESP] Oishi, Jorge Driusso, Patricia |
author_role |
author |
author2 |
Costa, José L.R. [UNESP] Oishi, Jorge Driusso, Patricia |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal do Amazonas (UFAM) Universidade Estadual Paulista (Unesp) Universidade Federal de São Carlos (UFSCar) |
dc.contributor.author.fl_str_mv |
Costa, Larissa R. Costa, José L.R. [UNESP] Oishi, Jorge Driusso, Patricia |
dc.subject.por.fl_str_mv |
Ambulatory care Hospital care Physical therapy Primary health care Private sector Public health |
topic |
Ambulatory care Hospital care Physical therapy Primary health care Private sector Public health |
description |
Background: The Brazilian Health System is organized on a regional and hierarchical form with three levels of complexity of health care. The Primary Care represents the first element of a continuing health care process, complemented by specialized actions. However, the centrality of the specialized care is still a problem in Brazil, especially in the private sector. Studies on the distribution of professionals in the health system allowing the formulation of appropriate policies are needed. Objectives: To investigate the distribution of physical therapists in the levels of complexity of health care and between public and private establishments, according to data from the National Register of Health Service Providers (NRHSP). Method: A descriptive cross-sectional study was performed considering NRHSP-national bank data collected in March 2010 and demographic census 2010 data. Data were analyzed through descriptive statistics techniques. Results: We identified 53,181 registries of physical therapists, 60% linked to the private sector. Only 13% of all entries were linked to primary care. The predominance in specialized care occurred in the public sector (65%) and private sector (100%). The specialized establishments of private sector linked to the southeast region (16,043) were the main sites of physical therapists. Only the public sector in the south had a majority in the Primary Care. When considering the sizes of the cities, there is focus on specialist care in bigger cities. Conclusions: This study identified the concentration of physical therapists in the specialized care, mostly in metropolis and big cities and in the private sector, with restricted to participation in the primary care. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-09-01 2014-05-27T11:26:57Z 2014-05-27T11:26:57Z |
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.uri.fl_str_mv |
http://dx.doi.org/10.1590/S1413-35552012005000051 Brazilian Journal of Physical Therapy, v. 16, n. 5, p. 422-430, 2012. 1413-3555 1809-9246 http://hdl.handle.net/11449/73543 10.1590/S1413-35552012005000051 S1413-35552012005000051 WOS:000310326500011 2-s2.0-84868592231 2-s2.0-84868592231.pdf |
url |
http://dx.doi.org/10.1590/S1413-35552012005000051 http://hdl.handle.net/11449/73543 |
identifier_str_mv |
Brazilian Journal of Physical Therapy, v. 16, n. 5, p. 422-430, 2012. 1413-3555 1809-9246 10.1590/S1413-35552012005000051 S1413-35552012005000051 WOS:000310326500011 2-s2.0-84868592231 2-s2.0-84868592231.pdf |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
Brazilian Journal of Physical Therapy 1.699 0,802 0,802 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
422-430 application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1808129097603219456 |