Physiotherapy access for children and adolescents with physical disabilities in public institutions.

Autor: Silva VAD; Programa de Pós-Graduação em Tecnologia em Saúde, Pontifícia Universidade Católica do Paraná (PUCPR). R. Euclides Bandeira 500/1203, Centro Cívico. 80530-020 Curitiba PR Brasil. ribeiro.carvalho@pucpr.br., Busnello ARR; Departamento de Fisioterapia, PUCPR. Curitiba PR Brasil., Cavassin RC; Departamento de Fisioterapia, PUCPR. Curitiba PR Brasil., Loureiro APC; Departamento de Fisioterapia, PUCPR. Curitiba PR Brasil., Moser ADL; Departamento de Fisioterapia, PUCPR. Curitiba PR Brasil., Carvalho DR; Programa de Pós-Graduação em Tecnologia em Saúde, Pontifícia Universidade Católica do Paraná (PUCPR). R. Euclides Bandeira 500/1203, Centro Cívico. 80530-020 Curitiba PR Brasil. ribeiro.carvalho@pucpr.br.
Jazyk: Portuguese; English
Zdroj: Ciencia & saude coletiva [Cien Saude Colet] 2020 Jul 08; Vol. 25 (7), pp. 2859-2870.
DOI: 10.1590/1413-81232020257.12682018
Abstrakt: This study aims to identify the factors that hinder physically disabled children and adolescent's access to physiotherapy in establishments accredited by the Unified Health System in Curitiba, Paraná, Brazil. This is a cross-sectional study that interviewed managers, physiotherapists, parents or guardians of children with physical disabilities. The perception of difficulties of each interviewed group was compared through descriptive statistics, considering the following realms: availability, purchasing power, information and acceptability. Considering the realm of availability, we identified the following hindrances: distance between the physiotherapy location and user's residence, inadequate supply of services and waiting list. Regarding the purchasing power, we observed the lack of financial resources among parents. Regarding information and acceptability, the lack of information about diagnosis and denial were reported by participants. We can conclude that the physiotherapy service has not been timely assured to children's motor development, so it is necessary to review the organization and distribution of services, and effective policies are required to ensure their use.
Databáze: MEDLINE