Reabilitação e atenção à pessoa com deficiência na Atenção Primária à Saúde no Brasil

Abstract

Objective: describe and compare actions of attention and rehabilitation in Primary Health Care (PHC) aimed at Persons with Disabilities (PWD) in Brazil. Methods: data from Quality Assessment Program in Primary Care (PMAQ-AB, in portuguese). Analysis were carried out based on Module IV of the 2nd (2015) and 3rd (2018) Cycle of the PMAQ-AB. Comparisons of the positive evaluation (“yes”) of the care provided to PWD in the PHC were performed, by calculating the Prevalence Ratio (PR), admitting the 2nd Cycle as a reference category and considering national data and data from the five geographic regions. Results: the prevalence of affirmative answers for PWD care increased in the 3rd cycle in the national scenario in relation to support in actions related to PWD, assessment and home adaptations and promotion of the inclusion of PWD in sports and leisure activities. The prevalence of rehabilitation actions in PHC in Brazil has also increased. The scenario of changes in PWD care was different between Brazilian regions. The Northeast region was the one that most increased the percentage of care actions for PCD, following the national standard, and also including an increase in referral for use of prostheses/orthotics and assistive devices. Conclusion: for most of the activities evaluated, there was an increase in the prevalence of its performance between the assessments of the 2nd and 3rd cycles of the PMAQ-AB, however there is still a need to expand the offer and service of some activities in most regions of the country, favoring integral care for PCD.