0524/2018 - Physiotherapy access for children and adolescents with physical disabilities in public institutions.
Acesso à fisioterapia de crianças e adolescentes com deficiência física em instituições públicas.
Author:
• Verônica Andrade da Silva - Silva, V.A - <veronicalirio@hotmail.com>ORCID: https://orcid.org/0000-0001-9055-5226
Co-author(s):
• Adson Renato Rodrigues Busnello - Busnello, A.R.R - <adson.busnello@hotmail.com>ORCID: https://orcid.org/0000-0002-6919-2245
• Renata Cristina Cavassin - Cavassin, R.C - <renata.cavassin@gmail.com>
ORCID: https://orcid.org/0000-0003-1426-1191
• Ana Paula Cunha Loureiro - Loureiro, A.P.C - <ana.l@pucpr.br>
ORCID: https://orcid.org/0000-0001-8950-0519
• Auristela Duarte de Lima Moser - Moser, A.D.L - <auristela.lima@gmail.com>
ORCID: https://orcid.org/0000-0001-5086-0701
• Deborah Ribeiro Carvalho - Carvalho, D.R - <ribeiro.carvalho@pucpr.br, deborahcarvalho@onda.com.br>
ORCID: https://orcid.org/0000-0002-9735-650X
Abstract:
This study aims to identify the factors that make it difficult for children and adolescents with physical disabilities to access physiotherapy in establishments accredited to theSistema Único de Saúde (Unified Health System) in Curitiba, PR. It is a cross-sectional study that interviewed managers, physiotherapists, parents and/or those responsible for children with physical disabilities. The perception of difficulties of each one of the interviewed groups was compared by means of descriptive statistics, considering the following dimensions: availability, payment possibility, information and acceptability. Considering the availability dimension, we identified as difficulties: the distance between the physiotherapy place and the residence of the users, not enough supply of services, as well as the waiting line. Regarding the payment, the lack of financial resources amidst the parents was observed. In terms of information and acceptability, the lack of information about diagnosis and denial were reported by participants. It is concluded that the physiotherapy service has not been guaranteed in a favorable time for children\'s motor development, so it is necessary to review the organization and distribution of services, as well as effective policies to ensure their use.