0322/2021 - Postos de trabalho ocupados por fisioterapeutas: Uma menor demanda para a Atenção Básica Workplaces occupied by physiotherapists: Less demand for Primary Care
Tendo em vista o olhar ampliado de saúde proposto pelo SUS, a abordagem dada ao processo do adoecimento exigiu um prisma voltado à visão biopsicossocial e não mais ao modelo biomédico, o que levou a um reordenamento na formação dos profissionais de saúde. Assim, as Diretrizes Curriculares Nacionais foram instituídas norteando os Projetos Pedagógicos dos Cursos rumo ao modelo biopsicossocial, de forma que a Classificação Internacional de Funcionalidade Incapacidade e Saúde contribui para este cenário por meio de sua abordagem multidimensional e não reducionista. Entretanto, historicamente a Fisioterapia tem forte influência do modelo biomédico, distanciando-a da Atenção Básica (AB). Este é um estudo exploratório, descritivo e quantitativo, com fonte de dados secundários obtidos por meio do Cadastro Nacional dos Estabelecimentos de Saúde do Brasil, cujo objetivo foi verificar, dentro de um intervalo de 10 anos, em qual nível de assistência à saúde está concentrada a maior parte dos fisioterapeutas e sua representatividade na AB. Os achados indicaram que a AB representa o cenário minoritário dos postos de trabalho ocupados pelos fisioterapeutas, refletindo a hegemonia do modelo biomédico e reforçando o caráter reabilitador dado historicamente à profissão.
Palavras-chave:
Lacunas da Prática Profissional, Fisioterapia, Sistema Único de Saúde, Níveis de Atenção à Saúde.
Abstract:
In view of the expanded view of health proposed by the SUS, the approach given to the disease process required a prism focused on the biopsychosocial view and no longer on the biomedical model, which led to a reorganization in the training of health professionals. Thus, the National Curriculum Guidelines were established guiding the Pedagogical Projects of the Courses towards the biopsychosocial model, so that the International Classification of Functionality, Disability and Health contributes to this scenario through its multidimensional and non-reductionist approach. However, Physiotherapy has historically been strongly influenced by the biomedical model, distancing itPrimary Care (PC). This is an exploratory, descriptive and quantitative study, with secondary data source obtained through the National Register of Health Establishments in Brazil, whose objective was to verify, within a 10-year interval, in which level of health care is concentrated most physiotherapists and their representation in PC. The findings indicated that PC represents the minority scenario of jobs occupied by physical therapists, reflecting the hegemony of the biomedical model and reinforcing the rehabilitation character historically given to the profession.
Keywords:
Professional Practice Gaps, Physiotherapy, Unified Health System, Health Care Level.
Workplaces occupied by physiotherapists: Less demand for Primary Care
Resumo (abstract):
In view of the expanded view of health proposed by the SUS, the approach given to the disease process required a prism focused on the biopsychosocial view and no longer on the biomedical model, which led to a reorganization in the training of health professionals. Thus, the National Curriculum Guidelines were established guiding the Pedagogical Projects of the Courses towards the biopsychosocial model, so that the International Classification of Functionality, Disability and Health contributes to this scenario through its multidimensional and non-reductionist approach. However, Physiotherapy has historically been strongly influenced by the biomedical model, distancing itPrimary Care (PC). This is an exploratory, descriptive and quantitative study, with secondary data source obtained through the National Register of Health Establishments in Brazil, whose objective was to verify, within a 10-year interval, in which level of health care is concentrated most physiotherapists and their representation in PC. The findings indicated that PC represents the minority scenario of jobs occupied by physical therapists, reflecting the hegemony of the biomedical model and reinforcing the rehabilitation character historically given to the profession.
Palavras-chave (keywords):
Professional Practice Gaps, Physiotherapy, Unified Health System, Health Care Level.
FERNANDES, J.A.E., Gomes, M. M. F., Sousa, B. S., Marâes, V. R. F. da S.. Postos de trabalho ocupados por fisioterapeutas: Uma menor demanda para a Atenção Básica. Cien Saude Colet [periódico na internet] (2021/Out). [Citado em 11/10/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/postos-de-trabalho-ocupados-por-fisioterapeutas-uma-menor-demanda-para-a-atencao-basica/18221?id=18221&id=18221
