TY - JOUR
T1 - Speech-language therapy offer and primary health care in Brazil
T2 - An analysis based on socioeconomic development
AU - Rech, Rafaela Soares
AU - Hugo, Fernando Neves
AU - Schmidt, Jeanne Gabriele
AU - de Goulart, Bárbara Niegia Garcia
AU - Hilgert, Juliana Balbinot
N1 - Publisher Copyright:
© 2019 Revista Pro-Fono.
PY - 2019
Y1 - 2019
N2 - Purpose: To describe the presence of speech-language therapists (SLT) in the primary health care (PHC) in Brazil and its association with socioeconomic inequalities. Methods: Cross-sectional study with 17,157 PHC services in all Brazilian states. Based on the NASF External Assessment Questionnaire sub-item "speech-language therapist", which was used to answer the question "What NASF professionals support your PHC service?", in addition to contextual data (regional population, number of registered SLP, speech therapy college courses, city HDI and Gini Index). Results: From all the PHC services supported by NASF, 50.8% (8713/17,157) has SLPs as part of the team. Brazil's Southeast region has the higher prevalence of SLP at the team (57.4%; 5,575). South Region has the lower prevalence (28.9%; 625). The presence of SLP support is directly proportional to HDI stratum and Gini Index (average and high). Conclusion: There is an important limitation of public care to treat communication and swallowing disorders in Brazil.
AB - Purpose: To describe the presence of speech-language therapists (SLT) in the primary health care (PHC) in Brazil and its association with socioeconomic inequalities. Methods: Cross-sectional study with 17,157 PHC services in all Brazilian states. Based on the NASF External Assessment Questionnaire sub-item "speech-language therapist", which was used to answer the question "What NASF professionals support your PHC service?", in addition to contextual data (regional population, number of registered SLP, speech therapy college courses, city HDI and Gini Index). Results: From all the PHC services supported by NASF, 50.8% (8713/17,157) has SLPs as part of the team. Brazil's Southeast region has the higher prevalence of SLP at the team (57.4%; 5,575). South Region has the lower prevalence (28.9%; 625). The presence of SLP support is directly proportional to HDI stratum and Gini Index (average and high). Conclusion: There is an important limitation of public care to treat communication and swallowing disorders in Brazil.
KW - Atenção primária à saúde
KW - Family health
KW - Fonoaudiologia
KW - Language and hearing sciences
KW - Primary health care speech
KW - Public health
KW - Saúde da família
KW - Saúde pública
KW - Sistema único de saúde
KW - Unified health system
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U2 - 10.1590/2317-1782/20182018083
DO - 10.1590/2317-1782/20182018083
M3 - Article
C2 - 30758397
AN - SCOPUS:85061500914
SN - 2179-6491
VL - 31
JO - CoDAS
JF - CoDAS
IS - 1
M1 - e20180083
ER -