Os modelos de organização e as práticas de cuidado à pessoa com deficiência na atenção básica à saúde

Abstract

The Care Network for Persons with Disabilities proposes expanding access and qualification of health care for people with disabilities through Primary Health Care (PHC), but few studies investigate the role of PHC in caring for this population. The aim of this study was to estimate the association between the PHC Organization Model and health practices aimed at PwD at this level of care. Cross-sectional study with 1,377 higher education PHC professionals in eight Brazilian states, part of the REDECIN-BRASIL survey. A logistic regression was performed to estimate the association between the Traditional Health Care Services Model (THCSM) and the frequency of practices aimed at PwD. The THCSM showed a positive and statistically significant association with a lower frequency of practices aimed at PwD in PHC, compared to the Family Health Strategy Model, with regression adjustment for professional knowledge about the Care Network for Persons with Disabilities (OR: 4.10; 95% CI: 3.06 - 5.48). Prenatal care, home care and health education are more frequent practices in the Family Health Strategy Model, however, creating lines of care, clinical protocols, intersectoral actions and articulation with community resources are still challenges for both models. The Family Health Strategy Model presents itself as the best model to offer care and guarantee qualified access to PwD.