Núcleo Ampliado de Saúde da Família e Atenção Básica e Pessoas com deficiência: concepções e práticas de saúde

Abstract

The implementation of the Disability Care Network (RCPD) in 2012 was a regulatory milestone that contributed to the integration of Primary Health Care (APS) in the care of people with disabilities, highlighting the Family Health Strategy (ESF) as a crucial space for promoting comprehensive care focused on the real needs of this population. Thus, the objective of this research was to analyze the perception of professionals from the Expanded Family Health and Primary Care Center (NASF-AB) regarding the health practices they develop with people with disabilities in the context of Salvador/BA, as well as to understand their conceptions about disability. The research indicated that, for NASF-AB professionals, APS is seen as the "gateway" to caring for people with disabilities, offering greater reception and accessibility. The role of NASF-AB, however, is to continue the work of the core team, with strategic actions such as home visits, social awareness, matrix support, family reception, and referrals to the care network. Although the conception of disability is still centered on the biomedical model, with a focus on rehabilitation and cure, there is a noticeable shift away from traditional practices toward recognizing social and architectural barriers, as well as real health needs such as leisure and education. These elements highlight a movement toward overcoming biomedical reductionism, showing potential to reorient health practices within the perspective of the Social Model of Disability.