巴西的康复劳动力巴西的康复劳动力
Taciana Rocha Dos Santos Sixel1, Debora Bernardo2, Arthur de Almeida Medeiros3
1Department of Physiotherapy, Speech Therapy and Occupational Therapy, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil.
Archives of public health = Archives belges de sante publique
|February 26, 2024
概括
巴西的康复工作人员,包括理疗师和职业治疗师,已经扩大到所有护理层面. 然而,区域差异仍然存在,在专业和医院护理领域的度更高,类似于低收入国家.
科学领域:
- 公共卫生 公共卫生
- 健康劳动力研究 卫生劳动力研究
- 康复科学 康复科学 康复科学
背景情况:
- 功能障碍的增加需要增加对康复服务的需求.
- 有效的卫生系统规划需要了解康复劳动力分布.
- 巴西的统一卫生系统在满足康复需求方面面临着挑战.
研究的目的:
- 分析物理治疗师,语言治疗师,心理学家和职业治疗师的空间和时间分布.
- 检查巴西不同护理层 (初级,专业,医院卫生保健) 的劳动力分散情况.
- 从2007年到2020年,确定康复专业人数密度的区域差异.
主要方法:
- 生态时间序列研究利用国家卫生机构登记册 (2007-2020) 的数据.
- 计算巴西及其五个地区每1万人口的职业密度.
- 加入点回归模型用于分析职业密度的时间趋势.
主要成果:
- 2020年,心理学家,语言治疗师和职业治疗师集中在专业医疗保健中;物理治疗师集中在医院医疗保健中.
- 区域差异很明显:东北地区的初级医疗保健密度最高,南方在专业医疗保健方面领先,东南地区在医院医疗保健方面领先.
- 在所有类别中观察到显著的劳动力增长,特别是在医院护理中的职业治疗 (AAPC: 30.8%).
结论:
- 公共卫生政策成功地扩大了巴西所有护理水平和地区的康复工作人员 (2007-2020年).
- 新兴的区域差异和专业密度反映了低收入国家出现的模式.
- 持续监测和战略规划对于应对劳动力分配挑战至关重要.
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