RESUMO Para a adequada oferta de serviços de reabilitação no Brasil é preciso conhecer a disponibilidade de acesso existente na Rede Assistencial de Saúde (RAS) e desenvolver práticas que atendam às necessidades de saúde. Buscou-se estimar a tendência da distribuição de recursos humanos de reabilitação na RAS 2007-2015, especificamente na Atenção Primária à Saúde (APS) e conhecer a prática de Clínica Ampliada (CA), Projeto Terapêutico Singular (PTS) e Apoio Matricial (AM) para fonoaudiólogos, fisioterapeutas e terapeutas ocupacionais. Buscou-se profissionais na Rede Assistencial pelo Cadastro Nacional de Estabelecimentos de Saúde (CNES). A tendência mensal foi construída por modelos de regressão linear Prais-Winsten. Para conhecer as práticas de CA, PTS e AM, construiu-se discursos do sujeito coletivo a partir de entrevistas de 12 profissionais. Média complexidade teve a maior concentração de profissionais, exceto em hospitais na cidade de São Paulo. A APS, por sua vez, teve a menor possibilidade de acesso. Mesmo tímido, houve crescimento dos três profissionais na assistência, com ênfase para os fisioterapeutas em hospital de São Paulo, em relação ao estado (0,73%) e cidade (0,95%). Na APS, o crescimento maior foi do terapeuta ocupacional em São Paulo-cidade e do fisioterapeuta no Brasil. Para AM, CA e PTS, além da dificuldade do fazer, destacaram-se, respectivamente, ideias de “pluralidade de concepções”, “visão biopsicossocial” e “possibilidade de adaptação” do cuidado. Embora crescente, a disponibilidade de profissionais é baixa e desigual, concentrada na especialidade e enfatizando ampliação de fisioterapeutas no hospital e terapeutas ocupacionais na APS.

Introduction: After the regulation of Physical Therapy (PT) in 1969, there were only six undergraduate courses in Brazil. In the 90s, higher education underwent major expansion in all professions and the same occurred to PT, with consequent increase in the number of professionals in the labor market and privatization of education. Objective: To describe the current situation of PT courses in Brazil offered by Higher Education Institutions (IES). Methods: The data for the region, academic organization, situation, period, school system, administrative category, vacancies, course hours and duration were obtained from the website of the Ministry of Education (MEC) and refer to the year of 2013. The descriptive analyzes of central tendency, dispersion and percentage were performed in Stata 9

Background: One of the biggest current challenges for Primary Health Care is dealing with the increased demand for chronic diseases that have resulted in greater disabilities in the population.Objective: To investigate the relationship between sociodemographic factors, musculoskeletal pain and its characteristics and the type of care in primary health care with self-reported disability.Methodology: This is a cross-sectional study, interviewing individuals selected from spontaneous demand for health care in two types of care, the health center and family health. Disability was investigated using the World Health Organization Disability Assessment Schedule (WHODAS) 2.0 and characteristics of intensity, frequency, duration, number of pain sites and regions. Measures of association between predictors and disability were performed with non-parametric statistical tests, and non-parametric regression models were presented for pain characteristics and for the general population.Results: 6.0% of the overall sample had severe level of disability, health center users had more self-reported disability than family health users (p<0.001). Fewer years of life (p=0.034) and lower per capita income quintile (p=0.014) were associated with greater disability. The most intense pain and in the greatest number of places increased the disability score by 1.8 (CI95%=1.0-2.6) and 6.3 (CI95%=0.1-12.2) points, respectively.Conclusion: Users who had more disabilities sought out spontaneous demand care units of the health center type, had lower per capita income, presented musculoskeletal pain of worse intensity and in a greater number of places.

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