Fonoaudiologia e estratégia de saúde da família: implicação da dimensão estrutural na qualidade da atenção à saúde fonoaudiológica

Abstract

Speech, language and hearing sciences and the family health strategy: implication of structural dimension in the quality of speech, language and hearing care to an assessment of quality, the social actors in the study recognized more difficulties than potentialities in the work of the speech, language and hearing pathologists indicating deficiency in the quality of speech, language and hearing health care.

Avaliação da assistência fonoaudiológica na estratégia de saúde da família pela perspectiva do usuário

“…Furthermore, the users' speeches expressed a desire for a larger number of speech-language therapists qualified to act according to SUS guidelines in the territories, as reported in the subcategory User Expectations. The expectations presented by the users of the SLP service were similar to the findings reported in the national literature on this theme: users refer to insufficient offer of SLP service provided at SUS (11,24) . Another study indicated as a major challenge for SLP at the FHS the organization of resources and infrastructure mainly involving insufficient availability of these services and insufficient and unqualified human resources (11,12) .…”

“…The expectations presented by the users of the SLP service were similar to the findings reported in the national literature on this theme: users refer to insufficient offer of SLP service provided at SUS (11,24) . Another study indicated as a major challenge for SLP at the FHS the organization of resources and infrastructure mainly involving insufficient availability of these services and insufficient and unqualified human resources (11,12) . Unfortunately, the inexperience and lack of preparation of SLP at PHC, especially at the FHS, can negatively affect the planning and organization of the service (19) .…”

“…This weakness may result from the precarious structure offered for SLP practice (11) and/or from work processes inadequate for this level care, aggravated by the practice of professionals with little competence to act in this scenario (12) . Regarding the structural aspect, the literature highlights limited physical space and lack of adequate material for the development of this assistance as factors that directly contribute to the low resolution of this health area at this level of care (11) . The lack of adequate equipment for the care of this population can prevent activities of health promotion and injury prevention from being conducted, jeopardizing the continuity of health assistance (13) .…”

Atuação fonoaudiológica na atenção básica na perspectiva de profissionais dos núcleos de apoio à saúde da família

“…The Brazilian Unified Healthcare System (UHS) was created to offer the population with recognition of health as a social right contemplated by public policies in a universal and integrated manner, leading to reflection on the perception of health care (1) . In 1994, to strengthen this new model of health care, the Family Health Program (FHS) was created, later called Family Health Strategy (FHS) and, in 2008, the Family Health Support Center (FHSC) (2) .…”

Residência Multiprofissional em Saúde da Família: afirmação de um compromisso ético-político com o SUS.

“…Dessa forma, nesse contexto de necessidade de mudanças nos processos formativos em Nos últimos tempos, têm sido publicadas produções científicas que expõem realidades e potencialidades dessa modalidade de formação, tanto para os profissionais quanto para os serviços de saúde, seja a partir da atuação dos diversos núcleos profissionais que a compõem 8,9,10,11,12 , seja a partir das implicações desse processo formativo nos serviços que fazem parte dos cenários de prática, em particular, na Atenção Básica 3,4,13 .…”