Abstract
ABSTRACT Objective: to characterize the care provided at a Speech Therapy School Clinic affiliated with the Brazilian public healthcare system, in 2016. Methods: a cross-sectional study was conducted with data from screening, discharge, discontinuation and medical records. Sociodemographic and clinical variables were assessed, by measuring waiting time and specialty. The reasons for treatment discontinuation were also investigated. The data were presented in tables and expressed as absolute and relative frequencies. Results: one hundred-seven individuals were screened, among whom 53.3% were children, 58.9% were males, 41.1% had language complaints and 35.5% had complaints regarding orofacial motor function. The mean waiting time to begin treatment was 6.6 months. Among all individuals screened, 80.3% began treatment. The treatment, more frequently, addressed orofacial motor function (39.1%) and language (37.9%). Discharge from treatment occurred in 28.6% of cases. Among the 37 individuals whose treatment was discontinued prior to completion, the main reason was abandonment/absences on the part of the patient (71.4%). Conclusion: the speech therapy care profile revealed a greater frequency of children, males and needs regarding language and orofacial motor function. The mean waiting time was 6.6 months and 20% of the individuals screened did not initiate treatment. A high frequency of discontinuation prior to completing treatment was found, due, mainly, to failure on the part of the patients to attend the sessions.
Highlights
The Brazilian public healthcare system is the result of a broad health reform movement that began in the 1970s1,2
Regarding the different fields of speech therapy, most of the complaints were related to language (41.1%) and orofacial motor function (35.5%)
The findings of the present study show that more than a half of the individuals screened for speech therapy were children and males
Summary
The Brazilian public healthcare system is the result of a broad health reform movement that began in the 1970s1,2. Its organizational structure is founded on doctrinal principles and guidelines[5,6] Regionalization is one such principle, the purpose of which is to ensure the organized offer of health actions on all levels of care[7,8]. A healthcare network organized and planned considering the demands of a region enables the creation of coordinated strategies of health promotion, disease prevention and rehabilitation based on the needs of the population[9]. The organization and functioning of services should consider the demands of patients determined through an analysis of the epidemiological and sociodemographic profile of these patients It is in this context that the discussion on healthcare models is broadened[10]. According to Paim[11], a care model uses diverse resources with distinct purposes to meet the needs of a community and organizes healthcare services according to the epidemiological profile of this community
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