Abstract
Investigate the correlation between the provision of speech therapists in the Brazilian public healthcare system and social indicators between 2007 and 2016. An ecological study was conducted. The units of analysis were the 27 federative units of Brazil. Indicators of the provision of speech therapists in public healthcare and the relative evolution of this provision in the period as well as the Human Development Index and Gini Index related to the year 2010 were analyzed. Correlations were investigated using Spearman's test (α = 5%). In 2007, the provision of speech therapists in the public healthcare system was 3.55/105 residents, with the lowest indicator in the state of Amazonas and the highest in the state of Mato Grosso do Sul. In 2016, this indicator nearly doubled in the country; the lowest indicator was again in the state of Amazonas and the highest was in the state of Piauí. An important relative evolution occurred in the provision of speech therapists in Brazil in the period analyzed, with significant variation among the federative units. A negative correlation was found between the relative evolution in the last decade and the Human Development Index and a positive correlation was found with the Gini Index. The increase in the provision of speech therapists in the Brazilian public healthcare system was greater in federative units with lower human development and a greater concentration of income. Despite this, the results from 2016 showed the maintenance of the status quo, with a greater provision in federative units with greater human development.
Highlights
Este é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições desde que o trabalho original seja corretamente citado
Indicators of the provision of speech therapists in public healthcare and the relative evolution of this provision in the period as well as the Human Development Index and Gini Index related to the year 2010 were analyzed
In 2016, this indicator nearly doubled in the country; the lowest indicator was again in the state of Amazonas and the highest was in the state of Piauí
Summary
Oferta Fonoaudiologia Acesso aos Serviços de Saúde Sistema Único de Saúde Indicadores Sociais. Evolução da oferta de Fonoaudiólogos no SUS: um estudo sobre a correlação com os indicadores sociais no Brasil na última década. Objetivo: Investigar a correlação entre a oferta de Fonoaudiólogos no Sistema Único de Saúde (SUS) e os indicadores sociais no Brasil, entre 2007 e 2016. Ocorreu uma importante evolução relativa da oferta de Fonoaudiólogos no Brasil, neste período, com significativas variações entre as UFs. Houve correlação negativa entre a evolução relativa na última década e o IDH, e positiva com o Índice de Gini. Conclusão: A evolução da oferta de Fonoaudiólogos no SUS foi maior nas unidades federativas com menor desenvolvimento humano e maior concentração de renda. Os resultados referentes a 2016 mostraram a manutenção do status quo, com a maior oferta naquelas unidades federativas com maior desenvolvimento humano. Availability Speech Therapy Access to Health Services Unified Health System Social Indicators
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