A inserção do serviço de fisioterapia na atenção básica em saúde

Abstract

This article aims to contribute to the debate about the inclusion of established physiotherapy service in primary health care. It must be understood as a theoretical reflection on the possibility of integrating the physiotherapist, aiming to present aspects of the profession that can potentially improve the outcomes in primary care. Searches were conducted in scientific databases, journals, ordinances and decrees of the Ministry of Health laws and COFFITO (Federal Council of Physiotherapy and Occupational Therapy). According to reports, physical therapy practices can be developed at all levels of health care, however, due to considerations of political-economic and organizational, its function is little known and underutilized since its most traditional form of action is centered in the areas curative and rehabilitative, facing the hospital and ambulatory practices in loss to new care models. So in their work process in primary care physical therapists must meet the demand of the community with a full practice by going through health education, care, individual consultations, operative groups and performing home visits, breaking the paradigm of being a profession only rehabilitation. This study does not intend to exhaust the discussion on the topic and the authors stress that the research and practical experiences in the field of physical therapy in primary health care are still deficient, sporadic, occasional and infrequent in the health system of Brazil demonstrating the importance, complexity and subjectivity of the role of the physiotherapist in primary care.