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Previous issue date: 2013-03-07 / Public services with an emphasis on rehabilitation treatment of disabled people, as established law, have aimed to ensure quality and equity assistance in a rehabilitation way to the segment highlighted. As for people with physical disabilities, the Unified Health System (hereby SUS) through the directive GM/ MS No. 818 of 2001, requires the creation of hierarchical and regionalized services networks at different levels of complexity to ensure appropriate assistance. This study whose title is Evaluation of effectiveness of the Adult Rehabilitation Center in Rn: elements for a discussion aimed to evaluate the effectiveness of rehabilitation services that institution, reference in the State of Rio Grande do Norte, has directed its patients, more specifically those who have had a stroke and therefore are disabled ones. From the standpoint of methodological conduction, it was prioritized a qualitative and empirical theoretical research which was carried out from the following courses: literature references with authors who are the themes pertaining to rehabilitation, inclusion, public policy evaluation, health policy and disability; documentary research through Regulation of Technical Procedures, files, records, informative booklets that were of great importance to the knowledge of the institution, as well as its functioning and dynamics of field research that was materialized with the managers, rehabilitation staff and Center s users, through the application of semi-structured interviews as a tool for data collection. The information obtained was analyzed from the critical analysis of discourse. As a result, it was identified some technical, administrative and financial difficulties which have obliterated the effectiveness of services provided, such as: lack of many professionals to meet existing demand, poor quality of equipment and the physical structure, limits on autonomy management as a result of dependence along with the SESAP/RN; besides the excessive bureaucratization in the administrative processes compromising Center s problem-solving needs. However, in the narratives of managers, rehabilitation staff of patients, despite the difficulties, treatment made by Centre has effectiveness to the extent that has been contributing even in a limited way to improve their quality of life / Os servi?os p?blicos com ?nfase no tratamento de reabilita??o das pessoas com defici?ncia, enquanto direito constitu?do, objetiva garantir-lhe com qualidade e equidade a assist?ncia reabilitacional. Em se tratando das pessoas com defici?ncia f?sica, o Sistema ?nico de Sa?de SUS atrav?s da portaria GM/MS n? 818 de 2001, determina a cria??o de redes de servi?os regionalizados e hierarquizados em diferentes n?veis de complexidade para garantir a assist?ncia devida. O presente estudo intitulado Avalia??o de efetividade do Centro de Reabilita??o de Adultos do RN: elementos para uma discuss?o,tevecomo objetivo geral avaliar a efetividade dos servi?os de reabilita??o que essa institui??o refer?ncia no Estado do Rio Grande do Norte, direciona aos seus pacientes, especificamente ?queles que tiveram um AVC e que, portanto, encontram-se na condi??o de deficientes f?sicos. Do ponto de vista da condu??o metodol?gica, priorizou-se uma pesquisa te?rico-emp?rica, de natureza qualitativa, que se realizou a partir dos seguintes percursos: revis?o de literatura com autores que s?o refer?ncias nas tem?ticas concernentes ?reabilita??o, inclus?o, avalia??o de pol?ticas p?blicas, pol?tica de sa?de e defici?ncia; pesquisa documental atrav?s de Regulamento de Procedimentos T?cnicos, arquivos, prontu?rios, cartilhas informativas, de grande import?ncia para o conhecimento da institui??o e da sua din?mica de funcionamento; pesquisa de campo, que se materializou junto aos gestores, equipe de reabilita??o e usu?rios do Centro, atrav?s da aplica??o de entrevistas semiestruturadas, enquanto instrumento de coleta de dados. As informa??es obtidas foram analisadas a partir da an?lise critica do discurso. Como resultado, identificaram-se algumas dificuldades de ordem t?cnica, administrativa e financeira, que obliteram a efetividade dos servi?os prestados, tais como: insufici?ncia do quantitativo de profissionais para responder ? demanda existente; precariedade dos equipamentos e da estrutura f?sica; limites na autonomia da gest?o, em decorr?ncia da depend?ncia junto a SESAP/RN; a excessiva burocratiza??o nos processos administrativos, comprometendo a resolutividade das necessidades do Centro. Contudo, as narrativas dos gestores, da equipe de reabilita??o e dos pacientes, apesar das dificuldades, o tratamento viabilizado pelo Centro possui efetividade na medida em que vem contribuindo, mesmo de forma limitada, para a melhoria da qualidade de vida dos pacientes
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/13815 |
| Date | 07 March 2013 |
| Creators | Rego, Adna Rejane Freitas |
| Contributors | CPF:49516671772, http://lattes.cnpq.br/4418972852075556, Costa, Fernando Bastos, CPF:02082330400, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4769916A5&dataRevisao=null, Alves, Maria L?cia Bastos, CPF:72132337420, http://lattes.cnpq.br/1719643619018288, Souza, Iris de Lima, CPF:90374541434, Coelho, Maria Ivonete Soares, CPF:28317947491, http://lattes.cnpq.br/5288462869060471, Costa, Jo?o Bosco Ara?jo da |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Ci?ncias Sociais, UFRN, BR, Desenvolvimento Regional; Cultura e Representa??es |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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