Physical/functional rehabilitation in Brazil: spatiotemporal analysis of the offer in the Public Healthcare System
The complex epidemiological profile of Brazil, the aging population and the proportion of individuals with disabilities have led to a substantial increase in the demand for rehabilitation. The spatiotemporal distribution of the offer of physiotherapy, speech therapy and occupational therapy in the B...
Saved in:
| Published in: | Ciência & saude coletiva Vol. 28; no. 2; pp. 373 - 383 |
|---|---|
| Main Authors: | , , , , , , |
| Format: | Journal Article |
| Language: | English Portuguese |
| Published: |
Brazil
Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO
01-02-2023
|
| Subjects: | |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Abstract | The complex epidemiological profile of Brazil, the aging population and the proportion of individuals with disabilities have led to a substantial increase in the demand for rehabilitation. The spatiotemporal distribution of the offer of physiotherapy, speech therapy and occupational therapy in the Brazilian public healthcare system from 2007 to 2019 was analyzed for the five macro-regions of the country. Data from the National Register of Health Establishments and census estimates from the Brazilian Institute of Geography and Statistics were used. Indicators of the offer of professionals in these fields services and relative changes in the offer were calculated. The spatial distribution of the relative change in the offer was also determined. A regression model with inflection points was adopted for the analysis of the temporal trend. A growing temporal trend was found in the offer of the three professionals in Brazil as a whole and in all regions of the country, but with a slowdown in growth. Differences were observed in the offer among the regions of the country, revealing healthcare inequality that needs to be overcome. The present findings can assist in planning to expand access to rehabilitation services in the country. |
|---|---|
| AbstractList | Abstract The complex epidemiological profile of Brazil, the aging population and the proportion of individuals with disabilities have led to a substantial increase in the demand for rehabilitation. The spatiotemporal distribution of the offer of physiotherapy, speech therapy and occupational therapy in the Brazilian public healthcare system from 2007 to 2019 was analyzed for the five macro-regions of the country. Data from the National Register of Health Establishments and census estimates from the Brazilian Institute of Geography and Statistics were used. Indicators of the offer of professionals in these fields services and relative changes in the offer were calculated. The spatial distribution of the relative change in the offer was also determined. A regression model with inflection points was adopted for the analysis of the temporal trend. A growing temporal trend was found in the offer of the three professionals in Brazil as a whole and in all regions of the country, but with a slowdown in growth. Differences were observed in the offer among the regions of the country, revealing healthcare inequality that needs to be overcome. The present findings can assist in planning to expand access to rehabilitation services in the country.
Resumo O complexo perfil epidemiológico do país, o envelhecimento populacional e a proporção de pessoas com deficiência apontam para o aumento substancial da demanda por reabilitação. Nesse contexto, foi analisada a distribuição espaço-temporal da oferta de profissionais de fisioterapia, fonoaudiologia e terapia ocupacional no Sistema Único de Saúde (SUS) de 2007 a 2019 nas cinco regiões do Brasil. Foram utilizados dados do Cadastro Nacional de Estabelecimentos em Saúde, as estimativas censitárias do Instituto Brasileiro de Geografia e Estatística e calculados os indicadores da oferta potencial de profissionais e sua evolução relativa. Foi realizada a distribuição espacial da evolução relativa da oferta potencial de profissionais. Para a análise da tendência temporal, adotou-se o modelo de regressão por pontos de inflexão. Houve tendência temporal crescente na oferta potencial das três categorias profissionais no Brasil e em todas as regiões, mas com uma desaceleração do crescimento. Observaram-se diferenciais entre as profissões e as regiões do país, representando um quadro de desigualdade de oferta que precisa ser superado. Resultados que podem subsidiar o controle social e o planejamento nacional para a ampliação do acesso aos serviços de reabilitação The complex epidemiological profile of Brazil, the aging population and the proportion of individuals with disabilities have led to a substantial increase in the demand for rehabilitation. The spatiotemporal distribution of the offer of physiotherapy, speech therapy and occupational therapy in the Brazilian public healthcare system from 2007 to 2019 was analyzed for the five macro-regions of the country. Data from the National Register of Health Establishments and census estimates from the Brazilian Institute of Geography and Statistics were used. Indicators of the offer of professionals in these fields services and relative changes in the offer were calculated. The spatial distribution of the relative change in the offer was also determined. A regression model with inflection points was adopted for the analysis of the temporal trend. A growing temporal trend was found in the offer of the three professionals in Brazil as a whole and in all regions of the country, but with a slowdown in growth. Differences were observed in the offer among the regions of the country, revealing healthcare inequality that needs to be overcome. The present findings can assist in planning to expand access to rehabilitation services in the country. Key words Physiotherapy, Speech therapy, Rehabilitation, Public Healthcare System, Occupational therapy, Time series studies The complex epidemiological profile of Brazil, the aging population and the proportion of individuals with disabilities have led to a substantial increase in the demand for rehabilitation. The spatiotemporal distribution of the offer of physiotherapy, speech therapy and occupational therapy in the Brazilian public healthcare system from 2007 to 2019 was analyzed for the five macro-regions of the country. Data from the National Register of Health Establishments and census estimates from the Brazilian Institute of Geography and Statistics were used. Indicators of the offer of professionals in these fields services and relative changes in the offer were calculated. The spatial distribution of the relative change in the offer was also determined. A regression model with inflection points was adopted for the analysis of the temporal trend. A growing temporal trend was found in the offer of the three professionals in Brazil as a whole and in all regions of the country, but with a slowdown in growth. Differences were observed in the offer among the regions of the country, revealing healthcare inequality that needs to be overcome. The present findings can assist in planning to expand access to rehabilitation services in the country. |
| Audience | Academic |
| Author | Silva, Vanessa de Lima Miranda, Gabriella Morais Duarte Nascimento, Cynthia Maria Barboza do Vilela, Mirella Bezerra Rodrigues Sousa, Fabiana de Oliveira Silva Gomes, Suzy Maria Lima, Maria Luiza Lopes Timóteo de |
| Author_xml | – sequence: 1 givenname: Suzy Maria orcidid: 0000-0001-6478-843X surname: Gomes fullname: Gomes, Suzy Maria organization: Departamento de Fonoaudiologia, Universidade Federal de Pernambuco. Recife PE Brasil – sequence: 2 givenname: Gabriella Morais Duarte orcidid: 0000-0001-9588-6817 surname: Miranda fullname: Miranda, Gabriella Morais Duarte organization: Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal de Pernambuco. Recife PE Brasil – sequence: 3 givenname: Fabiana de Oliveira Silva orcidid: 0000-0002-4482-3151 surname: Sousa fullname: Sousa, Fabiana de Oliveira Silva organization: Centro Acadêmico de Vitória, Universidade Federal de Pernambuco. Vitória de Santo Antão PE Brasil – sequence: 4 givenname: Cynthia Maria Barboza do orcidid: 0000-0001-9197-2136 surname: Nascimento fullname: Nascimento, Cynthia Maria Barboza do email: mirella.rodrigues@ufpe.br organization: Departamento de Fonoaudiologia, Universidade Federal de Pernambuco. Av. Prof. Artur de Sá 329-481, Cidade Universitária. 50740-520 Recife PE Brasil. mirella.rodrigues@ufpe.br – sequence: 5 givenname: Maria Luiza Lopes Timóteo de orcidid: 0000-0001-8600-0017 surname: Lima fullname: Lima, Maria Luiza Lopes Timóteo de email: mirella.rodrigues@ufpe.br organization: Programa de Pós-Graduação em Saúde da Comunicação Humana, Universidade Federal de Pernambuco. Recife PE Brasil – sequence: 6 givenname: Vanessa de Lima orcidid: 0000-0002-1562-1761 surname: Silva fullname: Silva, Vanessa de Lima email: mirella.rodrigues@ufpe.br organization: Programa de Pós-Graduação em Gerontologia, Universidade Federal de Pernambuco. Recife PE Brasil – sequence: 7 givenname: Mirella Bezerra Rodrigues orcidid: 0000-0001-5113-7144 surname: Vilela fullname: Vilela, Mirella Bezerra Rodrigues email: mirella.rodrigues@ufpe.br organization: Departamento de Fonoaudiologia, Universidade Federal de Pernambuco. Av. Prof. Artur de Sá 329-481, Cidade Universitária. 50740-520 Recife PE Brasil. mirella.rodrigues@ufpe.br |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36651393$$D View this record in MEDLINE/PubMed |
| BookMark | eNptkdtrFDEUh4NU7M1_QQb65MNsc51J9KmW3rDYBfU5nGSSbmQuS5IFt399M6wrLkgI5-Twfechv1N0NE6jQ-iC4AURCl8STlgtCWUUlyvpAitCSk9vvr1BJ6RpZc1FQ45KvyeP0WlKvzCmLeP0HTpmTSMIU-wExeVqm4KF_tJvRpvDNEJfRbcCE_qQYR5UYay-RHgJ_acqredRdsN6igWEQhc9VZOv8sqV4l2c-fmx3Jg-2OreQZ9XFqKrvm9TUc_RWw99cu__1DP08_bmx_V9_fh093B99VhbJnmumehkh1VjDOfMKu4NWNZJQTg3oqNcgAXWGkuVFMwa3zWyZa3olMQUFHfsDF3s9j5D73QY_ZQj2CEkq68KiRknRBVq8R-qnM4NwZaf96HMD4SPB0Jhsvudn2GTkv66fDhkP-9YG6eUovN6HcMAcasJ1nOYeo5I_xOm3ofpxmJ_2NnrjRlc99fdp8deAdZjnC4 |
| Cites_doi | 10.11606/issn.2238-6149.v29i3p195-203 10.1590/1413-81232018231.08702015 10.1590/0103-11042018s109 10.1590/0034-7167.2019-72suppl201 10.1590/1413-81232021269.2.01202020 10.1186/s12963-020-00208-1 |
| ContentType | Journal Article |
| Copyright | COPYRIGHT 2023 Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO |
| Copyright_xml | – notice: COPYRIGHT 2023 Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO |
| DBID | CGR CUY CVF ECM EIF NPM AAYXX CITATION KPI INF |
| DOI | 10.1590/1413-81232023282.09112022EN |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef Gale In Context: Global Issues ¡Informe! |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef |
| DatabaseTitleList | CrossRef MEDLINE |
| Database_xml | – sequence: 1 dbid: ECM name: MEDLINE url: https://search.ebscohost.com/login.aspx?direct=true&db=cmedm&site=ehost-live sourceTypes: Index Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Public Health Physical Therapy |
| DocumentTitleAlternate | Reabilitação física/funcional no Brasil: análise espaço-temporal da oferta no Sistema Único de Saúde |
| EISSN | 1678-4561 |
| EndPage | 383 |
| ExternalDocumentID | A737034119 10_1590_1413_81232023282_09112022en 36651393 |
| Genre | Journal Article |
| GeographicLocations | Brazil Brasil |
| GeographicLocations_xml | – name: Brazil – name: Brasil |
| GroupedDBID | 2WC 3V. 53G 5GY 5VS 7RV 7X7 88E 8C1 8FE 8FG 8FI 8FJ 8G5 ABDHV ABJCF ABUWG ABXHO ACHQT ACIWK ADBBV AFKRA AHMBA ALIPV ALMA_UNASSIGNED_HOLDINGS APOWU AZQEC BAWUL BCNDV BENPR BGLVJ BKEYQ BPHCQ BVXVI C1A CCPQU CGR CUY CVF C~G DIK DU5 DWQXO E3Z EBD EBS ECGQY ECM EIF EJD EMOBN F5P FYUFA GNUQQ GROUPED_DOAJ GUQSH HCIFZ HMCUK IAO INF INH INR IPNFZ ITC J34 KPI KQ8 L6V M1P M2O M7S M~E NAPCQ NPM OK1 PIMPY PQQKQ PROAC PSQYO PTHSS PV9 RDY RIG RNS RSC RSL RZL SCD SV3 UKHRP XSB AAYXX CITATION |
| ID | FETCH-LOGICAL-c384t-35d8d096bb443c94fbac3d85144b5d245aca37bc29853cbfd687375d9802a94e3 |
| ISSN | 1413-8123 |
| IngestDate | Tue Nov 19 21:06:27 EST 2024 Tue Nov 12 22:34:21 EST 2024 Sat Sep 28 21:36:13 EDT 2024 Fri Nov 22 00:40:24 EST 2024 Sat Sep 28 08:17:54 EDT 2024 |
| IsDoiOpenAccess | false |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 2 |
| Language | English Portuguese |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-c384t-35d8d096bb443c94fbac3d85144b5d245aca37bc29853cbfd687375d9802a94e3 |
| ORCID | 0000-0001-9197-2136 0000-0001-9588-6817 0000-0002-1562-1761 0000-0002-4482-3151 0000-0001-6478-843X 0000-0001-8600-0017 0000-0001-5113-7144 |
| OpenAccessLink | https://www.scielo.br/j/csc/a/T6nsdVnNxXYnR8zSJ7cw3vL/?lang=en&format=pdf |
| PMID | 36651393 |
| PageCount | 11 |
| ParticipantIDs | gale_infotracmisc_A737034119 gale_infotracacademiconefile_A737034119 gale_incontextgauss_KPI_A737034119 crossref_primary_10_1590_1413_81232023282_09112022en pubmed_primary_36651393 |
| PublicationCentury | 2000 |
| PublicationDate | 2023-02-01 |
| PublicationDateYYYYMMDD | 2023-02-01 |
| PublicationDate_xml | – month: 02 year: 2023 text: 2023-02-01 day: 01 |
| PublicationDecade | 2020 |
| PublicationPlace | Brazil |
| PublicationPlace_xml | – name: Brazil |
| PublicationTitle | Ciência & saude coletiva |
| PublicationTitleAlternate | Cien Saude Colet |
| PublicationYear | 2023 |
| Publisher | Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO |
| Publisher_xml | – name: Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO |
| References | Cabrera MFB (ref25) 2018; 42 Balasco AGS (ref5) 2019; 72 Albuquerque MV (ref26) 2017; 22 Bispo Júnior JP (ref24) 2009; 16 Loyola EAC (ref1) 2017; 26 ref2 (ref15) 2020 Caetano LA (ref7) 2018; 29 Silva RPM (ref14) 2021; 33 (ref10) 2011 Pereira JS (ref11) 2015; 26 Brocardo D (ref21) 2018; 42 Rodes CH (ref8) 2017; 24 (ref13) 2017 Carvalho MN (ref17) 2018; 23 Szwarcwald CL (ref29) 2020; 18 Matsumura ESS (ref19) 2018; 25 Oliveira RAD (ref27) 2019; 35 Silva RAS (ref28) 2020; 28 (ref3) 2021 (ref20) 2017 Costa DRT (ref16) 2021; 26 Goulart BNG (ref4) 2020; 32 Garnelo L (ref18) 2018; 42 Lemos CAG (ref6) 2013; 16 Caetano LA (ref12) 2018; 29 Tavares LRC (ref22) 2016; 15 Marques AP (ref23) 1994; 1 Melo EA (ref9) 2018; 42 |
| References_xml | – year: 2011 ident: ref10 – volume: 33 issue: 2 year: 2021 ident: ref14 article-title: Evolução da oferta de fonoaudiólogos no SUS um estudo sobre a correlação com os indicadores sociais no Brasil na última década publication-title: CoDAS contributor: fullname: Silva RPM – volume: 16 start-page: 655 issue: 3 year: 2009 ident: ref24 article-title: Fhysical therapy education in Brazil reflections on the expansion of teaching and training models publication-title: Hist Cienc Saude Manguinhos contributor: fullname: Bispo Júnior JP – volume: 29 start-page: 195 issue: 3 year: 2018 ident: ref12 article-title: A expansão dos serviços de reabilitação no SUS à luz do arcabouço normativo federal publication-title: Rev Ter Ocup Univ São Paulo doi: 10.11606/issn.2238-6149.v29i3p195-203 contributor: fullname: Caetano LA – volume: 28 start-page: 784 issue: 3 year: 2020 ident: ref28 article-title: The interface of occupational therapists practices with regards primary health care attributes publication-title: Car Bras Ter Ocupacional contributor: fullname: Silva RAS – year: 2021 ident: ref3 – volume: 16 start-page: 482 issue: 2 year: 2013 ident: ref6 article-title: Profile of victims and treatment of injuries by external causes according to attendance by the Municipal Rehabilitation Center of Uberlandia, MG - External causes and physiotherapy publication-title: Rev Bras Epidemiol contributor: fullname: Lemos CAG – volume: 26 start-page: 373 issue: 3 year: 2015 ident: ref11 article-title: Deployment specialized center in rehabilitation advantages and disadvantages mentioned by local health managers publication-title: Rev Ter Ocupacional Univ São Paulo contributor: fullname: Pereira JS – volume: 23 start-page: 295 issue: 1 year: 2018 ident: ref17 article-title: Necessidade e dinâmica da força de trabalho na Atenção Básica de Saúde no Brasil publication-title: Cien Saude Colet doi: 10.1590/1413-81232018231.08702015 contributor: fullname: Carvalho MN – volume: 42 start-page: 130 issue: Esp. 1 year: 2018 ident: ref21 article-title: Núcleo de Apoio à Saúde da Família (Nasf): panorama nacional a partir de dados do PMAQ publication-title: Saude Debate doi: 10.1590/0103-11042018s109 contributor: fullname: Brocardo D – volume: 35 start-page: 00120718 issue: 11 year: 2019 ident: ref27 article-title: Barriers in Access to services in five Health Regions of Brazil perceptions of policymackers and professionals in the Brazilian Unified National Health System publication-title: Cad Saude Publica contributor: fullname: Oliveira RAD – volume: 25 start-page: 309 issue: 3 year: 2018 ident: ref19 article-title: Geographical distribution of physiotherapists in Brazil publication-title: Fisioter Pesqui contributor: fullname: Matsumura ESS – volume: 22 start-page: 1055 issue: 4 year: 2017 ident: ref26 article-title: Regional health inequalities changes observed in Brazil from 2000-2016 publication-title: Cien Saude Colet contributor: fullname: Albuquerque MV – volume: 42 start-page: 2660 issue: 1 year: 2018 ident: ref25 article-title: Speech language and hearing sciences and health promotion integrative review publication-title: Rev Baiana Saude Publica contributor: fullname: Cabrera MFB – ident: ref2 – year: 2017 ident: ref13 – volume: 42 start-page: 81 issue: 1 year: 2018 ident: ref18 article-title: Access and coverage of Primary Health Care for rural and urban populations in the northern region of Brazil publication-title: Saude Debate contributor: fullname: Garnelo L – volume: 24 start-page: 74 issue: 1 year: 2017 ident: ref8 article-title: The access and rehabilitation working process in Primary Health Care publication-title: Fisioter Pesq contributor: fullname: Rodes CH – volume: 26 start-page: 3250015 issue: 1 year: 2017 ident: ref1 article-title: Rehabilitation group benefits and barriers in the perspective of women with Breast Cancer publication-title: Texto Contexto Enferm contributor: fullname: Loyola EAC – volume: 15 start-page: 53 issue: 1 year: 2016 ident: ref22 article-title: Distribuição territorial de fisioterapeutas no Brasil análise do Cadastro Nacional de Estabelecimentos de Saúde CNES/2010 publication-title: ConSaude contributor: fullname: Tavares LRC – year: 2020 ident: ref15 – volume: 1 start-page: 5 issue: 1 year: 1994 ident: ref23 article-title: Origem e evolução da fisioterapia aspectos históricos e legais publication-title: Rev Fisioter Univ São Paulo contributor: fullname: Marques AP – volume: 72 start-page: 1 issue: Supl. 2 year: 2019 ident: ref5 article-title: Reality and challenges of ageing publication-title: Rev Bras Enferm doi: 10.1590/0034-7167.2019-72suppl201 contributor: fullname: Balasco AGS – volume: 26 start-page: 3791 issue: Supl. 2 year: 2021 ident: ref16 article-title: Modelo teórico-metodológico baseado na Teoria de Redes Complexas para análise da oferta potencial dos serviços de saúde publication-title: Cien Saude Colet doi: 10.1590/1413-81232021269.2.01202020 contributor: fullname: Costa DRT – year: 2017 ident: ref20 – volume: 18 start-page: 4 issue: Suppl. 1 year: 2020 ident: ref29 article-title: Inequalities in infant mortality in Brazil at subnational levels in Brazil, 1990 to 2015 publication-title: Popul Health Metr doi: 10.1186/s12963-020-00208-1 contributor: fullname: Szwarcwald CL – volume: 29 start-page: 195 issue: 3 year: 2018 ident: ref7 article-title: The expansion of rehabilitation services in the light of the federal normative framework publication-title: Rev Ter Ocupacional Univ São Paulo contributor: fullname: Caetano LA – volume: 42 start-page: 38 issue: 1 year: 2018 ident: ref9 article-title: Changes in the National Policy of Primary Health Care between setbacks and challenges publication-title: Saude Debate contributor: fullname: Melo EA – volume: 32 issue: 2 year: 2020 ident: ref4 article-title: Rehabilitation a rising demand that calls for action publication-title: CoDAS contributor: fullname: Goulart BNG |
| SSID | ssj0027342 |
| Score | 2.337125 |
| Snippet | The complex epidemiological profile of Brazil, the aging population and the proportion of individuals with disabilities have led to a substantial increase in... Abstract The complex epidemiological profile of Brazil, the aging population and the proportion of individuals with disabilities have led to a substantial... |
| SourceID | gale crossref pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 373 |
| SubjectTerms | Aged Brazil Delivery of Health Care Disabled Persons - rehabilitation Discrimination in medical care Epidemiology Health care disparities Humans Occupational therapy Physical therapy Physical Therapy Modalities Spatio-Temporal Analysis Speech therapy Therapeutics, Physiological |
| Title | Physical/functional rehabilitation in Brazil: spatiotemporal analysis of the offer in the Public Healthcare System |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/36651393 |
| Volume | 28 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3db9MwELe2ISEkhPgchYEsQOKhCmtiJ01469ruQ2Mw0SHxFjl2giKNpkqaSfSv5852mkRIaDzwEqWOZTt3v_g-encm5B3joeSZGjmeiFIHC3g5Cc9CJ8gCV0UgcQOG-c6ni_Hn7-Fszuc7u81RjG3bf-U0tAGvMXP2H7i9HRQa4B54DlfgOlxvxfdLS3gcAWSWdfWVvYLc6OQ4KsUmv0aHQKWDqm2NKqwc0JYpQa20wBNUmnBI4-WzyUs6asyUPO_quNNc__s-wUIeGlmVqBUGxWOd75utGDgpbC7Eot78wpyhfPvoAhYCC5jpgNPhRV6iu0N78EUCpr05J8n6hmG3hufDRX59A9eirnTHY4G11IU5_NxEHBWrtDLQTAtox9QuYbOVYJ2f6nwjui4QjzVR0w1oDZClKJB2FeymOC8MdFlUzkkpVK2fpT-HC_2-U_u-Q2c4Ofo6WUy_dAQACHUHlB7WlRBe2PkSvM52z8wxLH-IIT8a6UIGdixcM5i2H0A3c-Hem7d1etuYyMmYwe7LXaxhe8eDbRNPgpidnbfuA6aPgtqOepe8tXMd_mWmnr5ltY6eAaUVqauH5IG1gOjEQPcR2VmtH5P7BljUAOsJKRsYH7Ygpn0Q03xJDYg_0j6EaQNhWmQUUEs1hLE__ujNhBCmBsJPybfj-dX01LHHgziShXztMF-FCizwJOGcyYhniZBMgQXBeeIrj_vAdTZOpBeBSiqTTAUhkNhXUTiCjYmn7BnZWxbL9DmhKpQJkNBLR5HkSaASKcY-SCdXujCJGwwIb4gYr0wVmBitZ6B9jLSPO7SPG9qnywF5gwSPsc7KEgO5foi6quLzy7O45faAvLedsmJdwpptXgysDEuz9Xoe9HqCIJC9x_uGr9slsiDwwcJjL249xUtyr_3ADsjeuqzTV2S3UvVrDcbfdc3U_A |
| link.rule.ids | 315,782,786,27934,27935 |
| linkProvider | Flying Publisher |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Physical%2Ffunctional+rehabilitation+in+Brazil%3A+spatiotemporal+analysis+of+the+offer+in+the+Public+Healthcare+System&rft.jtitle=Ci%C3%AAncia+%26+saude+coletiva&rft.au=Gomes%2C+Suzy+Maria&rft.au=Morais+Duarte+Miranda%2C+Gabriella&rft.au=Oliveira+Silva+Sousa%2C+Fabiana+de&rft.au=Lopes+Timoteo+de+Lima%2C+Maria+Luiza&rft.date=2023-02-01&rft.pub=Associacao+Brasileira+de+Pos-Graduacao+em+Saude+Coletiva+-+ABRASCO&rft.issn=1413-8123&rft.volume=28&rft.issue=2&rft.spage=373&rft_id=info:doi/10.1590%2F1413-81232023282.09112022EN&rft.externalDocID=A737034119 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1413-8123&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1413-8123&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1413-8123&client=summon |