Physical therapists in primary health care: analysis of the national register of health service providers

Tavares, Larissa Riani Costa; Costa, José Luiz Riani; Oishi, Jorge; Driusso, Patricia

doi:10.1590/1809-2950/15774625012018

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ORIGINAL RESEARCH • Fisioter. Pesqui. 25 (1) • Jan-Mar 2018 • https://doi.org/10.1590/1809-2950/15774625012018 copy

Physical therapists in primary health care: analysis of the national register of health service providers

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

This study aimed to describe the distribution of physical therapists in the Brazilian primary health care (PHC) and the ratio of inhabitants per physical therapist in PHC, according to the National Register of Health Service Providers (CNES - Cadastro Nacional de Estabelecimentos de Saúde). A descriptive cross-sectional study was conducted from CNES and Census/2010 data. In total, 6,917 physical therapists were registered in PHC, and most were located in the Southeast region (49%). Southeast and South were the regions with the best ratios of inhabitants per physical therapist in PHC (about 23,000/1). The North presented a ratio of 32,000 inhabitants/professional. 47% of the Brazilian cities have a physical therapist in PHC. Our analysis by population size indicated a higher percentage of physical therapists in PHC in small (39%) and midsize cities (34%). The best inhabitants/physical therapist ratio occurred in small cities of the Southeast (6,948/1) and the worst, in metropolises of the Midwest (371,672/1). Small cities have physical therapists only in PHC; on the other hand, most cities of larger sizes have physical therapists in all health care levels.

Keywords
Physical Therapy Specialty; Primary Health Care; Public Health

Federative units (FU)	Registers of physical therapists in PHC facilities									Population n	Ratio n of inhabitants per physical therapist in PHC
	Small size		Midsize		Large size		Metropolises		Total (100%)
	n	%	n	%	n	%	n	%	n
North	83	31	122	45	55	20	10	4	270	15,865,678	58,761/1
Acre	7	50	2	14	5	36	-	-	14	732,793	52,342/1
Amapá	6	19	10	32	15	49	-	-	31	668,689	21,570/1
Amazonas	5	8	43	69	8	13	6	10	62	3,480,937	56,144/1
Pará	11	19	34	60	8	14	4	7	57	7,588,078	133,124/1
Rondônia	7	25	18	64	3	11	-	-	28	1,560,501	55,732/1
Roraima	8	47	1	6	8	47	-	-	17	451,227	26,542/1
Tocantins	39	64	14	23	8	13	-	-	61	1,383,453	22,679/1
Northeast	392	24	809	48	264	16	192	12	1,657	53,078,137	32,032/1
Alagoas	36	37	52	53	9	9	1	1	98	3,120,922	31,846/1
Bahia	92	26	178	49	66	18	26	7	362	14,021,432	38,733/1
Ceará	39	11	184	48	69	18	86	23	378	8,448,055	22,349/1
Maranhão	18	11	115	71	13	8	16	10	162	6,569,683	40,553/1
Paraíba	83	33	86	33	52	20	37	14	258	3,766,834	14,600/1
Pernambuco	20	13	100	63	26	16	13	8	159	8,796,032	55,320/1
Piauí	35	43	40	48	8	9	-	-	83	3,119,015	37,578/1
Rio Grande do Norte	64	57	29	26	7	6	13	11	113	3,168,027	28,035/1
Sergipe	5	12	25	57	14	31	-	-	44	2,068,133	47,003/1
Midwest	218	52	141	34	44	10	14	3	417	14,050,340	33,693/1
Federal District	-	-	-	-	-	-	7	100	7	2,562,963	366,137/1
Goiás	89	43	88	42	29	14	3	1	209	6,004,045	28,727/1
Mato Grosso	28	63	13	29	2	4	2	4	45	3,033,991	67,422/1
Mato Grosso do Sul	101	65	40	26	13	8	2	1	156	2,449,341	15,700/1
Southeast	1,311	38	1,008	30	675	20	406	12	3,400	80,353,724	23,633/1
Espírito Santo	86	41	89	42	37	17	-	-	212	3,512,672	16,569/1
Minas Gerais	658	52	376	29	166	13	82	6	1,282	19,595,309	15,284/1
Rio de Janeiro	29	5	204	38	242	45	68	12	543	15,993,583	29,454/1
São Paulo	538	39	339	25	230	17	256	19	1,363	41,262,160	30,273/1
South	638	5	285	24	137	12	113	10	1,173	27,384,815	23,345/1
Paraná	224	46	115	24	57	12	90	18	486	10,439,601	21,480/1
Rio Grande do Sul	220	56	98	25	57	14	19	5	394	10,695,532	27,146/1
Santa Catarina	194	66	72	25	23	8	4	1	293	6,249,682	21,329/1
Brazil	2,642	38	2,365	34	1,175	17	735	11	6,917	190,732,694	27,574/1

Regions	Number of inhabitants per physical therapist in PHC
Regions	Small size	Midsize	Large size	Metropolises
North	29,270	50,680	73,793	319,455
Northeast	30,316	24,859	31,679	66,248
Midwest	12,739	24,596	59,130	371,672
Southeast	6,948	15,668	36,901	75,226
South	10,162	28,375	63,030	36,979
Brazil	12,370	22,681	41,334	75,970

Federative Units (FU)	Cities with physical therapists in PHC
	Small size		Midsize		Large size		Metropolises		Total
	n	Pp%	n	Pp%	n	Pp%	n	Pp%	n	Pp%
North	67	24	58	38	12	63	2	100	139	31
Acre	3	20	1	17	1	100	-	-	5	23
Amapá	5	42	2	100	1	50	-	-	8	50
Amazonas	3	10	15	48	1	100	1	100	20	32
Pará	8	19	26	29	5	50	1	100	40	28
Rondônia	5	14	8	53	2	100	-	-	15	29
Roraima	7	54	1	100	1	100	-	-	9	60
Tocantins	36	28	5	62	1	50	-	-	42	30
Northeast	275	23	305	56	37	80	9	82	626	35
Alagoas	32	52	22	58	1	100	1	100	56	55
Bahia	66	27	77	50	10	71	2	100	155	38
Ceará	22	24	60	71	7	100	1	100	90	49
Maranhão	11	9	41	50	6	86	1	100	59	27
Paraíba	60	31	24	92	3	100	1	100	88	39
Pernambuco	13	16	50	55	6	60	2	100	71	38
Piauí	20	10	13	56	1	100	-	-	34	15
Rio Grande do Norte	46	33	10	42	2	100	1	100	59	35
Sergipe	5	10	8	38	1	100	-	-	14	40
Midwest	130	36	48	54	10	71	4	100	192	41
Federal District	-	-	-	-	-	-	1	100	1	100
Goiás	62	32	26	60	06	75	1	100	95	38
Mato Grosso	23	20	7	28	01	33	1	100	32	22
Mato Grosso do Sul	45	85	15	71	03	100	1	100	64	82
Southeast	733	64	220	57	76	62	11	65	1,040	62
Espírito Santo	29	69	22	81	7	78	-	-	58	74
Minas Gerais	400	59	88	59	20	80	3	75	511	60
Rio de Janeiro	12	44	28	72	16	73	3	75	59	64
São Paulo	292	73	82	48	33	50	5	55	412	64
South	477	51	94	47	26	59	4	100	601	51
Paraná	152	49	35	51	8	50	2	100	197	49
Rio Grande do Sul	176	44	37	45	10	59	1	100	224	45
Santa Catarina	149	64	22	45	8	73	1	100	180	61
Brazil	1,682	43	725	53	161	66	30	79	2,598	47

Health care levels with registered physical therapists	Small Size	Midsize	Large Size	Metropolises	Brazil
Registers only in PHC facilities*	1,084 (40%)	99 (8%)	-	-	1,183 (28%)
Register only in facilities of other health care levels**	863 (33%)	503 (39%)	82 (33%)	6 (16%)	1,454 (34%)
Registers in PHC and other health care levels	734 (27%)	685 (53%)	163 (67%)	32 (84%)	1,614 (38%)
Total of cities with physical therapist	2,681 (100%)	1,287 (100%)	245 (100%)	38 (100%)	4,251 (100%)
Total of cities in Brazil	3,915	1,367	245	38	5,565

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[1] Corresponding address: Universidade Federal de São Carlos, Centro de Ciências Biológicas e da Saúde, Departamento de Fisioterapia, Campus São Carlos - Washington Luiz Highway, km 235, Post-Office Box 676 - São Carlos (SP), Brasil - Zip Code: 13565-905 - Phone: (16) 3351-8341 - E-mail: larissariani@yahoo.com.br