Navegando por Autor "Alves, Emanuel Augusto"
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Artigo A qualitative study analyzing access to physical rehabilitation for traffic accident victims with severe disability in Brazil(Taylor and Francis, 2016) Piuvezam, Grasiela; Sousa, Kelienny de Meneses; Oliveira, Wagner Ivan Fonseca de; Melo, Laiza Oliveira Mendes de; Alves, Emanuel Augusto; Gama, Zenewton Andre da Silva; https://orcid.org/0000-0002-2343-7251PurposeTo identify access barriers to physical rehabilitation for traffic accident (TA) victims with severedisability and build a theoretical model to provide guidance towards the improvement of these services.MethodsQualitative research carried out in the city of Natal (Northeast Brazil), with semi-structured inter-views with 120 subjects (19 key informer health professionals and 101 TA victims) identified in a databasemade available by the emergency hospital. The interviews were analyzed using Alceste software, version4.9.ResultsThe main barriers present in the interviews were: (1) related to services: bureaucratic adminis-trative practises, low offer of rehabilitation services, insufficient information on rehabilitation, lack of guide-lines that integrate hospital and ambulatory care and (2) related to patients: financial difficulties, functionallimitations, geographic distance, little information on health, association with low education levels and dis-belief in the system and in rehabilitation.ConclusionThe numerous access barriers were presented in atheoretical model with causes related to organizational structure, processes of care, professionals andpatients. This model must be tested by health policy-makers and managers to improve the quality of phys-ical rehabilitation and avoid unnecessary prolongation of the suffering and disability experienced by TAsurvivors