Singularidade no cuidado às pessoas com deficiência : implementando a classificação internacional de funcionalidade, incapacidade e saúde em um serviço de reabilitação física do Sistema Único de Saúde.

Abstract

The International Classification of Functioning, Disability and Health (ICF) proposes an approach to health based on the biopsychosocial model, from the perspective of human functionality. Its use has several advantages, highlighting the standardization of terminology, facilitation of communication between health professionals, qualification of the interdisciplinary work process, contribution to the establishment of goals and results indicators in rehabilitation contexts, among others. This Thesis, entitled SINGULARITY IN THE CARE OF PEOPLE WITH DISABILITIES: implementing the International Classification of Functioning, Disability and Health in a Physical Rehabilitation Service of the Unified Health System, has the general objective of describing the path and analyzing the processes involved in implementing the ICF in a Specialized Reference Service Regional in Physical Rehabilitation. This is an action research study, through a case study, with a qualitative focus, developed at the Specialized Physical Rehabilitation Service of the University of Santa Cruz do Sul (SRFis) from March 2021 to September 2023. The study population included the team working in this service, made up of Physiotherapists, Nurses, Occupational Therapists; teachers and academics from Physiotherapy, Social Work, Nursing and Psychology courses, as well as People with Disabilities (PwDs) who use this service and professionals from the care network. In order to contemplate the steps recommended for the development of action research, the research was divided into 5 axes, namely: Axis 1 - Recognition of PwDs' perceptions about the health care model, through semi-structured interviews. Axis 2: Conducting focus groups with the service team, through guiding questions that aimed to bring the process of implementing the ICF into discussion and reflection. Axis 3: Training workshops with the aim of qualifying the SRFis team on the use of the ICF using permanent health education strategies. Axis 4: Implementation of the ICF in the individual assessment process of SRFis users through proprietary software developed jointly by the service team and researchers. Axis 5: Permanent evaluations of the previously described axes. In order to obtain a better understanding of the data obtained, a joint and articulated analysis of the various collection instruments used in all axes was carried out, guided by Content Analysis. The research gave rise to four manuscripts and one published article.