Workforce of Physical Education Professionals in Primary Health Care
DOI:
https://doi.org/10.12820/rbafs.27e0240Keywords:
Physical activity, Unified Health System, Epidemiology, Physical education, WorkforceAbstract
The aim of this study was to analyze the temporal distribution of Physical Education Professionals in Primary Health Care in the Unified Health System in Brazilian States. This study has an ecological feature of a time series, in which secondary data from the National Registry of Health Facilities from 2008 to 2020 were used to identify the workforce of this professional area. Maps and graphs were built for the spatial analysis of the workforce, number of Physical Education Professionals per 10,000 inhabitants, by Brazilian states and regions. Regression analyzes were performed using the Joinpoint Regression Program version 4.7.0.0, considering a 95% confidence interval. In 2008 in Brazil there were 321 Physical Education Professionals in primary care and 139 in 2020, representing a decrease of 56% for the number of professionals linked to Primary Health Care. There was a growth in the density of this professional in most States at first and then a decrease. The State of Espírito Santo stands out, with the highest density of professionals in 2008 and Pernambuco wich in 2012 reached the highest peak among the States. The temporal trend varied between Brazilian states, Goiás was the only one that showed an increase in the period from 2008 to 2020, while in the Southeast region all states showed a decrease. Encouraging the practice of supervised and guided physical activity is important to help increase the workforce of Physical Education Professionals in Primary Health Care, as well as to increase the population’s level of physical activity, contributing to acquire health benefits from regular practice of physical activity.
Downloads
References
Guthold R, Stevens GA, Riley LM, et al. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1·9 million participants. The Lancet Global Health. 2018;6:e1077–e1086.
World Health Organization. WHO guidelines on physical activity and sedentary behaviour: at a glance. Geneva, 2020.
Ding D, Lawson KD, Kolbe-Alexander TL, et al. The economic burden of physical inactivity: a global analysis of major non-communicable diseases. Lancet. 2016;388: 1311–24.
Ministério da Saúde. Plano de ações estratégicas para o enfrentamento das doenças crônicas e agravos não transmissíveis no Brasil. Brasília, DF, 2020.
Carvalho MN de, Gil CRR, Costa EMOD, et al. Needs and dynamics of the Primary Healthcare workforce in Brazil. Ciênc saúde colet. 2018;23: 295–302.
L9696, http://www.planalto.gov.br/ccivil_03/leis/l9696.htm (accessed 27 April 2021).
Lima WP. Educação Física e Saúde: perspectivas de atuação profissional. Rev Bras Fisiol Exerc. 2019;18: 64–9.
Lopes MA, Almeida ÁS, Almada-Lobo B. Handling healthcare workforce planning with care: where do we stand? Hum. Resour. Health 2015;13:38.
Asamani JA, Ismaila H, Plange A, et al. The cost of health workforce gaps and inequitable distribution in the Ghana Health Service: an analysis towards evidence-based health workforce planning and management. Hum. Resour. Health. 2021;19:43.
Silva PSC. Physical Education Professionals in the Unified Health System: an analysis of the brazilian registry of health institutions between 2013 and 2017. Rev Bras Ativ Fís Saúde. 2019;23:1–8.
da Silva DB, dos Santos Sixel TR, de Almeida Medeiros A, et al. The workforce for rehabilitation in primary health care in Brazil. Hum. Resour. Health 2021; 19: 127.
Saldanha R de F, Bastos RR, Barcellos C. Microdatasus: pacote para download e pré-processamento de microdados do Departamento de Informática do SUS (DATASUS). Cad Saúde Pública; 35. Epub ahead of print 16 September 2019.
Brasil M da S. Tipo de estabelecimento. DATASUS, http://tabnet.datasus.gov.br/cgi/cnes/tipo_estabelecimento.htm (2020, accessed 10 November 2020).
World Health Organization. A Universal Truth: no health without a workforce. Geneva: Global Health Workforce Alliance and Word Health Organization, 2013.
UFMG (ed). Construção do Índice de escassez de profissionais de saúde, http://epsm.nescon.medicina.ufmg.br/epsm/Relate_Pesquisa/Index_relatorio.pdf (2010).
World Health Organization. National Health Workforce Accounts: A Handbook. Disponível em: url: https://apps.who.int/iris/bitstream/handle/10665/259360/9789241513111-eng.pdf (citado 2017).
Kim HJ, Fay MP, Feuer EJ, et al. Permutation tests for joinpoint regression with applications to cancer rates. Stat Med. 2000;19:335–51.
Kim H-J, Fay MP, Yu B, et al. Comparability of segmented line regression models. Biometrics. 2004;60:1005–1014.
Brasil M da S. Portaria No 1.402, http://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt1402_15_06_2011.html (2011, accessed 10 November 2020).
Brasil M da S. Portaria No 2.436, https://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/prt2436_22_09_2017.html (2017, accessed 10 November 2020).
Diário Oficial da União. Portaria No 2.979. 2019; 3.
Cometto G, Buchan J, Dussault G. Developing the health workforce for universal health coverage. Bull World Health Organ. 2020; 98:109–116.
Carvalho M de, Santos NR dos, Campos GW de S. A construção do SUS e o planejamento da força de trabalho em saúde no Brasil: breve trajetória histórica. Saúde debate. 2013;37:372–87.
Karan A, Negandhi H, Hussain S, et al. Size, composition and distribution of health workforce in India: why, and where to invest? Hum. Resour. Health. 2021;19:39.
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Análise em Saúde e Vigilância de Doenças Não Transmissíveis. Vigitel Brasil 2020: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2020 / Ministério da Saúde, Secretaria de Vigilância em Saúde, Departamento de Análise em Saúde e Vigilância de Doenças Não Transmissíveis. – Brasília: Ministério da Saúde, 2021. 124 p. : il.
Ministério da Saúde. Plano Nacional de Saúde 2020-2023. 2020. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/plano_nacional_saude_2020_2023.pdf.
Bueno DR, Marucci M de FN, Codogno JS, et al. Os custos da inatividade física no mundo: estudo de revisão. Ciênc saúde colet. 2016;21:1001–10.
Organization WH. Global Action Plan on Physical Activity 2018-2030: More Active People for a Healthier World. World Health Organization, 2019.
Silva DB da, Papini CB, Nakamura PM, et al. Efetividade de duas intervenções com diferentes volumes de exercícios físicos na qualidade de vida em mulheres usuárias da Atenção Básica de Saúde. Rev. Bras. Ativ. Fis. Saúde. 2018;23:1–9.
Teixeira MB, Casanova A, Oliveira CCM, et al. Evaluation of health promotion practices: a look from the participating teams of the National Program for Access and Quality Improvement in Primary Care. Saúde debate. 2014;38:52–68.
Ministério da Saúde. Guia de Atividade Física para a População Brasileira. 2021.
Rocha TAH, Silva NC da, Barbosa ACQ, et al. Cadastro Nacional de Estabelecimentos de Saúde: evidências sobre a confiabilidade dos dados. Ciênc saúde colet. 2018;23:229–40.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Brazilian Journal of Physical Activity & Health
This work is licensed under a Creative Commons Attribution 4.0 International License.
When submitting a manuscript to the Revista Brasileira de Atividade Física & Saúde, the authors retain the copyright to the article and authorize the Revista Brasileira de Atividade Física & Saúde to publish the manuscript under the Creative Commons Attribution 4.0 License and identify it as the original publication source.
