Reabilitação em rede na perspectiva do modelo da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF): desafios para um grupo de trabalhadores do SUS/BH

Abstract

The field of rehabilitation in Brazil has been driven by formulating and proposing public policies that aim to build coherent services with the principles and doctrines of the Unified Health System (SUS) and with the potential to change the daily health practices therefore, the aims of this study were to have the perception that rehabilitation professionals of the biopsychosocial model of the ICF / WHO have, after receiving training, as well as the contributions of this model to the organization of the rehabilitation services network in the city of Belo Horizonte, besides pointing the perceived barriers in order that a new way of doing can be established. Qualitative approach was employed and data collection was done through non-participant observation, document analysis and focus group. Research conducted in Belo Horizonte, from March 2012 to November 2013. The content analysis allowed the identification of three categorical axis for analysis: the reality of work in the context of rehabilitation in the municipality, the (mis) understanding of the policies in the area of rehabilitation, the real welfare model embraced by workers and the contributions of training in order that the ICF model to be a milestone in reorganizing rehabilitation. The results point out to a rehabilitation model that overcomes traditional concepts of functionality, but faces challenges in conjunction with the set of health care and the desired results for rehabilitation.It can be observed that the motivation for the work, the knowledge of health policies and the observation on the ways of doing contribute to a better communication between the actors of health care and may lead to the shaping of a real, dynamic and purposefully unfinished rehabilitation network, having the user of SUS as the main beneficiary.