Implementação dos serviços de reabilitação do sus no município de Belo Horizonte: avanços institucionais e desafios assistenciais

Abstract

The term rehabilitation can be read from two perspectives: as actions aimed at the individual and as a service in which rehabilitation actions are developed. The study investigated rehabilitation services. In Brazil, rehabilitation services emerged with two distinct focuses of coverage and linkage: the first focused on the public of disabled or injured workers under the responsibility of the social security institutes, and the second was aimed at people with disabilities under the tutelage of non-governmental institutions, which had no state ties. Upon the foundation of SUS, rehabilitation services began to be included in health policies, following the same principles and guidelines. There is no specific rehabilitation policy, and the services are standardized, in a pulverized way, in several sub-areas of health, especially that of the disabled person. The objective of this study was to study the Implementation of Rehabilitation Services in the city of Belo Horizonte, having as time reference the foundation of SUS. Two articles were produced to study the theme: the first analyzes the national legislations related to the creation, organization, financing and direction of rehabilitation services in the country after the foundation of SUS; the second examines the implementation of rehabilitation services in the municipality of Belo Horizonte after the foundation of SUS, guided by the federal normative framework of the health policy for the disabled, which regulates rehabilitation services in the SUS. After the establishment of the SUS, rehabilitation was carried out by the health policies, the health legislation of the person with disabilities organized rehabilitation services in order to build a network of services, with definition of the allocation of federated entities and budget allocation. The rehabilitation services in Belo Horizonte are organized in a network that seeks to comply with the principles and guidelines of the SUS, and although it is not yet sufficient to meet the demand of the entire population, much progress has already been made in the offering of services. However, in 2017, a new form of financial transfer was defined by the Ministry of Health and rehabilitation services can be directly impacted by this process of financial allocation, as they enter into the dispute over resources with other health actions and procedures. Thus, a greater articulation is needed in defense of the SUS, and specifically, in the rehabilitation area.