Evolution of the provision of speech therapists in the Brazilian public healthcare system: study on correlations with social indictors in the last decade

Silva, Raul Philipe Marcos; Nascimento, Cynthia Maria Barboza do; Miranda, Gabriella Morais Duarte; Silva, Vanessa de Lima; Lima, Maria Luiza Lopes Timóteo de; Vilela, Mirella Bezerra Rodrigues

doi:10.1590/2317-1782/20202019243

person Raul Philipe Marcos Silva

schoolDepartamento de Fonoaudiologia, Universidade Federal de Pernambuco – UFPE - Recife (PE), Brasil.

0000-0001-5128-6289

person Cynthia Maria Barboza do Nascimento

schoolDepartamento de Fonoaudiologia, Universidade Federal de Pernambuco – UFPE - Recife (PE), Brasil.

0000-0001-9197-2136

person Gabriella Morais Duarte Miranda

schoolÁrea Acadêmica de Medicina Social e Programa de Pós-graduação em Saúde Coletiva, Universidade Federal de Pernambuco – UFPE - Recife (PE), Brasil.

0000-0001-9588-6817

person Vanessa de Lima Silva

schoolDepartamento de Fonoaudiologia e Programa de Pós-graduação em Gerontologia, Universidade Federal de Pernambuco – UFPE - Recife (PE), Brasil.

0000-0002-1562-1761

person Maria Luiza Lopes Timóteo de Lima

schoolDepartamento de Fonoaudiologia e Programa de Pós-graduação em Saúde da comunicação Humana, Universidade Federal de Pernambuco – UFPE – Recife (PE), Brasil.

0000-0001-8600-0017

person Mirella Bezerra Rodrigues Vilela

schoolDepartamento de Fonoaudiologia, Universidade Federal de Pernambuco – UFPE - Recife (PE), Brasil.

0000-0001-5113-7144

Conflict of interests: nothing to declare.

Correspondence address: Mirella Bezerra Rodrigues Vilela Departamento de Fonoaudiologia, Universidade Federal de Pernambuco – UFPE Av. Prof. Artur de Sá, 329-481 - Cidade Universitária, Recife - PE, 50740-520 E-mail:
mirellarod@hotmail.com

groupsAuthor contributions

RPMS participated in the planning, data collection and analysis and final revision of the manuscript; CMBN, GMDM, VLM, and MLLTL participated in the analysis, writing and final revision of the manuscript; and MBRV served as the adviser and participated in the idealization of the study, data analysis, writing and final revision of the manuscript.

Federative Unit	Provision of speech therapy in 2007	Provision of speech therapy in 2016	Relative evolution
Rondônia	2.96	4.03	36.20
Acre	2.59	4.04	55.78
Amazonas	0.68	2.57	276.96
Roraima	2.78	6.42	130.87
Pará	1.10	3.05	176.91
Amapá	2.38	7.67	221.75
Tocantins	4.34	6.59	51.74
Maranhão	0.93	4.10	339.96
Piauí	1.68	7.69	357.21
Ceará	2.39	4.51	88.22
Rio Grande do Norte	3.82	7.05	84.76
Paraíba	3.32	7.58	128.00
Pernambuco	2.79	5.35	91.40
Alagoas	2.60	6.13	135.78
Sergipe	0.72	4.37	505.29
Bahia	1.26	3.50	178.60
Minas Gerais	4.56	7.34	60.92
Espírito Santo	3.25	5.03	54.76
Rio de Janeiro	4.87	7.44	52.68
São Paulo	5.00	7.49	49.68
Paraná	5.64	7.68	36.11
Santa Catarina	3.34	7.48	123.92
Rio Grande do Sul	2.65	5.80	119.35
Mato Grosso do Sul	4.94	6.86	38.77
Mato Grosso	3.33	5.05	51.81
Goiás	3.68	6.15	67.05
Federal District	1.67	4.57	173.63
Total	3.55	6.18	74.26

Federative Unit	GINI	HDI	HDI-E	HDI-L	HDI-I
Rondônia	0.56	0.690	0.577	0.800	0.712
Acre	0.63	0.663	0.559	0.777	0.671
Amazonas	0.65	0.674	0.561	0.805	0.677
Roraima	0.63	0.707	0.628	0.809	0.695
Pará	0.62	0.646	0.528	0.789	0.646
Amapá	0.60	0.708	0.629	0.813	0.694
Tocantins	0.60	0.699	0.624	0.793	0.690
Maranhão	0.62	0.639	0.562	0.757	0.612
Piauí	0.61	0.646	0.547	0.777	0.635
Ceará	0.61	0.682	0.615	0.793	0.651
Rio Grande do Norte	0.60	0.684	0.597	0.792	0.678
Paraíba	0.61	0.658	0.555	0.783	0.656
Pernambuco	0.62	0.673	0.574	0.789	0.673
Alagoas	0.63	0.631	0.520	0.755	0.641
Sergipe	0.62	0.665	0.560	0.781	0.672
Bahia	0.62	0.660	0.555	0.783	0.663
Minas Gerais	0.56	0.731	0.638	0.838	0.730
Espírito Santo	0.56	0.740	0.653	0.835	0.743
Rio de Janeiro	0.59	0.761	0.675	0.835	0.782
São Paulo	0.56	0.783	0.719	0.845	0.789
Paraná	0.53	0.749	0.668	0.830	0.757
Santa Catarina	0.49	0.774	0.697	0.860	0.773
Rio Grande do Sul	0.54	0.746	0.642	0.840	0.769
Mato Grosso do Sul	0.56	0.729	0.629	0.833	0.740
Mato Grosso	0.55	0.725	0.635	0.821	0.732
Goiás	0.55	0.735	0.646	0.827	0.742
Federal District	0.63	0.824	0.742	0.873	0.863
Total	0.59	0.705	0.612	0.809	0.707

Social indicators	Provision of speech therapy in public health in 2016		Relative evolution 2007-2016
Social indicators	Spearman’s coefficient		Spearman’s coefficient
	Spearman’s coefficient	p-value	Spearman’s coefficient	p-value
HDI	rs = 0.37	p = 0.056	rs = -0.54	p = 0.004
HDI-E	rs = 0.38	p = 0.051	rs = -0.51	p = 0.007
HDI-L	rs = 0.31	p = 0.122	rs = -0.45	p = 0.018
HDI-I	rs = 0.32	p = 0.110	rs = -0.55	p = 0.003
Gini Index	rs = - 0.49	p = 0.01	rs = 0.62	p = 0.0006

\begin{array}{l} A v a i l a b i l i t y o f s p e e c h \\ t h e r a p y i n p u b l i c h e a l t h = \frac{\begin{array}{l} N º o f s p e e c h t h e r a p i s t s i n p u b l i c \\ h e a l t h i n y e a r_{x} i n f e d e r a t i v e u n i t_{x} \end{array}}{\begin{array}{l} T o t a l n u m b e r o f r e s i d e n t s \\ i n y e a r_{x} i n f e d e r a t i v e u n i t_{x} \end{array}} X 10^{5} \end{array}

\begin{array}{l} R e l a t i v e \\ e v o l u t i o n o f p r o v i s i o n = \frac{[(\begin{array}{l} p r o v i s i o n o f s p e e c h t h e r a p y \\ i n p u b l i c h e a l t h i n 2016 \end{array}) - 1]}{\begin{array}{l} A v a i l a b i l i t y o f s p e e c h t h e r a p y \\ i n p u b l i c h e a l t h i n 2007 \end{array}} X 100 \end{array}

[1] Caption: Provision of speech therapy = number of therapists per 100 thousand residents. Relative evolution expressed as percentage

[2] Source: National Registry of Health Establishments of Health Ministry⁽²¹⁾

Evolution of the provision of speech therapists in the Brazilian public healthcare system: study on correlations with social indictors in the last decade

ABSTRACT