Case study of a hearing rehabilitation service in the City of São Paulo
DOI:
https://doi.org/10.33448/rsd-v10i10.18633Keywords:
Speech Therapy; Audiology; Hearing; Hearing aids; Auditory rehabilitation; Rehabilitation centers; Health service management.Abstract
To present a case study of a hearing rehabilitation service in the city of São Paulo. Reorganization of the patient's auditory rehabilitation process, proposed by the Technical Area of The Person of Disability of the Municipal Health Department, introducing the Shared Multiprofessional Reception, with a view to the one established in the Care Line and the Singular Therapeutic Project. Previously, patients in the region scheduled for diagnosis complied with the following Protocol: 1. ENT physician - Service Entry; 2. Audiological Evaluation; 3. Otorhinolaryngologist - diagnosis and conduct; 4. Audiologist - pre-mold and pre-selection of the device; 5. Audiologist - Test and definition of the Device and 6. Delivery/Dispensing of the Device. This process of entry to the concession of hearing aids took up to 12 months. The reorganization took place in 4 Phases: 1. (April/2015) - scheduling for the realization of Steps 1, 2 and 3 of the Protocol; 2. (October/2015) - inclusion of Stage 4 (1 otorhinolaryngologist and 2 audiologists); 3. (January/2017) - inclusion according to otorhinolaryngologist and only way of entering the service; 4. (April/2017) - inclusion of Social Work. With this operating model, it was observed a reduction in the number of returns, optimization of schedules, improvement of access to the service and reduction of time between the first consultation and the granting of hearing devices from twelve (12) to four (4) months. The patient's process for auditory rehabilitation within the Service was all restructured and described, constituting a model to be replicated. The reorganization was a successful experience.
References
Brasil. Constitução Federal de 1988. , (1988). Brasilia
Brasil. (2010). IBGE: Censo 2010. Retrieved March 31, 2021, from Instituto Brasileiro de Geografia e Estatística website: https://censo2010.ibge.gov.br/
Brasil. Decreto No 7612. , (2011).
Brasil. Portaria No 793, De 24 De Abril De 2012. , Ministério Da Saúde. Gabinete Do Ministro § (2012).
Brasil. Portaria No 835, De 25 De Abril De 2012. , Ministério Da Saúde. Gabinete Do Ministro § (2012).
Brasil, M. Da S. Portaria No 2.073, De 28 De Setembro De 2004. , Diário Da República, 1a Série - No 116 § (2004).
Cartilha Do Censo 2010 - Pessoas Com Deficiência (1a Edição). (2012). Retrieved From Http://Www.Pessoacomdeficiencia.Gov.Br
Cieza, A., Causey, K., Kamenov, K., Hanson, S. W., Chatterji, S., & Vos, T. (2020). Global Estimates Of The Need For Rehabilitation Based On The Global Burden Of Disease Study 2019: A Systematic Analysis For The Global Burden Of Disease Study 2019. The Lancet, 396(10267), 2006–2017. Https://Doi.Org/10.1016/S0140-6736(20)32340-0
Daher, C. V., & Pisaneschi, E. (2010). A Politica Nacional De Atenção À Saúde Auditiva: A Atenção Especializada Às Pessoas Com Deficiência Auditiva No Sus. In S. (Organizadores) Bevilacqua, M. C.; Martinez, M. A. N.; Balen, S. A.; Pupo, A. C.; Reis, A. C. M. B.; Frota (Ed.), Saúde Auditiva No Brasil: Políticas, Serviços E Sistemas (Pp. 15–29). Retrieved From Http://Pesquisa.Bvsalud.Org/Bvsms/Resource/Pt/Mis-36294
Del Nero, A. L., Galdino, C.L.E., Ragusa-Mouradian, C.A., Silva, G.S., & Bueno, V.S, (2018, Abril). Atendimento Multiprofissional Compartilhado: Otimozação Do Tempo Entre Entrada No Serviço E Concessao Do Aparelho Auditivo No Nisa Ii Pirituba. Anais Do 32º Congresso De Secretários Municipais Da Saúde Do Estado De São Paulo, São Paulo, Sp, Brasil, 986-987.
Manzoni, C. R. C. T., & Almeida, S. M. V. T. (2010). Organização Da Rede Se Atenção A Saúde Auditiva. In S. Bevilacqua, M. C.; Martinez, M. A. N.; Balen, S. A.; Pupo, A. C.; Reis, A. C. M. B.; Frota (Ed.), Saúde Auditiva No Brasil: Políticas, Serviços E Sistemas (Pp. 65–96). São José Dos Campos: Pulso Editorial.
Ministerio Da Saúde. (2020). Rede de Cuidados à Pessoa com Deficiência no Âmbito do Sus Instrutivos De Reabilitação Auditiva, Física 1 , Intelectual 2 E Visual (Centro Especializado Em Reabilitação-Cer E Oficinas Ortopédicas). , Nations, U. (2015). World Population Prospects: The 2015 Revision. United Nations Economic And Social Affairs, Xxxiii(2), 1–66. Retrieved From Http://Www.Americanbanker.Com/Issues/179_124/Which-City-Is-The-Next-Big-Fintech-Hub-New-York-Stakes-Its-Claim-1068345-1.Html%5cnhttp://Www.Ncbi.Nlm.Nih.Gov/Pubmed/15003161%5cnhttp://Cid.Oxfordjournals.Org/Lookup/Doi/10.1093/Cid/Cir991%5cnhttp://Www.Scielo
Ministerio Da Saúde. (2017). Portarias De Consolidação. Contratualizacaosus. (N.D.). Retrieved March 31, 2021, From Https://Www.Contratualizacaonosus.Com/Copia-Manuais-Do-Ministerio-Da-Saude
Prefeitura Do Municipio De São Paulo. (1998). Lei No 12.556, De 8 De Janeiro De 1998.
Prefeitura Do Municipio De São Paulo. (2002). Decreto No 42.214.
Prefeitura Do Municipio De São Paulo. (2013). Plano De Ação Da Rede De Cuidados Da Pessoa Com Deficiência.
Prefeitura Do Municipio De São Paulo. (2016). Diretrizes Para A Organização Das Ações De Reabilitação Na Rede De Cuidados À Pessoa Com Deficiência.
Ragusa-Mouradian, Claudia Aparecida;Galdino, Cibelle De Longhi Espassatempo; Ligia, Ricioli, Elena Silva; Silva, Gislaine Dos Santos; Del Nero, Ana Lucia; Coelho, Tatiana Gregório; Bueno, V. S. (2018). Avaliação Multiprofissional Compartilhada: Otimizando O Tempo No Processo De Reabilitação (Anais Do Congresso Sociedade Brasileira De Fonoaudiologia, Ed.). Retrieved From Http://Sbfa.Org.Br/Portal/Anais2018/Trabalhos_Select.Php?Id_Artigo=10673&Tt=Sessão De Pôsteres
Ragusa-Mouradian, C. A. (2018). Avaliação Multiprofissional: Otimizando O Tempo E Os Retornos Desde A Entrada No Serviço Até A Concessão Do Aparelho Auditivo No Nisa Ii Pirituba. In E. E P. Em S. Secretaria Municipal Da Saúde, Coordenação De Gestão De Pessoas, Centro De Desenvolvimento (Ed.), Anais Dos Resumos Dos Trabalhos Apresentados No Congresso Municipal Da Rede De Atenção À Saúde Na Cidade De São Paulo: Desafios Da Organização Do Trabalho E Da Educação Na Saúde (Pp. 277–279). Retrieved From Https://Docs.Bvsalud.Org/Biblioref/2018/09/912500/Anais_Resumos_Trabalhos_Congresso_Municipal_Ras.Pdf
World Health Organization. (2021). Highlighting Priorities For Ear And Hearing Care - World Report On Hearing. Retrieved March 31, 2021, From
World Health Organization Website: Https://Www.Who.Int/Activities/Highlighting-Priorities-For-Ear-And-Hearing-Care
World Health Organization. (2018). Addressing The Rising Prevalence Of Hearing Loss. Retrieved From Https://Apps.Who.Int/Iris/Bitstream/Handle/10665/260336/9789241550260-Eng.Pdf?Sequence=1&Isallowed=Y
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Cláudia Aparecida Ragusa-Mouradian; Teresa Maria Momensohn-Santos
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
