Services on Demand
Ciência & Saúde Coletiva
On-line version ISSN 1678-4561Print version ISSN 1413-8123
BAZZO, Leda Maria Fonseca and NORONHA, Ceci Vilar. The users' view on the delivery of speech therapy in the Brazilian Unified Health System in Salvador (Bahia, Brazil). Ciênc. saúde coletiva [online]. 2009, vol.14, suppl.1, pp.1553-1564. ISSN 1678-4561. http://dx.doi.org/10.1590/S1413-81232009000800029.
This article intends to analyze the supply of speech therapy services by the Brazilian Unified Health System in the city of Salvador. We have made thirty interviews with users at eight healthcare facilities, in differentiated shifts and we verified that the offer of speech therapy, in this city, is directed to medium and high complexity patients. There is a random and unequal distribution of services at sanitary districts. We have also noticed the multiple difficulties faced by users in accessing this treatment, which can be explained by the specialization of the offer, the network fragmentation and the deficit in speech therapy procedures, estimated in 131,315 per year. Therefore, regarding the concept of fair or bearable inequalities, and in order to reverse the inequities in the access to speech therapy, we suggest an urgent planning for this treatment in the three levels of attention.
Keywords : Speech therapy attention; Supply; Access; User's satisfaction; Brazilian Unified Health System.