Reference and counter-reference between physical rehabilitation services of persons with disabilities: (dis) articulation in the fluminense Central-South Region,Rio de Janeiro,Brazil

Abstract

With the organization of the Health Care Networks,the system of reference and counter-reference,between the different levels of technology,is characterized as an important tool to articulate their points of attention. Objective: To identify how does the reference and counter-between physical rehabilitation service,hospital and primary care as a prerequisite for consolidating Care Network to Persons with Disabilities in the micro-region 1 of Fluminense South-Center,Rio de Janeiro state,Brazil. Method: Exploratory,descriptive research with qualitative-quantitative approach,using the collective subject discourse method. Data collected through individual interviews,using semi-structured,with participation of 27 subjects,conducted in the first half 2014,analyzed the light of Qualiquantisoft® (QQSoft) version 1.3c. Results: Data analysis emerged the Central Idea (CI),by most managers,the references and counterreferences among surveyed services are performed by medical referrals through its own record for this purpose. Another CI was that the manager could not say this flow. Conclusion: We conclude that although established the reference for effective coordination between units and services in the health system,it was identified that it is inefficient,as evidenced absence of counter-reference.