Evidence map›Paper›PMID 34419076›Full record

ArticleHuman resources for health2021

The physiotherapy workforce in the Brazilian Unified Health Care System.

Carolina Hart Rodés, João Vitor Lovato Daré, Bruna Carolina de Araujo, Leonardo Graciani, Silvia Maria Amado João, Ana Claudia Camargo Gonçalves Germani, Ana Carolina Basso Schmitt

Open access · goldAbstract read
In one paragraph

Article in Human resources for health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 17 citations in OpenAlex.

  1. 'Sometimes I feel like the only physio in the whole wide world, so alone'.The South African journal of physiotherapy · 2025
    Article
  2. Article
  3. The physiotherapy workforce in Nepal: A national survey.Journal of evaluation in clinical practice · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Carolina Hart RodésDepartamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional da Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
João Vitor Lovato DaréDepartamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional da Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Bruna Carolina de AraujoDepartamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional da Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Leonardo GracianiDepartamento de Geografia da Faculdade de Filosofia, Letras e Ciências Humanas, Universidade de São Paulo, São Paulo, SP, Brazil.
Silvia Maria Amado JoãoDepartamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional da Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Ana Claudia Camargo Gonçalves GermaniDepartamento de Medicina Preventiva da Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Ana Carolina Basso SchmittDepartamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional da Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil. carolinaschmitt@usp.br.ORCID 0000-0003-3685-6735
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaintaining sufficient health care workforce is a global priority to achieve universal health coverage. Therefore this study addresses the availability of physiotherapists in Brazil.

objectiveTo describe secular trends of the physiotherapy workforce-to-population ratio in the Unified Health System, considering public and private sector and care level (primary, secondary, tertiary) in Brazil and its regions.

methodDescriptive exploratory quantitative study based on secondary sources. All data related to the distribution of physiotherapists between August 2007 and September 2016 regarding facilities types, location and public and private sectors was obtained from the Brazilian National Registry of Health Care Facilities. Data related to the population of Brazil was extracted from Brazilian Institute of Geography and Statistics. The physiotherapy workforce-to-population ratio was calculated by the number of physiotherapists per 1000 population (public and private sector and care level) by ANOVA test. The distribution trends are represented on maps. Annual growth rates were estimated with Prais-Winsten linear regression models, with a significance level of 0.05, autocorrelation was checked by the Durbin-Watson test.

resultsThe physiotherapists ratio in Brazil was 0.22/1000 population in 2007 and 0.41 in 2016, showing growth of 86%, with an increasing trend of 0.5% on an annual average. The public sector had the biggest physiotherapy workforce in the country in 2007 and 2016. The primary health care had the smallest physiotherapy workforce-to-population ratio (2007: p > 0.001 and 2016: p = 0.003), even though it had the largest growth trend in annual average (0.9% p > 0.001), followed by public and private tertiary health care sectors (0.8% p > 0.001). The workforce in secondary health care was bigger in the private sector than in the public sector (0.6% p > 0.001 vs. 0.2% p = 0.004). Overall, all regions had greater growth of physiotherapy workforce-to-population ratio in public primary and tertiary health care sectors, and private secondary health care sector, mainly the Southeast, South and Central-West regions.

conclusionAlthough the physiotherapy workforce in Brazil is relatively small, there was a trend towards growth with differences among care levels, and public and private sectors. The physiotherapy workforce-to-population ratio is bigger in the private secondary health care sector, followed by public tertiary, secondary and primary health care sectors. Sub-national regions show similar trends to the national estimates, with minor variations by region.

Indexed as

Delivery of Health CarePublic SectorBrazilHumansPhysical Therapy ModalitiesWorkforceHealth workforce/statistics & numerical dataPhysiotherapistsTime factors

Identifiers

PMID34419076
PMCPMC8379878
OpenAlexW3194893682

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.