ADVANCES AND CHALLENGES IN HEALTH CARE OF DISABLED PEOPLE IN BRAZILIAN PRIMARY HEALTH CARE SERVICES: AN INTEGRATIVE REVIEW

This is a study of integrative review of the literature which aimed to describe and analyze the factors that facilitate and impede the integral health care of the person with disability in the primary care in Brazil, from 2006 to 2016. It was researched on the data bases called Medical Literature Analysis and Retrieval System Online (MEDLINE), Latin American and Caribbean Literature in Health Sciences (LILACS) and Scientific Electronic Library Online (SCIELO). Thirty studies were selected and submitted to the thematic analysis. The categories which emerged were: The integral health care of the disabled person; Professional qualification to act with the disabled person and Accessibility to services in primary care. The analysis showed that despite some advances achieved in guaranteeing the health of the disabled person, the actions of care and rehabilitation in primary care are still scarce. In addition, the professional practices still lack qualification and training for the intended integral care and the lack of physical and attitudinal accessibility in the basic health units perpetuate a cycle of inequities historically constructed. It is concluded that for the inclusion of people with disabilities to become a reality, it is fundamental to face the ethical, political and conjunctural challenge of guaranteeing the effectiveness of their legally constituted rights, thus articulating a more just and humane society in the creation of new forms of life in the encounter with the other.