
espanolLa fonoaudiologia chilena, en el contexto de la salud, concentra su practica en el segundo y tercer nivel (hospitalario), existiendo una fuer te tradicion biomedica en el area. Las orientaciones disciplinares y el contexto de la salud publica nacional invitan a fortalecer la atencion primaria de la salud, desde un punto de vista preventivo y promotor. Objetivo: Describir las acciones del fonoaudiologo en Atencion Primaria de Salud (APS) en la Quinta Region de Valparaiso y revisar su pertinencia respecto al modelo propuesto por el Ministerio de Salud. Metodos: Estudio cualitativo con enfoque fenomenologico. Se aplico una entrevista semiestructurada a fonoaudiolgos(as) que se desempena ban en APS y la informacion recopilada fue sometida a analisis de contenido. Resultados: El contexto laboral de los fonoaudiologos se circunscribe a convenios con programas que dan cobertura a un segmento especifico de la poblacion (infantil). Los fonoaudiologos no cuentan con jornadas de trabajo completa en APS. Las acciones fonoaudiologicas se concentran en el diagnostico, la habilitacion y rehabilitacion comunicativa. Conclusiones: La practica fonoaudiolo- gica no responde actualmente al modelo de APS chileno. Es necesario incorporar una vision biopsicosocial y comunitaria a la practica fonoaudiologica, con el fin de dar respuesta a las necesidades de la salud publica nacional. EnglishThe Community Based Rehabilitation (CBR) approach represents a strategy whose purpose is to achieve full social integration and inclusion of people with disabilities. Considering that communica tion and human language represent tools of expression of thought, the American Speech, Language and Hearing Association (ASHA) advocates the development of effective communication promotion, as a human right accessible to all people, considering its inherent dignity. Objective: to analyze speech and language pathologist ‘s CBR practices in the fifth region of Valparaiso. Method: qualitative research, with a phenomenological approach. A semi-structured interview was conducted followed by a content analysis. Results: speech and Language pathologists carry out actions related to the five CBR key components and also the practice of actions in accord to intersector. Conclusions: The professionals adopt the CBR approach incorporating the institutional vision of service in which they are inserted and adopting a profile oriented to transdisciplinary.
language and hearing sciences, salud pública, speech, fonoaudiología, atención primaria, non-governmental organizations, rehabilitation
language and hearing sciences, salud pública, speech, fonoaudiología, atención primaria, non-governmental organizations, rehabilitation
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