Questionário biopsicossocial para triagem de atendimento na fisioterapia aquática para consulta com experts

Abstract

The Brazilian Unified Health System (SUS) aims to establish social conditions that provide quality of life for its users in a universal, comprehensive, and equitable manner. However, it faces difficulties, especially in secondary care, where there are long waiting lists for specialized services. Although instruments based on the International Classification of Functioning, Disability and Health (ICF) exist to qualify referrals from Primary Health Care (PHC), the organization of secondary care still lacks systematization, failing to solve the problem of waiting lists. In the Aquatic Physiotherapy clinic of a Brazilian Federal University, for example, the waiting time for care exceeds one year, a situation that contradicts the principles of the SUS. As an alternative, this study proposes the automation of triage using socioeconomic criteria and the ICF, employing an algorithm structured in four phases: Scope Review, Development of a Questionnaire for Expert Consultation, Creation of decision trees based on weights, and software development. The present study corresponds to the second stage of this process: the development of a questionnaire for consultation with Aquatic Physiotherapy professionals. The instrument was developed based on a scoping review conducted in 2025, in which the main dysfunctions and outcomes treated in water were analyzed and classified according to the ICF domains. Sociodemographic criteria were also included according to the Brazilian Economic Classification Criteria (CCEB). The final questionnaire consists of 10 items, whose sub-items are evaluated from 0 to 10 regarding their relevance for screening in public Aquatic Physiotherapy services.