Comunicación aumentativa y alternativa en el SUS: revisión exploratoria y propuesta de indicadores en tecnología de asistencia
DOI:
https://doi.org/10.12957/reuerj.2026.95324Palabras clave:
Salud Pública, Indicadores de Calidad de la Atención de Salud, Parálisis Cerebral, Comunicación, Dispositivos de AutoayudaResumen
Objetivo: mapear la evidencia sobre el uso de la comunicación aumentativa y alternativa (CAA) en niños con parálisis cerebral (PC), analizando la efectividad de las intervenciones y las barreras para su implementación, así como proponer indicadores de calidad para el monitoreo de servicios de salud pública. Método: revisión de alcance realizada de acuerdo con el JBI y la extensión PRISMA, con búsquedas realizadas en octubre de 2025 en seis bases de datos. De los 714 registros identificados, se incluyeron 22 estudios. Resultados: la evidencia indica que la CAA es eficaz para ampliar las habilidades expresivas y promover la participación en niños con PC. Se propusieron 20 indicadores de calidad organizados en cuatro dimensiones: participación, acceso, capacitación y tecnología. Consideraciones finales: la CAA constituye un componente estratégico en las políticas públicas de salud. Los indicadores propuestos pueden apoyar a los gestores en el monitoreo de la equidad, la calidad y la toma de decisiones basada en evidencia.
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Derechos de autor 2026 Anny Caroline Ribeiro Devechi, Patricia Gisele Sanches, Ana Luisa Serrano Lima, Graciele Cadahaiane de Oliveira, Ghisleine Cristiane de Castro Antunes, Marcelle Paiano
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