[The public health care system and rehabilitation actions in Brazil].
OBJECTIVE
To produce a historical account of rehabilitation actions in the context of the Brazilian Unified Health Care System (SUS).


METHODS
Search of SciELO, LILACS, and MEDLINE databases for literature published between 1980 and 2009. The following Portuguese search terms were used: Sistema Unico de Saúde, reabilitação, políticas de saúde, assistência médica, história. The English terms "rehabilitation" and "public health" were also used. Federal laws and Ministry of Health manuals available at the city of Rio de Janeiro Coordinating Office for Rehabilitation Programs, Fundação Instituto Oswaldo Cruz library, and in BIREME database were also surveyed.


RESULTS
Only a small number of publications were recovered (four books, three Health Ministry manuals, four articles published in Brazil, one master's thesis, and one doctoral dissertation). Nevertheless, analysis of these materials revealed that since many municipalities are still incapable of ensuring the right to universal and comprehensive health care, rehabilitation actions are often carried out in a precarious manner, unsupported by an adequate and comprehensive policy. On the other hand, there have been real improvements in terms of expanding care to the population with special needs.


CONCLUSIONS
There still are factors hindering the achievement of optimal results in the care to people with special needs. The challenge of action planning must be undertaken especially by municipal governments to ensure an adequate supply of services and thus equity of access and comprehensive health care.
Ribeiro
Carla Trevisan Martins
CT
Universidade Federal do Rio de Janeiro (UFRJ), Programa de Pós-Graduação em Clínica Médica. carlatrevisan@ig.com.br
Ribeiro
Marcia Gonçalves
MG
Araújo
Alexandra Prufer
AP
Mello
Lívia Rodrigues
LR
Rubim
Luciana da Cruz
Lda C
Ferreira
Joyce Espírito Santo
JE
D001938:Brazil; D003695:Delivery of Health Care / Q000592:standards*; D006801:Humans; D011634:Public Health; D012046:Rehabilitation / Q000592:standards*