Internações geriátricas e opiniões dos gestores municipais da região metropolitana de Porto Alegre : considerações sobre os programas de saúde direcionados a idosos

• Autor(a) principal: Kummer, Simone Stochero
• Data de Publicação: 2017
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_RS
• Texto Completo: http://tede2.pucrs.br/tede2/handle/tede/7870
• topic: Saúde Pública; Internações por Condições Sensíveis à Atenção Primária; Atenção à Saúde do Idoso; Gestão em Saúde; Educação em Saúde; CIENCIAS DA SAUDE::MEDICINA

INTRODUCTION: the progressive aging of the population brings with it changes in the needs of the social organization in which we all live, demanding a better understanding of this epidemiological transition and of all the ways to lead a healthy longevity. Changes in age structure and the consequences of population aging make the prevalence of chronic-degenerative diseases more significant, a process that requires a Public System prepared to deal with disease prevention issues and ongoing health promotion. OBJECTIVE: compare the frequency and costs of the hospitalization of the elderly in the municipalities of the 10th Region of Health. METODOLOGIA: The quantitative part is transversal type, with the analysis carried out from the elements collected in the DATASUS database. These part was complemented by a qualitative part, with the opinions of their health system managers, in order to provide elements that help improve health care and management with more quality, data were collection from the year 2014. In the qualitative part with longitudinal type, there were used questionnaires with open questions to the managers, a pre-analysis was carried out, and a spreadsheet was created in Excel, which was changed and/or complemented in the three preliminary meetings of the Pilot Project. Subsequently these data were used as a subsidy for the focus group discussions, which consisted of six health managers (or their representatives), who participated in seven meetings, in which six studies were carried out on the health situation, one for each County. RESULTS: a quantitative value of ICSAP was found among the residents of the 10th Region in the State and other Health Regions of the state, with a total of 52,94 hospitalizations per 1000 resident elderly residents, while the total Of ICSAP among the elderly in the State of Rio Grande do Sul was 64,58. However, in relation to the ICSAP of the diagnostic group L, skin and subcutaneous tissue diseases, Region 10 had 0.56 hospitalizations per 1000 elderly inhabitants, while in the whole state, in this diagnostic group, 0,48. The same occurs in the diagnostic group N, diseases of the genitourinary system: in the 10th Region of Health there were 4,27 ICSAP per 1000 elderly inhabitants, while in the whole state of Rio Grande do Sul were 3,94, with 3,86 hospitalizations for every 1000 elderly people in other health regions. Health Education issues for SUS users and health professionals, focusing on the specific needs of the elderly, were pointed out as a resolution to 72,4% of health problems of the Region 10. The implementation and expansion of home care services, according to a better at Home Program, were indicated in the intention of better accompanying the outpatients of hospital discharges, with a view to considering not only dehospitalization, but effectively reducing hospital readmissions. FINAL CONSIDERATIONS AND PERSPECTIVES: The cross-referencing of demographic, socioeconomic, epidemiological and morbidity and mortality data provides a more solid, critical and supported view for the construction of opinions favorable or unfavorable to health actions and the use of public resources. In addition, the development of the skills of collecting and analyzing these data stands out as something that should also be disseminated among health professionals and management representatives who participate in the decision-making processes, be it meetings of Regional Interagency Commissions (CIRs). The Bipartite Interagency Committee (CIB) or the Municipal or State Health Councils. The list of sensitive conditions to Primary Care should function as an indicator of indirect measures of the functioning and resolving capacity of Primary Health Care. This study may be of great importance and value to the managers involved with basic care, and can act as another indicator of their quality, being included in the contributions for the evaluation of the implementation and implementation of health policies. Considering that all health action requires the availability of resources, it is suggested to think of a National Health Policy for the Elderly that binds costing with the fulfillment of goals, in order to meet its end-goals.