Quem cuidará de nós em 2030?

Detalhes bibliográficos
Autor(a) principal: Oliveira, Bernadete de
Data de Publicação: 2014
Tipo de documento: Tese
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
Texto Completo: https://tede2.pucsp.br/handle/handle/3549
Resumo: The present study was prompted by the question Who will look after us in 2030? . It was derived from an anthropological perspective and gradually evolved into sociopolitical questions. Research was developed as a quantitative, qualitative and prospective study carried out at the Regional Health Department 1 (DRS1) in the Greater São Paulo Area (covering all the municipalities in the São Paulo Metropolitan Region) between January 2011 and December 2012. The study relied on the recommendations set forth by the National Elderly Health Care Policy and the Book of Primary Care 19 published by the Brazilian Ministry of Health. Study Objective: To investigate opinions from the São Paulo City Health Department (SMS) representatives and users at the City Health Council (CMS) and from elderly representatives at the Elderly Council (CMI) within the DRS1 about the initiatives undertaken in elderly health care so as to provide a consensual perspective on that question. Methodology and Results: In the first phase of the study, recorded face-to-face interviews and a mixed questionnaire were used with 109 subjects. The following council member categories were identified: users (n=37; 34.0%), managers (n=27; 24.8%), workers (n=12; 11.0%), as well as government (n=18; 16.5%) and civil society (n=15; 13.8%) segments predominantly within the age cohorts of 50 years and older, whereas females (n=57; 52.3%) and married individuals (n=70; 62.2%). The average education level is 13.3 years (±4.5); knowledge on elderly care by the majority of respondents comes from participation in related events. The standard response on the political role of council members was scattered with most subjects indicating a watchdog role. Decision-making to approve policies originating at different power levels was not even mentioned by respondents. In the second phase of the study, the Delphi Method was used and 51 subjects presented a prospective view and reached an opinion by consensus. Responses to the questionnaire were sent by e-mail. Respondents were thus categorized: 13 from the elderly group (72.2%), 14 from the SMS group (70.0%), 22 from the user group (73.3%). Statistical analysis of the findings revealed consensus on the following topics: elderly reception, global assessment, health education, what they like best about healthcare facilities, active aging, promotion of active aging, medium and high complexity health care, pharmaceutical care, elderly accessibility. In all groups, elderly people seek public healthcare services to have their prescription changed and medical treatment . Among the questions disregarded by respondents is the one about elderly services and actions deemed necessary... in which the SMS group unanimously responded that a support hospital for the elderly to recover and return home with independence and autonomy would not be necessary. With regard to skilled professionals trained to deliver elderly healthcare services and actions by 2030 , the SMS group was convinced that all healthcare professionals in public services would have to be trained . All groups agreed that they will need caregiving in old age, while the SMS elderly group wishes that my family and trained healthcare professionals would take care of me in old age... . Final Considerations: In the near future, City Councils are likely to become a powerful social participation tool, an instrument of achievement in the public sphere and of public policies that can satisfactorily meet the demands of the future, especially in old age. Furthermore, both the State and civil society require structural strengthening and organization, so that power can circulate in a decentralized manner and empowerment is established for the exercise of full citizenship of society members within a democratic perspective
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spelling Concone, Maria Helena Villas Bôashttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4778241U8Oliveira, Bernadete de2016-04-26T14:54:41Z2014-05-302014-04-25Oliveira, Bernadete de. Who will look after us in 2030?. 2014. 305 f. Tese (Doutorado em Ciências Sociais) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2014.https://tede2.pucsp.br/handle/handle/3549The present study was prompted by the question Who will look after us in 2030? . It was derived from an anthropological perspective and gradually evolved into sociopolitical questions. Research was developed as a quantitative, qualitative and prospective study carried out at the Regional Health Department 1 (DRS1) in the Greater São Paulo Area (covering all the municipalities in the São Paulo Metropolitan Region) between January 2011 and December 2012. The study relied on the recommendations set forth by the National Elderly Health Care Policy and the Book of Primary Care 19 published by the Brazilian Ministry of Health. Study Objective: To investigate opinions from the São Paulo City Health Department (SMS) representatives and users at the City Health Council (CMS) and from elderly representatives at the Elderly Council (CMI) within the DRS1 about the initiatives undertaken in elderly health care so as to provide a consensual perspective on that question. Methodology and Results: In the first phase of the study, recorded face-to-face interviews and a mixed questionnaire were used with 109 subjects. The following council member categories were identified: users (n=37; 34.0%), managers (n=27; 24.8%), workers (n=12; 11.0%), as well as government (n=18; 16.5%) and civil society (n=15; 13.8%) segments predominantly within the age cohorts of 50 years and older, whereas females (n=57; 52.3%) and married individuals (n=70; 62.2%). The average education level is 13.3 years (±4.5); knowledge on elderly care by the majority of respondents comes from participation in related events. The standard response on the political role of council members was scattered with most subjects indicating a watchdog role. Decision-making to approve policies originating at different power levels was not even mentioned by respondents. In the second phase of the study, the Delphi Method was used and 51 subjects presented a prospective view and reached an opinion by consensus. Responses to the questionnaire were sent by e-mail. Respondents were thus categorized: 13 from the elderly group (72.2%), 14 from the SMS group (70.0%), 22 from the user group (73.3%). Statistical analysis of the findings revealed consensus on the following topics: elderly reception, global assessment, health education, what they like best about healthcare facilities, active aging, promotion of active aging, medium and high complexity health care, pharmaceutical care, elderly accessibility. In all groups, elderly people seek public healthcare services to have their prescription changed and medical treatment . Among the questions disregarded by respondents is the one about elderly services and actions deemed necessary... in which the SMS group unanimously responded that a support hospital for the elderly to recover and return home with independence and autonomy would not be necessary. With regard to skilled professionals trained to deliver elderly healthcare services and actions by 2030 , the SMS group was convinced that all healthcare professionals in public services would have to be trained . All groups agreed that they will need caregiving in old age, while the SMS elderly group wishes that my family and trained healthcare professionals would take care of me in old age... . Final Considerations: In the near future, City Councils are likely to become a powerful social participation tool, an instrument of achievement in the public sphere and of public policies that can satisfactorily meet the demands of the future, especially in old age. Furthermore, both the State and civil society require structural strengthening and organization, so that power can circulate in a decentralized manner and empowerment is established for the exercise of full citizenship of society members within a democratic perspectiveEstudo norteado pela pergunta Quem cuidará de nós em 2030 , partiu de uma perspectiva antropológica e mergulhou, paulatinamente, em questionamentos sociopolíticos. Pesquisa definida como quantitativo, qualitativo e prospectivo, desenvolvido no Departamento Regional de Saúde 1 (DRS1): Grande São Paulo (100% dos municípios da Região Metropolitana de São Paulo), no período de janeiro de 2011 a dezembro de 2012. Ancorado nas recomendações da Política Nacional da Saúde do Idoso e do Caderno de Atenção Básica 19 , do Ministério da Saúde. Objetivo: investigar as opiniões de representantes da Secretaria Municipal de Saúde (SMS) e dos usuários, no Conselho Municipal de Saúde (CMS), e de representantes dos idosos, no Conselho Municipal do Idoso (CMI), no DRS1, a respeito de iniciativas na área de atenção à saúde do idoso, a fim de fornecer perspectivas consensuais àquela pergunta. Aporte Metodológico e Resultados: Na primeira etapa, Entrevista presencial gravada, utilizou-se o Questionário misto, participaram 109 sujeitos e foram identificadas as categorias de conselheiros: segmentos usuário (n=37; 34,0%), gestor (n=27; 24,8%) e trabalhador (n=12; 11,0%), do governo (n=18; 16,5%) e da sociedade civil (n=15; 13,8%); com predominância nas faixas etárias de 50 anos e mais de idade, no sexo feminino (n=57, 52,3%) e no estado civil casado (n=70; 62,2%); 13,3 anos de estudo (±4,5) em média; para a maioria que tem conhecimento na área do idoso, este advém da participação em eventos. O padrão de resposta sobre o papel político foi disperso, a maioria indicou a função de fiscalizador. A tomada de decisões para a aprovação de políticas originadas nos diferentes níveis de Poder não foi sequer mencionado por eles. Na segunda etapa, Método Delphi, 51 sujeitos chegarem a visão prospectiva e ao consenso de opiniões ao responderam formulários, via correio eletrônico; estes opinantes foram desta maneira classificados: 13 do grupo dos idosos (ou 72,2%), 14 do grupo da SMS (ou 70,0%), 22 do grupo dos usuários (ou 73,3%). Na análise estatística dos resultados detectou-se o consenso de opiniões em torno dos temas: acolhimento, avaliação global, educação em saúde, o que gostam nas unidades básicas de saúde, envelhecimento ativo, promoção do envelhecimento ativo, atendimento em média e alta complexidades, assistência farmacêutica, acessibilidade. Para todos os grupos, os idosos buscam serviços de saúde para troca de receita e encaminhamentos . Das respostas preteridas ( voto nulo ), destaca-se aquela a respeito dos serviços e ações considerados necessários... , o grupo da SMS, unanimemente, julgou que não deveria vir a ser instituído um hospital de retaguarda para o idoso se recuperar e voltar para casa com independência e autonomia . A respeito dos profissionais capacitados para desenvolver serviços e ações na atenção à saúde do idoso em 2030 , este mesmo grupo estava convicto acerca de que Todos os profissionais da rede pública precisariam ser capacitados . Todos os grupos admitiram que irão necessitar de cuidados na velhice; o grupo dos idosos e da SMS desejam Que minha família e profissionais capacitados cuidassem de mim... . Considerações finais: Os Conselhos Municipais podem vir a tornar-se, num futuro próximo, um poderoso instrumento de participação social, de consecução da esfera pública e daquelas políticas públicas que atenderiam de maneira satisfatória as demandas do devir, especialmente, da velhice. Neste ínterim, tanto Estado como sociedade civil demandam fortalecimento estrutural e organização, para que o poder circule de forma descentralizada e se estabeleça o empoderamento e o exercício da cidadania plena de seus membros, dentro de uma perspectiva democráticaapplication/pdfhttp://tede2.pucsp.br/tede/retrieve/11982/Bernadete%20de%20Oliveira.pdf.jpgporPontifícia Universidade Católica de São PauloPrograma de Estudos Pós-Graduados em Ciências SociaisPUC-SPBRCiências SociaisPolíticas públicasSaúde do idosoVisão prospectivaPublic policiesElderly healthProspective viewCNPQ::CIENCIAS SOCIAIS APLICADASQuem cuidará de nós em 2030?Who will look after us in 2030?info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_SPinstname:Pontifícia Universidade Católica de São Paulo (PUC-SP)instacron:PUC_SPTEXTBernadete de Oliveira.pdf.txtBernadete de Oliveira.pdf.txtExtracted texttext/plain783067https://repositorio.pucsp.br/xmlui/bitstream/handle/3549/3/Bernadete%20de%20Oliveira.pdf.txtfb36cce200bc31c0381161d686c8027aMD53ORIGINALBernadete de Oliveira.pdfapplication/pdf9001908https://repositorio.pucsp.br/xmlui/bitstream/handle/3549/1/Bernadete%20de%20Oliveira.pdf5fe5469188e85fd48ffd88d87ee8a3a1MD51THUMBNAILBernadete de Oliveira.pdf.jpgBernadete de Oliveira.pdf.jpgGenerated Thumbnailimage/jpeg1943https://repositorio.pucsp.br/xmlui/bitstream/handle/3549/2/Bernadete%20de%20Oliveira.pdf.jpgcc73c4c239a4c332d642ba1e7c7a9fb2MD52handle/35492022-04-28 18:12:52.46oai:repositorio.pucsp.br:handle/3549Biblioteca Digital de Teses e Dissertaçõeshttps://sapientia.pucsp.br/https://sapientia.pucsp.br/oai/requestbngkatende@pucsp.br||rapassi@pucsp.bropendoar:2022-04-28T21:12:52Biblioteca Digital de Teses e Dissertações da PUC_SP - Pontifícia Universidade Católica de São Paulo (PUC-SP)false
dc.title.por.fl_str_mv Quem cuidará de nós em 2030?
dc.title.alternative.eng.fl_str_mv Who will look after us in 2030?
title Quem cuidará de nós em 2030?
spellingShingle Quem cuidará de nós em 2030?
Oliveira, Bernadete de
Políticas públicas
Saúde do idoso
Visão prospectiva
Public policies
Elderly health
Prospective view
CNPQ::CIENCIAS SOCIAIS APLICADAS
title_short Quem cuidará de nós em 2030?
title_full Quem cuidará de nós em 2030?
title_fullStr Quem cuidará de nós em 2030?
title_full_unstemmed Quem cuidará de nós em 2030?
title_sort Quem cuidará de nós em 2030?
author Oliveira, Bernadete de
author_facet Oliveira, Bernadete de
author_role author
dc.contributor.advisor1.fl_str_mv Concone, Maria Helena Villas Bôas
dc.contributor.authorLattes.fl_str_mv http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4778241U8
dc.contributor.author.fl_str_mv Oliveira, Bernadete de
contributor_str_mv Concone, Maria Helena Villas Bôas
dc.subject.por.fl_str_mv Políticas públicas
Saúde do idoso
Visão prospectiva
topic Políticas públicas
Saúde do idoso
Visão prospectiva
Public policies
Elderly health
Prospective view
CNPQ::CIENCIAS SOCIAIS APLICADAS
dc.subject.eng.fl_str_mv Public policies
Elderly health
Prospective view
dc.subject.cnpq.fl_str_mv CNPQ::CIENCIAS SOCIAIS APLICADAS
description The present study was prompted by the question Who will look after us in 2030? . It was derived from an anthropological perspective and gradually evolved into sociopolitical questions. Research was developed as a quantitative, qualitative and prospective study carried out at the Regional Health Department 1 (DRS1) in the Greater São Paulo Area (covering all the municipalities in the São Paulo Metropolitan Region) between January 2011 and December 2012. The study relied on the recommendations set forth by the National Elderly Health Care Policy and the Book of Primary Care 19 published by the Brazilian Ministry of Health. Study Objective: To investigate opinions from the São Paulo City Health Department (SMS) representatives and users at the City Health Council (CMS) and from elderly representatives at the Elderly Council (CMI) within the DRS1 about the initiatives undertaken in elderly health care so as to provide a consensual perspective on that question. Methodology and Results: In the first phase of the study, recorded face-to-face interviews and a mixed questionnaire were used with 109 subjects. The following council member categories were identified: users (n=37; 34.0%), managers (n=27; 24.8%), workers (n=12; 11.0%), as well as government (n=18; 16.5%) and civil society (n=15; 13.8%) segments predominantly within the age cohorts of 50 years and older, whereas females (n=57; 52.3%) and married individuals (n=70; 62.2%). The average education level is 13.3 years (±4.5); knowledge on elderly care by the majority of respondents comes from participation in related events. The standard response on the political role of council members was scattered with most subjects indicating a watchdog role. Decision-making to approve policies originating at different power levels was not even mentioned by respondents. In the second phase of the study, the Delphi Method was used and 51 subjects presented a prospective view and reached an opinion by consensus. Responses to the questionnaire were sent by e-mail. Respondents were thus categorized: 13 from the elderly group (72.2%), 14 from the SMS group (70.0%), 22 from the user group (73.3%). Statistical analysis of the findings revealed consensus on the following topics: elderly reception, global assessment, health education, what they like best about healthcare facilities, active aging, promotion of active aging, medium and high complexity health care, pharmaceutical care, elderly accessibility. In all groups, elderly people seek public healthcare services to have their prescription changed and medical treatment . Among the questions disregarded by respondents is the one about elderly services and actions deemed necessary... in which the SMS group unanimously responded that a support hospital for the elderly to recover and return home with independence and autonomy would not be necessary. With regard to skilled professionals trained to deliver elderly healthcare services and actions by 2030 , the SMS group was convinced that all healthcare professionals in public services would have to be trained . All groups agreed that they will need caregiving in old age, while the SMS elderly group wishes that my family and trained healthcare professionals would take care of me in old age... . Final Considerations: In the near future, City Councils are likely to become a powerful social participation tool, an instrument of achievement in the public sphere and of public policies that can satisfactorily meet the demands of the future, especially in old age. Furthermore, both the State and civil society require structural strengthening and organization, so that power can circulate in a decentralized manner and empowerment is established for the exercise of full citizenship of society members within a democratic perspective
publishDate 2014
dc.date.available.fl_str_mv 2014-05-30
dc.date.issued.fl_str_mv 2014-04-25
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identifier_str_mv Oliveira, Bernadete de. Who will look after us in 2030?. 2014. 305 f. Tese (Doutorado em Ciências Sociais) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2014.
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