Quem cuidará de nós em 2030?

• 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
• topic: Políticas públicas; Saúde do idoso; Visão prospectiva; Public policies; Elderly health; Prospective view; CNPQ::CIENCIAS SOCIAIS APLICADAS

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