HOME CARE IN PUBLIC HEALTH: MACRO, MESO AND MICRORREGIONAL PERSPECTIVES IN MINAS GERAIS, BRAZIL

• Autor(a) principal: Vieira da Silva, Cristiane
• Data de Publicação: 2023
• Outros Autores: Pereira, Victor Guilherme, Pereira de Jesus, Ely Carlos, de Pinho, Sirlaine, Colares Maia, Luciana, de Melo Costa, Simone
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista Enfermagem Atual In Derme
• Texto Completo: https://revistaenfermagematual.com/index.php/revista/article/view/1665
• topic: Assistência Domiciliar; Atenção à Saúde; Saúde Pública; Perfil de Saúde; Sistema Único de Saúde; Home Nursing; Health Care; Public Health; Health Profile; Unified Health System; Atención Domiciliaria de Salud; Cuidado de la Salud; Salud Pública; Perfil de Salud; Sistema Único de Salud

Objective: To investigate data on home care in public health, from a macro, meso and micro regional perspective in Minas Gerais (MG), Brazil. Method: Study with ecological design. Data were extracted from the Health Information System for Primary Care (SISAB) of the Brazilian Ministry of Health and refer to home care provided from 2016 to 2018. Variables stratified by: gender, type of home care were explored. 1, 2 or 3, scheduled or unscheduled care, post-death visit and outcome. The macro perspective was the state of Minas Gerais, the meso the northern region of the state and the micro-region the municipality of Montes Claros (MG). Results: In Minas Gerais, 665,395 home visits were carried out, most frequently for women (51.72%). It was observed that scheduled appointments had frequencies above 95%. In the evaluated period, there was an increase in home visits after the patient's death. Home care modality 2 was the most prevalent in the investigated regions and, in addition, there is a preponderance for the permanence of patients in home care. In Montes Claros, attendances with urgency/emergency outcome (0.05%), hospitalization (0.09%), administrative/clinical discharge (0.26%) and death (0.45%) were low. Conclusion: Significantly, the appointments were mostly scheduled, suggesting planning of health actions in Minas Gerais. The need to remain in the HC implies low rates for clinical/administrative discharge, which may impact the resolution of the health system.