Cuidados intermediários e hospitais comunitários: uma revisão integrativa

Detalhes bibliográficos
Autor(a) principal: Tritany, Érika Fernandes
Data de Publicação: 2019
Tipo de documento: Trabalho de conclusão de curso
Idioma: por
Título da fonte: Repositório Institucional da UFRJ
Texto Completo: http://hdl.handle.net/11422/15033
Resumo: Epidemiological changes resulting from population aging have motivated a series of transformations in global health systems. In this sense, from the 1990s onwards, the England begins to discuss the adoption of a health care model called Intermediate Care, which promoted the development of intermediate care services in several countries. The objective of this work is to gather and analyze the national literature and produced about Intermediate Care, with emphasis on the services of Community Hospitals. Therefore, as a methodology, an integrative review was carried out. of the literature from the creation of 14 search keys that combined, with the operator boolean AND, six descriptors and keywords: “Intermediate Care”, “Community Hospitals”, “Intermediate Care Facilities”, “Long-Term Care”, “Hospitals Chronic Disease” and “Rehabilitation Services”. The descriptors were combined in Portuguese, English, Spanish and Italian by using the Boolean OR operator. The search was carried out in the bases VHL Regional Portal, Pubmed and BDTD. A filter was used in the databases to obtain “available documents”, in line with the Budapest Open agreement Access Initiative; and were not limited to year of publication or language. of documents included for qualitative synthesis, the following information was extracted: author, year of publication, country, language, study design, document format, objective and main results. In addition, a qualitative synthesis of the documents was carried out with a view to contrasting results and authors' arguments to compose the discussion of this work. Results: On the three bases, the use of search keys generated 72,354 documents. With the application of the filter "available documents", this number was reduced to 34,027, for which the reading the titles. After reading the titles, 203 were included for the next step. documents, in which the abstracts were read, including 134, of which 73 were excluded because they are duplicities; resulting in 61 documents included for reading in full. After reading in full, 30 documents were included for qualitative synthesis and composition of this review. 17 documents were from the UK; 6, from Norway; 4, from Spain; 1, from Denmark; 1 Australian and 1 Italian. The predominant language was English (n=27), with 2 in Spanish and 1 in Norwegian. In relation to the design of study, there was a good distribution: 2 case studies; 5 sectional; 4 clinical trials randomized; 5 qualitative studies; 5 cohorts; 2 narrative reviews; 1 clinical trial almost experimental; in addition to 2 research protocols and 4 comments. Most documents was published in full original article format (n=22), but 8 were reports brief. Conclusions: There are still gaps in the literature on intermediate and doubts among governments about how best to provide these services. The results of researches help decision makers in the implementation of public policies of reorganization of health services, however, the knowledge gaps that need to be filled. It is encouraged that more studies are carried out on the subject with a view to provide a better theoretical and technical apparatus for decision-making in health.
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spelling Cuidados intermediários e hospitais comunitários: uma revisão integrativaInstituições para cuidados intermediáriosHospitais comunitáriosCNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICAEpidemiological changes resulting from population aging have motivated a series of transformations in global health systems. In this sense, from the 1990s onwards, the England begins to discuss the adoption of a health care model called Intermediate Care, which promoted the development of intermediate care services in several countries. The objective of this work is to gather and analyze the national literature and produced about Intermediate Care, with emphasis on the services of Community Hospitals. Therefore, as a methodology, an integrative review was carried out. of the literature from the creation of 14 search keys that combined, with the operator boolean AND, six descriptors and keywords: “Intermediate Care”, “Community Hospitals”, “Intermediate Care Facilities”, “Long-Term Care”, “Hospitals Chronic Disease” and “Rehabilitation Services”. The descriptors were combined in Portuguese, English, Spanish and Italian by using the Boolean OR operator. The search was carried out in the bases VHL Regional Portal, Pubmed and BDTD. A filter was used in the databases to obtain “available documents”, in line with the Budapest Open agreement Access Initiative; and were not limited to year of publication or language. of documents included for qualitative synthesis, the following information was extracted: author, year of publication, country, language, study design, document format, objective and main results. In addition, a qualitative synthesis of the documents was carried out with a view to contrasting results and authors' arguments to compose the discussion of this work. Results: On the three bases, the use of search keys generated 72,354 documents. With the application of the filter "available documents", this number was reduced to 34,027, for which the reading the titles. After reading the titles, 203 were included for the next step. documents, in which the abstracts were read, including 134, of which 73 were excluded because they are duplicities; resulting in 61 documents included for reading in full. After reading in full, 30 documents were included for qualitative synthesis and composition of this review. 17 documents were from the UK; 6, from Norway; 4, from Spain; 1, from Denmark; 1 Australian and 1 Italian. The predominant language was English (n=27), with 2 in Spanish and 1 in Norwegian. In relation to the design of study, there was a good distribution: 2 case studies; 5 sectional; 4 clinical trials randomized; 5 qualitative studies; 5 cohorts; 2 narrative reviews; 1 clinical trial almost experimental; in addition to 2 research protocols and 4 comments. Most documents was published in full original article format (n=22), but 8 were reports brief. Conclusions: There are still gaps in the literature on intermediate and doubts among governments about how best to provide these services. The results of researches help decision makers in the implementation of public policies of reorganization of health services, however, the knowledge gaps that need to be filled. It is encouraged that more studies are carried out on the subject with a view to provide a better theoretical and technical apparatus for decision-making in health.Mudanças epidemiológicas resultantes do envelhecimento populacional motivou uma série de transformações nos sistemas de saúde mundiais. Nesse sentido, a partir da década de 1990, a Inglaterra começa a discutir a adoção de um modelo de cuidado em saúde chamado Intermediate Care, o qual promoveu o desenvolvimento de serviços de atenção intermediária em diversos países. O objetivo deste trabalho é congregar e analisar a literatura nacional e internacional produzida acerca dos Cuidados Intermediários, com ênfase nos serviços de Hospitais Comunitários. Para tanto, como metodologia, realizou-se uma revisão integrativa da literatura a partir da criação de 14 chaves de busca que combinou, com o operador booleano AND, seis descritores e palavras-chave: “Intermediate Care”, “Community Hospitals”, “Intermediate Care Facilities”, “Long-Term Care”, “Hospitals Chronic Disease” e “Reabilitation Services”. Os descritores foram combinados nos idiomas português, inglês, espanhol e italiano pela utilização do operador booleano OR. A busca foi realizada nas bases de dados Portal Regional da BVS, Pubmed e BDTD. Foi utilizado filtro nas bases de dados para obtenção de “documentos disponíveis”, em consonância com o acordo Budapest Open Access Initiative; e não foram limitados ano de publicação ou idioma. Dos documentos incluídos para síntese qualitativa, foram extraídas as informações: autor, ano de publicação, país, idioma, desenho de estudo, formato do documento, objetivo e principais resultados. Além disso, foi realizada síntese qualitativa dos documentos com vistas a contrapor resultados e argumentos dos autores para compor a discussão deste trabalho. Resultados: Nas três bases, a utilização das chaves de busca gerou 72.354 documentos. Com a aplicação do filtro “documentos disponíveis”, este número foi reduzido para 34.027, para os quais procedeu-se a leitura dos títulos. Após a leitura dos títulos, foram incluídos para a próxima etapa 203 documentos, os quais foram lidos os resumos, sendo incluídos 134, dos quais 73 foram excluídos por se tratarem de duplicidades; resultando em 61 documentos incluídos para leitura na íntegra. Após a leitura na íntegra foram incluídos 30 documentos para síntese qualitativa e composição desta revisão. 17 documentos eram provenientes do Reino Unido; 6, da Noruega; 4, da Espanha; 1, da Dinamarca; 1 australiano e 1 italiano. O idioma predominante foi o inglês (n=27), havendo também 2 em espanhol e 1 na língua norueguesa. Em relação ao desenho de estudo, houve uma boa distribuição: 2 estudos de caso; 5 seccionais; 4 ensaios clínicos randomizados; 5 estudos qualitativos; 5 coortes; 2 revisões narrativas; 1 ensaio clínico quase experimental; além de 2 protocolos de pesquisa e 4 comentários. A maioria dos documentos estava publicada em formato de artigo original completo (n=22), mas 8 tratavam-se de relatos breves. Conclusões: Persistem ainda lacunas na literatura sobre cuidados intermediários e dúvidas entre os governos sobre a melhor forma de prover esses serviços. Os resultados das pesquisas auxiliam os tomadores de decisão na implementação de políticas públicas de reorganização dos serviços de saúde, entretanto, as lacunas do conhecimento que precisam ser preenchidas. Estimula-se que mais estudos sejam realizados sobre a temática com vistas a fornecer melhor aparato teórico e técnico para tomada de decisão em saúde.Universidade Federal do Rio de JaneiroBrasilInstituto de Estudos em Saúde ColetivaCurso de Residência Multiprofissional em Saúde ColetivaUFRJMendonça, Paulo Eduardo Xavier dehttp://lattes.cnpq.br/0208276312306226http://lattes.cnpq.br/5138281380215568Unger, Roberto José Gervasiohttp://lattes.cnpq.br/2321434434200738Franco, Túlio Batistahttp://lattes.cnpq.br/4910962111735003Tritany, Érika Fernandes2021-09-02T14:05:57Z2023-12-21T03:08:16Z2019-09-19info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/bachelorThesisTRITANY, Érika Fernandes. Cuidados intermediários e hospitais comunitários: uma revisão integrativa. 2019. 102 f. Trabalho de conclusão de curso (Residência Multiprofissional em Saúde Coletiva) – Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, 2019.http://hdl.handle.net/11422/15033porinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRJinstname:Universidade Federal do Rio de Janeiro (UFRJ)instacron:UFRJ2023-12-21T03:08:16Zoai:pantheon.ufrj.br:11422/15033Repositório InstitucionalPUBhttp://www.pantheon.ufrj.br/oai/requestpantheon@sibi.ufrj.bropendoar:2023-12-21T03:08:16Repositório Institucional da UFRJ - Universidade Federal do Rio de Janeiro (UFRJ)false
dc.title.none.fl_str_mv Cuidados intermediários e hospitais comunitários: uma revisão integrativa
title Cuidados intermediários e hospitais comunitários: uma revisão integrativa
spellingShingle Cuidados intermediários e hospitais comunitários: uma revisão integrativa
Tritany, Érika Fernandes
Instituições para cuidados intermediários
Hospitais comunitários
CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA
title_short Cuidados intermediários e hospitais comunitários: uma revisão integrativa
title_full Cuidados intermediários e hospitais comunitários: uma revisão integrativa
title_fullStr Cuidados intermediários e hospitais comunitários: uma revisão integrativa
title_full_unstemmed Cuidados intermediários e hospitais comunitários: uma revisão integrativa
title_sort Cuidados intermediários e hospitais comunitários: uma revisão integrativa
author Tritany, Érika Fernandes
author_facet Tritany, Érika Fernandes
author_role author
dc.contributor.none.fl_str_mv Mendonça, Paulo Eduardo Xavier de
http://lattes.cnpq.br/0208276312306226
http://lattes.cnpq.br/5138281380215568
Unger, Roberto José Gervasio
http://lattes.cnpq.br/2321434434200738
Franco, Túlio Batista
http://lattes.cnpq.br/4910962111735003
dc.contributor.author.fl_str_mv Tritany, Érika Fernandes
dc.subject.por.fl_str_mv Instituições para cuidados intermediários
Hospitais comunitários
CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA
topic Instituições para cuidados intermediários
Hospitais comunitários
CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA
description Epidemiological changes resulting from population aging have motivated a series of transformations in global health systems. In this sense, from the 1990s onwards, the England begins to discuss the adoption of a health care model called Intermediate Care, which promoted the development of intermediate care services in several countries. The objective of this work is to gather and analyze the national literature and produced about Intermediate Care, with emphasis on the services of Community Hospitals. Therefore, as a methodology, an integrative review was carried out. of the literature from the creation of 14 search keys that combined, with the operator boolean AND, six descriptors and keywords: “Intermediate Care”, “Community Hospitals”, “Intermediate Care Facilities”, “Long-Term Care”, “Hospitals Chronic Disease” and “Rehabilitation Services”. The descriptors were combined in Portuguese, English, Spanish and Italian by using the Boolean OR operator. The search was carried out in the bases VHL Regional Portal, Pubmed and BDTD. A filter was used in the databases to obtain “available documents”, in line with the Budapest Open agreement Access Initiative; and were not limited to year of publication or language. of documents included for qualitative synthesis, the following information was extracted: author, year of publication, country, language, study design, document format, objective and main results. In addition, a qualitative synthesis of the documents was carried out with a view to contrasting results and authors' arguments to compose the discussion of this work. Results: On the three bases, the use of search keys generated 72,354 documents. With the application of the filter "available documents", this number was reduced to 34,027, for which the reading the titles. After reading the titles, 203 were included for the next step. documents, in which the abstracts were read, including 134, of which 73 were excluded because they are duplicities; resulting in 61 documents included for reading in full. After reading in full, 30 documents were included for qualitative synthesis and composition of this review. 17 documents were from the UK; 6, from Norway; 4, from Spain; 1, from Denmark; 1 Australian and 1 Italian. The predominant language was English (n=27), with 2 in Spanish and 1 in Norwegian. In relation to the design of study, there was a good distribution: 2 case studies; 5 sectional; 4 clinical trials randomized; 5 qualitative studies; 5 cohorts; 2 narrative reviews; 1 clinical trial almost experimental; in addition to 2 research protocols and 4 comments. Most documents was published in full original article format (n=22), but 8 were reports brief. Conclusions: There are still gaps in the literature on intermediate and doubts among governments about how best to provide these services. The results of researches help decision makers in the implementation of public policies of reorganization of health services, however, the knowledge gaps that need to be filled. It is encouraged that more studies are carried out on the subject with a view to provide a better theoretical and technical apparatus for decision-making in health.
publishDate 2019
dc.date.none.fl_str_mv 2019-09-19
2021-09-02T14:05:57Z
2023-12-21T03:08:16Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/bachelorThesis
format bachelorThesis
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dc.identifier.uri.fl_str_mv TRITANY, Érika Fernandes. Cuidados intermediários e hospitais comunitários: uma revisão integrativa. 2019. 102 f. Trabalho de conclusão de curso (Residência Multiprofissional em Saúde Coletiva) – Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, 2019.
http://hdl.handle.net/11422/15033
identifier_str_mv TRITANY, Érika Fernandes. Cuidados intermediários e hospitais comunitários: uma revisão integrativa. 2019. 102 f. Trabalho de conclusão de curso (Residência Multiprofissional em Saúde Coletiva) – Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, 2019.
url http://hdl.handle.net/11422/15033
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dc.publisher.none.fl_str_mv Universidade Federal do Rio de Janeiro
Brasil
Instituto de Estudos em Saúde Coletiva
Curso de Residência Multiprofissional em Saúde Coletiva
UFRJ
publisher.none.fl_str_mv Universidade Federal do Rio de Janeiro
Brasil
Instituto de Estudos em Saúde Coletiva
Curso de Residência Multiprofissional em Saúde Coletiva
UFRJ
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFRJ
instname:Universidade Federal do Rio de Janeiro (UFRJ)
instacron:UFRJ
instname_str Universidade Federal do Rio de Janeiro (UFRJ)
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reponame_str Repositório Institucional da UFRJ
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