SUS Homecare in Brazil, the impact of the “Best at Home” program

Detalhes bibliográficos
Autor(a) principal: Gabardo, Jhony Marcelo Bogado
Data de Publicação: 2022
Outros Autores: Castilho, Matheus Jacometo Coelho de, Bernardineli, Ademilson José, Schuroff, Hana Paula, Pujals, Constanza, Carvalho, Maria Dalva de Barros, Pelloso, Sandra Marisa, Pedroso, Raíssa Bocchi
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/29177
Resumo: Introduction: The Brazilian population undergoes intense aging and a consequent increase in multimorbidity, impacting health services. In 2011, the Ministry of Health created the “Best at Home” program with the aim of promoting home care as a possibility to expand hospital beds at the client's home and thus humanize care and reduce costs. Objectives: To analyze home hospitalizations of the Unified Health System (SUS) in the period 2008-2019 and correlate with hospitalization cost, clinical and epidemiological variables. Method: Quantitative study based on data from the Hospitalization System of the Unified Health System (SIH/SUS) from 2008 to 2019, available on the electronic platform of the Department of Informatics of the SUS (DATASUS). For trend analysis, the Mann-Kendall test was used and for analysis of the intervention effect, ARIMA models were adjusted, considering data from 2008-2011 without intervention and from 2012-2019 with intervention. Results: There was an increasing trend in the number of home admissions from 2008 to 2019 (=0.152 and p=0.537), as well as in the average cost per hospitalization (=0.061 and p=0.837) and for females over males (=0.606 and p=0.007). There was a downward trend in the average number of days per hospital stay (= -0.576 and p=0.011) and in the mortality rate (=0.212 and p=0.373). Conclusion: with a cost of less than 10% of the daily value of a hospital stay, home care reduces mortality and average days of hospitalization. Therefore, with population aging, home care programs such as “Best at Home” become fundamental.
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spelling SUS Homecare in Brazil, the impact of the “Best at Home” programAtención domiciliaria a través del SUS en Brasil, el impacto del programa “Mejor en Casa”Internamento domiciliar via SUS no Brasil, o impacto do programa “Melhor em Casa”Servicios hospitalarios de atención domiciliariaServicios de assistência a domicilioCostos de saludEnvejecimiento.Hospital home care servicesHome assistance servicesHealth coastAging.Serviços hospitalares de assistência domiciliarServiços de Assistência DomiciliarCustos em saúdeEnvelhecimento.Introduction: The Brazilian population undergoes intense aging and a consequent increase in multimorbidity, impacting health services. In 2011, the Ministry of Health created the “Best at Home” program with the aim of promoting home care as a possibility to expand hospital beds at the client's home and thus humanize care and reduce costs. Objectives: To analyze home hospitalizations of the Unified Health System (SUS) in the period 2008-2019 and correlate with hospitalization cost, clinical and epidemiological variables. Method: Quantitative study based on data from the Hospitalization System of the Unified Health System (SIH/SUS) from 2008 to 2019, available on the electronic platform of the Department of Informatics of the SUS (DATASUS). For trend analysis, the Mann-Kendall test was used and for analysis of the intervention effect, ARIMA models were adjusted, considering data from 2008-2011 without intervention and from 2012-2019 with intervention. Results: There was an increasing trend in the number of home admissions from 2008 to 2019 (=0.152 and p=0.537), as well as in the average cost per hospitalization (=0.061 and p=0.837) and for females over males (=0.606 and p=0.007). There was a downward trend in the average number of days per hospital stay (= -0.576 and p=0.011) and in the mortality rate (=0.212 and p=0.373). Conclusion: with a cost of less than 10% of the daily value of a hospital stay, home care reduces mortality and average days of hospitalization. Therefore, with population aging, home care programs such as “Best at Home” become fundamental.Introducción: La población brasileña sufre un intenso envejecimiento y el consiguiente aumento de la multimorbilidad, impactando los servicios de salud. En 2011, el Ministerio de Salud creó el programa “Mejor en Casa” con el objetivo de promover la atención domiciliaria como posibilidad de ampliar camas hospitalarias en el domicilio del cliente y así humanizar la atención y reducir costos. Objetivos: Analizar las hospitalizaciones domiciliarias del Sistema Único de Salud (SUS) en el período 2008-2019 y correlacionarlas con el costo de hospitalización, variables clínicas y epidemiológicas. Método: Estudio cuantitativo basado en datos del Sistema de Hospitalización del Sistema Único de Salud (SIH/SUS) de 2008 a 2019, disponible en la plataforma electrónica del Departamento de Informática del SUS (DATASUS). Para el análisis de tendencias se utilizó la prueba de Mann-Kendall y para el análisis del efecto de la intervención se ajustaron modelos ARIMA, considerando datos de 2008-2011 sin intervención y de 2012-2019 con intervención. Resultados: Hubo una tendencia creciente en el número de ingresos domiciliarios de 2008 a 2019 (=0,152 y p=0,537), así como en el costo promedio por hospitalización (=0,061 y p=0,837) y del sexo femenino sobre el masculino (=0,606 y p=0,837). p=0,007). Hubo una tendencia a la baja en el promedio de días por estancia hospitalaria (=-0,576 y p=0,011) y en la tasa de mortalidad (=0,212 y p=0,373). Conclusión: con un costo inferior al 10% del valor diario de una estancia hospitalaria, la atención domiciliaria reduce la mortalidad y el promedio de días de hospitalización. Por ello, con el envejecimiento de la población, los programas de atención domiciliaria como “Best at Home” se vuelven fundamentales.Introdução: A população brasileira passa por intenso envelhecimento e consequente aumento de multimorbidade impactando os serviços de saúde. Em 2011 o Ministério da Saúde criou o programa “Melhor em Casa” com o intuito de promover o internamento domiciliar como possibilidade de expandir leitos hospitalares ao domicílio do cliente e assim, humanizar o atendimento e diminuir custos. Objetivos: Analisar internamentos domiciliares do Sistema Único de Saúde (SUS) no período de 2008-2019 e correlacionar com custo de internação, variáveis clínicas e epidemiológicas. Método: Estudo quantitativo baseado em dados do Sistema de Internação Hospitalar do Sistema Único de Saúde (SIH/SUS) no período de 2008 a 2019, disponíveis na plataforma eletrônica do Departamento de Informática do SUS (DATASUS). Para análise de tendência foi utilizado o teste de Mann-Kendall e para análise do efeito de intervenção foram ajustados modelos ARIMA, considerando os dados de 2008-2011 sem intervenção e de 2012-2019 com intervenção. Resultados: Houve tendência crescente no número de internamentos domiciliar de 2008 a 2019 ( =0,152 e p=0,537), assim como do custo médio por internamento ( =0,061 e p=0,837) e do sexo feminino sobre o masculino ( =0,606 e p =0,007). Houve tendência decrescente da média de dias por internamento ( =-0,576 e p=0,011) e da taxa de mortalidade ( =0,212 e p=0,373). Conclusão: com custo inferior a 10% do valor diário de um internamento hospitalar, a atenção domiciliar diminui mortalidade e média de dias de internamento. Portanto, com o envelhecimento populacional, programas de internamento domiciliar como o “Melhor em Casa” tornam-se fundamentais.Research, Society and Development2022-04-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2917710.33448/rsd-v11i6.29177Research, Society and Development; Vol. 11 No. 6; e36711629177Research, Society and Development; Vol. 11 Núm. 6; e36711629177Research, Society and Development; v. 11 n. 6; e367116291772525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/29177/25294Copyright (c) 2022 Jhony Marcelo Bogado Gabardo; Matheus Jacometo Coelho de Castilho; Ademilson José Bernardineli; Hana Paula Schuroff; Constanza Pujals; Maria Dalva de Barros Carvalho; Sandra Marisa Pelloso; Raíssa Bocchi Pedrosohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGabardo, Jhony Marcelo Bogado Castilho, Matheus Jacometo Coelho deBernardineli, Ademilson José Schuroff, Hana PaulaPujals, Constanza Carvalho, Maria Dalva de BarrosPelloso, Sandra Marisa Pedroso, Raíssa Bocchi 2022-05-13T18:04:10Zoai:ojs.pkp.sfu.ca:article/29177Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:46:19.655363Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv SUS Homecare in Brazil, the impact of the “Best at Home” program
Atención domiciliaria a través del SUS en Brasil, el impacto del programa “Mejor en Casa”
Internamento domiciliar via SUS no Brasil, o impacto do programa “Melhor em Casa”
title SUS Homecare in Brazil, the impact of the “Best at Home” program
spellingShingle SUS Homecare in Brazil, the impact of the “Best at Home” program
Gabardo, Jhony Marcelo Bogado
Servicios hospitalarios de atención domiciliaria
Servicios de assistência a domicilio
Costos de salud
Envejecimiento.
Hospital home care services
Home assistance services
Health coast
Aging.
Serviços hospitalares de assistência domiciliar
Serviços de Assistência Domiciliar
Custos em saúde
Envelhecimento.
title_short SUS Homecare in Brazil, the impact of the “Best at Home” program
title_full SUS Homecare in Brazil, the impact of the “Best at Home” program
title_fullStr SUS Homecare in Brazil, the impact of the “Best at Home” program
title_full_unstemmed SUS Homecare in Brazil, the impact of the “Best at Home” program
title_sort SUS Homecare in Brazil, the impact of the “Best at Home” program
author Gabardo, Jhony Marcelo Bogado
author_facet Gabardo, Jhony Marcelo Bogado
Castilho, Matheus Jacometo Coelho de
Bernardineli, Ademilson José
Schuroff, Hana Paula
Pujals, Constanza
Carvalho, Maria Dalva de Barros
Pelloso, Sandra Marisa
Pedroso, Raíssa Bocchi
author_role author
author2 Castilho, Matheus Jacometo Coelho de
Bernardineli, Ademilson José
Schuroff, Hana Paula
Pujals, Constanza
Carvalho, Maria Dalva de Barros
Pelloso, Sandra Marisa
Pedroso, Raíssa Bocchi
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Gabardo, Jhony Marcelo Bogado
Castilho, Matheus Jacometo Coelho de
Bernardineli, Ademilson José
Schuroff, Hana Paula
Pujals, Constanza
Carvalho, Maria Dalva de Barros
Pelloso, Sandra Marisa
Pedroso, Raíssa Bocchi
dc.subject.por.fl_str_mv Servicios hospitalarios de atención domiciliaria
Servicios de assistência a domicilio
Costos de salud
Envejecimiento.
Hospital home care services
Home assistance services
Health coast
Aging.
Serviços hospitalares de assistência domiciliar
Serviços de Assistência Domiciliar
Custos em saúde
Envelhecimento.
topic Servicios hospitalarios de atención domiciliaria
Servicios de assistência a domicilio
Costos de salud
Envejecimiento.
Hospital home care services
Home assistance services
Health coast
Aging.
Serviços hospitalares de assistência domiciliar
Serviços de Assistência Domiciliar
Custos em saúde
Envelhecimento.
description Introduction: The Brazilian population undergoes intense aging and a consequent increase in multimorbidity, impacting health services. In 2011, the Ministry of Health created the “Best at Home” program with the aim of promoting home care as a possibility to expand hospital beds at the client's home and thus humanize care and reduce costs. Objectives: To analyze home hospitalizations of the Unified Health System (SUS) in the period 2008-2019 and correlate with hospitalization cost, clinical and epidemiological variables. Method: Quantitative study based on data from the Hospitalization System of the Unified Health System (SIH/SUS) from 2008 to 2019, available on the electronic platform of the Department of Informatics of the SUS (DATASUS). For trend analysis, the Mann-Kendall test was used and for analysis of the intervention effect, ARIMA models were adjusted, considering data from 2008-2011 without intervention and from 2012-2019 with intervention. Results: There was an increasing trend in the number of home admissions from 2008 to 2019 (=0.152 and p=0.537), as well as in the average cost per hospitalization (=0.061 and p=0.837) and for females over males (=0.606 and p=0.007). There was a downward trend in the average number of days per hospital stay (= -0.576 and p=0.011) and in the mortality rate (=0.212 and p=0.373). Conclusion: with a cost of less than 10% of the daily value of a hospital stay, home care reduces mortality and average days of hospitalization. Therefore, with population aging, home care programs such as “Best at Home” become fundamental.
publishDate 2022
dc.date.none.fl_str_mv 2022-04-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/29177
10.33448/rsd-v11i6.29177
url https://rsdjournal.org/index.php/rsd/article/view/29177
identifier_str_mv 10.33448/rsd-v11i6.29177
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/29177/25294
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 11 No. 6; e36711629177
Research, Society and Development; Vol. 11 Núm. 6; e36711629177
Research, Society and Development; v. 11 n. 6; e36711629177
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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