Home health care for the elderly: associated factors and characteristics of access and health care
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2010 |
| Outros Autores: | , , |
| Tipo de documento: | Artigo |
| Idioma: | por eng |
| Título da fonte: | Revista de Saúde Pública |
| Texto Completo: | https://www.revistas.usp.br/rsp/article/view/32869 |
Resumo: | OBJECTIVE: To assess factors associated with home health care for the elderly and its characteristics based on different care models, the Family Health Strategy and traditional primary care. METHODS: A population-based cross-sectional study was conducted in a representative sample of 1,593 individuals aged >;60 years living in the urban area of the city of Bagé, Southern Brazil, in 2008. A multistage sampling was carried out. Data was collected during individual interviews about access to services, providers' involvement, users' satisfaction and health status after care. Poisson regression model was used for estimating crude and adjusted prevalence ratios, their related 95% confidence intervals and p-values (Wald test). RESULTS: Home health care was statistically associated with prior history of stroke, signs of dementia and disability in activities of daily living. The family was requested 75% of home care visits. Medical doctors provided most of the care in traditional primary care settings while nursing staff provided most care within the Family Health Strategy. Approximately 78% of the elderly received care within 24 hours after the request and 95% of them positively evaluated the care received. Two thirds of the elderly reported improved health status. CONCLUSIONS: The variables associated with home health care were consistent with fragility indicators included in the Brazilian National Health Policy for the Elderly, reinforcing the role of this strategy for promoting equitable health care to elderly population. Users' satisfaction and the positive impact on their health status confirm home as a setting for providing care. |
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Home health care for the elderly: associated factors and characteristics of access and health care Asistencia domiciliaria a ancianos: factores asociados, características del acceso y del cuidado Assistência domiciliar a idosos: fatores associados, características do acesso e do cuidado IdosoAssistência DomiciliarPrograma Saúde da FamíliaAcesso aos Serviços de SaúdeAtenção Primária à SaúdeEstudos TransversaisAncianoAtención Domiciliaria de SaludPrograma de Salud FamiliarAccesibilidad a los Servicios de SaludAtención Primaria de SaludEstudios TransversalesAgedHome NursingFamily Health ProgramHealth Services AccessibilityPrimary Health CareCross-Sectional Studies OBJECTIVE: To assess factors associated with home health care for the elderly and its characteristics based on different care models, the Family Health Strategy and traditional primary care. METHODS: A population-based cross-sectional study was conducted in a representative sample of 1,593 individuals aged >;60 years living in the urban area of the city of Bagé, Southern Brazil, in 2008. A multistage sampling was carried out. Data was collected during individual interviews about access to services, providers' involvement, users' satisfaction and health status after care. Poisson regression model was used for estimating crude and adjusted prevalence ratios, their related 95% confidence intervals and p-values (Wald test). RESULTS: Home health care was statistically associated with prior history of stroke, signs of dementia and disability in activities of daily living. The family was requested 75% of home care visits. Medical doctors provided most of the care in traditional primary care settings while nursing staff provided most care within the Family Health Strategy. Approximately 78% of the elderly received care within 24 hours after the request and 95% of them positively evaluated the care received. Two thirds of the elderly reported improved health status. CONCLUSIONS: The variables associated with home health care were consistent with fragility indicators included in the Brazilian National Health Policy for the Elderly, reinforcing the role of this strategy for promoting equitable health care to elderly population. Users' satisfaction and the positive impact on their health status confirm home as a setting for providing care. OBJETIVO: Evaluar los factores asociados a la asistencia domiciliaria recibida por la población anciana y sus características, según modelos de atención Estrategia Salud de la Familia y modelo tradicional. MÉTODOS: Estudio transversal de base poblacional, con muestra representativa de 1.593 individuos con 60 años o más, residentes en la región urbana de Bagé, Sur de Brasil, en 2008. El muestreo fue realizado en múltiples fases. Los datos fueron colectados en entrevistas individuales. Se analizaron las formas de acceso a los servicios, participación de los profesionales, satisfacción y situación de salud de los usuarios posterior a la atención. Fue utilizado modelo de regresión de Poisson para estimar las tasas de prevalencia bruta y ajustada, los respectivos intervalos con 95% de confianza y p-valor (prueba de Wald). RESULTADOS: Asistencia domiciliaria fue estadísticamente asociada a la historia previa de enfermedad vascular cerebral, a la presencia de señales de demencia y a la incapacidad para las actividades de la vida diaria. La familia fue responsable por 75% de las solicitudes de cuidado. En las áreas de la atención tradicional, los médicos respondieron por la mayor promoción de cuidados, mientras que en las áreas de la Estrategia Salud de la Familia, se destacó la participación del equipo de enfermeras. Aproximadamente 78% de las solicitudes fueron atendidas en hasta 24 horas y 95% de los usuarios evaluaron positivamente el cuidado recibido. Dos tercios de los ancianos refirieron mejoría en las condiciones de salud. CONCLUSIONES: Las variables asociadas al recibimiento de asistencia domiciliaria reiteran los indicadores de fragilidad destacados en la Política Nacional de Salud de la Persona Anciana y fortalece la importancia de la estrategia en la promoción de la equidad en el cuidado de los ancianos. La evaluación positiva y el impacto en la situación de salud refuerzan el domicilio como ambiente terapéutico. OBJETIVO: Avaliar fatores associados à assistência domiciliar recebida pela população idosa e suas características, segundo modelos de atenção Estratégia Saúde da Família e modelo tradicional. MÉTODOS: Estudo transversal de base populacional, com amostra representativa de 1.593 indivíduos com 60 anos ou mais, residentes na região urbana de Bagé, RS, em 2008. A amostragem foi realizada em múltiplos estágios. Os dados foram coletados em entrevistas individuais. Foram analisadas as formas de acesso aos serviços, participação dos profissionais, satisfação e situação de saúde dos usuários após o atendimento. Foi utilizado modelo de regressão de Poisson para estimar as razões de prevalência bruta e ajustada, os respectivos intervalos com 95% de confiança e p-valor (teste de Wald). RESULTADOS: Assistência domiciliar foi estatisticamente associada à história prévia de acidente vascular cerebral, à presença de sinais de demência e à incapacidade para as atividades da vida diária. A família foi responsável por 75% das solicitações de cuidado. Nas áreas da atenção tradicional, os médicos responderam pela maior promoção de cuidados, enquanto nas áreas da Estratégia Saúde da Família destacou-se a participação da equipe de enfermagem. Aproximadamente 78% das solicitações foram atendidas em até 24 horas e 95% dos usuários avaliaram positivamente o cuidado recebido. Dois terços dos idosos referiram melhora nas condições de saúde. CONCLUSÕES: As variáveis associadas ao recebimento de assistência domiciliar reiteram os indicadores de fragilidade destacados na Política Nacional de Saúde da Pessoa Idosa e fortalecem a importância da estratégia na promoção da eqüidade no cuidado dos idosos. A avaliação positiva e o impacto na situação de saúde afirmam o domicílio como ambiente terapêutico. Universidade de São Paulo. Faculdade de Saúde Pública2010-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3286910.1590/S0034-89102010005000038Revista de Saúde Pública; Vol. 44 No. 6 (2010); 1102-1111 Revista de Saúde Pública; Vol. 44 Núm. 6 (2010); 1102-1111 Revista de Saúde Pública; v. 44 n. 6 (2010); 1102-1111 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32869/35433https://www.revistas.usp.br/rsp/article/view/32869/35434Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessThumé, ElaineFacchini, Luiz AugustoTomasi, ElaineVieira, Lúcia Azambuja Saraiva2012-07-10T02:30:49Zoai:revistas.usp.br:article/32869Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-10T02:30:49Revista de Saúde Pública - Universidade de São Paulo (USP)false |
| dc.title.none.fl_str_mv |
Home health care for the elderly: associated factors and characteristics of access and health care Asistencia domiciliaria a ancianos: factores asociados, características del acceso y del cuidado Assistência domiciliar a idosos: fatores associados, características do acesso e do cuidado |
| title |
Home health care for the elderly: associated factors and characteristics of access and health care |
| spellingShingle |
Home health care for the elderly: associated factors and characteristics of access and health care Thumé, Elaine Idoso Assistência Domiciliar Programa Saúde da Família Acesso aos Serviços de Saúde Atenção Primária à Saúde Estudos Transversais Anciano Atención Domiciliaria de Salud Programa de Salud Familiar Accesibilidad a los Servicios de Salud Atención Primaria de Salud Estudios Transversales Aged Home Nursing Family Health Program Health Services Accessibility Primary Health Care Cross-Sectional Studies |
| title_short |
Home health care for the elderly: associated factors and characteristics of access and health care |
| title_full |
Home health care for the elderly: associated factors and characteristics of access and health care |
| title_fullStr |
Home health care for the elderly: associated factors and characteristics of access and health care |
| title_full_unstemmed |
Home health care for the elderly: associated factors and characteristics of access and health care |
| title_sort |
Home health care for the elderly: associated factors and characteristics of access and health care |
| author |
Thumé, Elaine |
| author_facet |
Thumé, Elaine Facchini, Luiz Augusto Tomasi, Elaine Vieira, Lúcia Azambuja Saraiva |
| author_role |
author |
| author2 |
Facchini, Luiz Augusto Tomasi, Elaine Vieira, Lúcia Azambuja Saraiva |
| author2_role |
author author author |
| dc.contributor.author.fl_str_mv |
Thumé, Elaine Facchini, Luiz Augusto Tomasi, Elaine Vieira, Lúcia Azambuja Saraiva |
| dc.subject.por.fl_str_mv |
Idoso Assistência Domiciliar Programa Saúde da Família Acesso aos Serviços de Saúde Atenção Primária à Saúde Estudos Transversais Anciano Atención Domiciliaria de Salud Programa de Salud Familiar Accesibilidad a los Servicios de Salud Atención Primaria de Salud Estudios Transversales Aged Home Nursing Family Health Program Health Services Accessibility Primary Health Care Cross-Sectional Studies |
| topic |
Idoso Assistência Domiciliar Programa Saúde da Família Acesso aos Serviços de Saúde Atenção Primária à Saúde Estudos Transversais Anciano Atención Domiciliaria de Salud Programa de Salud Familiar Accesibilidad a los Servicios de Salud Atención Primaria de Salud Estudios Transversales Aged Home Nursing Family Health Program Health Services Accessibility Primary Health Care Cross-Sectional Studies |
| description |
OBJECTIVE: To assess factors associated with home health care for the elderly and its characteristics based on different care models, the Family Health Strategy and traditional primary care. METHODS: A population-based cross-sectional study was conducted in a representative sample of 1,593 individuals aged >;60 years living in the urban area of the city of Bagé, Southern Brazil, in 2008. A multistage sampling was carried out. Data was collected during individual interviews about access to services, providers' involvement, users' satisfaction and health status after care. Poisson regression model was used for estimating crude and adjusted prevalence ratios, their related 95% confidence intervals and p-values (Wald test). RESULTS: Home health care was statistically associated with prior history of stroke, signs of dementia and disability in activities of daily living. The family was requested 75% of home care visits. Medical doctors provided most of the care in traditional primary care settings while nursing staff provided most care within the Family Health Strategy. Approximately 78% of the elderly received care within 24 hours after the request and 95% of them positively evaluated the care received. Two thirds of the elderly reported improved health status. CONCLUSIONS: The variables associated with home health care were consistent with fragility indicators included in the Brazilian National Health Policy for the Elderly, reinforcing the role of this strategy for promoting equitable health care to elderly population. Users' satisfaction and the positive impact on their health status confirm home as a setting for providing care. |
| publishDate |
2010 |
| dc.date.none.fl_str_mv |
2010-12-01 |
| 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://www.revistas.usp.br/rsp/article/view/32869 10.1590/S0034-89102010005000038 |
| url |
https://www.revistas.usp.br/rsp/article/view/32869 |
| identifier_str_mv |
10.1590/S0034-89102010005000038 |
| dc.language.iso.fl_str_mv |
por eng |
| language |
por eng |
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https://www.revistas.usp.br/rsp/article/view/32869/35433 https://www.revistas.usp.br/rsp/article/view/32869/35434 |
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Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
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Copyright (c) 2017 Revista de Saúde Pública |
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openAccess |
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application/pdf application/pdf |
| dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
| publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
| dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 44 No. 6 (2010); 1102-1111 Revista de Saúde Pública; Vol. 44 Núm. 6 (2010); 1102-1111 Revista de Saúde Pública; v. 44 n. 6 (2010); 1102-1111 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
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Universidade de São Paulo (USP) |
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USP |
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USP |
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Revista de Saúde Pública |
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Revista de Saúde Pública |
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Revista de Saúde Pública - Universidade de São Paulo (USP) |
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revsp@org.usp.br||revsp1@usp.br |
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1800221791210176512 |