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0256/2024 - Transforming practices into models: paths towards a Health Care Network for the Homeless Population
Transformando práticas em modelo: caminhos para uma Rede de Atenção à Saúde da População em Situação de Rua

Author:

• Ana Carolina de Moraes Teixeira Vilela Dantas - Dantas, ACMTV - <caroldantas.to@gmail.com>
ORCID: https://orcid.org/0000-0001-8499-9429

Co-author(s):

• Luísa da Matta Machado Fernandes - Fernandes, L. M. M. - <luisa.fernandes@fiocruz.br>
ORCID: https://orcid.org/0000-0002-5440-7928
• Ana Luísa Jorge Martins - Martins, A. L. J. - <ana.martins@fiocruz.br>
ORCID: https://orcid.org/0000-0001-5634-9023
• Rafaela Alves Marinho - Marinho, R. A. - <rafaela.alvesmarinho@gmail.com>
ORCID: https://orcid.org/0009-0007-6577-9325
• Diadorim Maria Rodrigues - Rodrigues, D. M. - <diadorim.rodrigues@gmail.com>
ORCID: https://orcid.org/0009-0004-1812-9707
• Gabriela Drummond Marques da Silva - Silva, G. D. M. - <gabriela.marques@fiocruz.br>
ORCID: https://orcid.org/0000-0002-1145-3940
• Anelise Andrade de Souza - Souza, A.A - <anelise.souza@ufop.edu.br>
ORCID: https://orcid.org/0000-0002-2408-7054
• Rômulo Paes-Sousa - Paes-Sousa, R - <romulo.paes@fiocruz.br>
ORCID: https://orcid.org/0000-0002-3384-6657


Abstract:

The Homeless Population (HP) has shown exponential growth in the last decade, causing different challenges for the Unified Health System in Brazil, especially during the COVID-19 pandemic. A cross-sectional, descriptive, and exploratory study, with triangulation of quantitative and qualitative methods,2020 to 2022, explored care practices in Belo Horizonte aimed at HP. In the quantitative phase, official datasetsthe health and social assistance departments were used, and in the qualitative phase, 48 interviews and four focus groups were conducted, totaling 86 participants. The results point to the need for a polyarchic and multi-professional Health Care Network (HCN) implementation, with intersectoral support, guided by the territorialization and longitudinality of care, integrated with information systems, aiming at the complexity of the approach and based on the logic of the expanded clinic. Updating HP records in health systems and qualifying services is needed for the effectiveness of HCN HP. Understanding the dynamics of actions developed or broadened by the municipality and lessons learned locally can assist the development of effective social care and health policies that can be upscaled to the national level.

Keywords:

Continuing Health Care Network; Homeless Population; Public Policies.

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Dantas, ACMTV, Fernandes, L. M. M., Martins, A. L. J., Marinho, R. A., Rodrigues, D. M., Silva, G. D. M., Souza, A.A, Paes-Sousa, R. Transforming practices into models: paths towards a Health Care Network for the Homeless Population. Cien Saude Colet [periódico na internet] (2024/Jul). [Citado em 27/07/2025]. Está disponível em: http://cienciaesaudecoletiva.com.br/en/articles/transforming-practices-into-models-paths-towards-a-health-care-network-for-the-homeless-population/19304?id=19304



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