0392/2019 - Atenção Domiciliar no Brasil: Estudo exploratório sobre a consolidação e uso de serviços no Sistema Único de Saúde. Care in Brazil: An exploratory study on the setting and service use in the Brazilian Health System.
Mudanças no perfil demográfico e epidemiológico, no Brasil e no cenário internacional, fazem emergir a necessidade de adaptação do modelo de atenção em saúde. Nesse contexto, surge a Atenção Domiciliar(AD) como estratégia complementar de cuidado motivada por diversas preocupações: desospitalização, racionalização do uso de leitos hospitalares, redução de custos e organização do cuidado centrado no paciente. O objetivo deste estudo é analisar a AD no âmbito do Sistema Único de Saúde, identificando as modalidades de cuidado e desigualdades no uso. Para tal, foram realizadas análise documental da legislação e exploração de dados secundários disponíveis sobre o volume de serviços e procedimentos produzidos no domicílio. Foram contabilizadas 94.754 internações domiciliares entre 2008-2016 e 4.008.692 procedimentos domiciliares ambulatoriais entre 2012-2016. A AD ambulatorial mostrou-se mais difundida, enquanto a internação domiciliar concentrou-se em algumas áreas geográficas. A discrepância regional é marcante, desvelando desigualdades na oferta, acesso e uso. Apesar do arcabouço legal, constituição de um programa específico e volume de produção, a AD não parece, ainda, efetivamente inserida como um dos vértices da Rede de Atenção à Saúde.
Palavras-chave:
Assistência domiciliar. Sistemas de Informação. Localizações Geográficas. Equidade no Acesso aos Serviços de Saúde.
Abstract:
Changes in demographic and epidemiological profiles, in Brazil and international context, have brought the need of adaptation in the model of health care delivery. In this context, Home Care (HC) emerges as an alternative strategy of health care. The increasing and consolidation of this model have been propelled by numerous concerns: the avoid hospitalization, rationalization of the hospital beds utilization, costs reduction, and the patient-centred care. The aim is to analyse HC in the Brazilian Unified Health System, identifying the modalities of care and inequalities in services use. To accomplish it, documentary analysis of legislation and exploitation of secondary data available to map out the home care volume of services and procedures produced were carried out. Overall of 94.754 domiciliary hospitalization2008-2016, and 4.008.692 home-based outpatient procedures2012-2016. Ambulatory HC was more widespread, while home admissions were concentrated in some geographical areas. The regional discrepancy is striking, revealing inequalities in supply, access and use. Despite the legal framework, constitution of a specific program and volume of production, HC does not seem to be yet effectively ed as one of the vertexes of the Health Care Network.
Keywords:
Home Care. Information Systems. Geographic Locations. Inequality, Health Care.
Care in Brazil: An exploratory study on the setting and service use in the Brazilian Health System.
Resumo (abstract):
Changes in demographic and epidemiological profiles, in Brazil and international context, have brought the need of adaptation in the model of health care delivery. In this context, Home Care (HC) emerges as an alternative strategy of health care. The increasing and consolidation of this model have been propelled by numerous concerns: the avoid hospitalization, rationalization of the hospital beds utilization, costs reduction, and the patient-centred care. The aim is to analyse HC in the Brazilian Unified Health System, identifying the modalities of care and inequalities in services use. To accomplish it, documentary analysis of legislation and exploitation of secondary data available to map out the home care volume of services and procedures produced were carried out. Overall of 94.754 domiciliary hospitalization2008-2016, and 4.008.692 home-based outpatient procedures2012-2016. Ambulatory HC was more widespread, while home admissions were concentrated in some geographical areas. The regional discrepancy is striking, revealing inequalities in supply, access and use. Despite the legal framework, constitution of a specific program and volume of production, HC does not seem to be yet effectively ed as one of the vertexes of the Health Care Network.
Palavras-chave (keywords):
Home Care. Information Systems. Geographic Locations. Inequality, Health Care.
Rajão, F.L, Martins, M.. Atenção Domiciliar no Brasil: Estudo exploratório sobre a consolidação e uso de serviços no Sistema Único de Saúde.. Cien Saude Colet [periódico na internet] (2019/Dez). [Citado em 07/11/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/atencao-domiciliar-no-brasil-estudo-exploratorio-sobre-a-consolidacao-e-uso-de-servicos-no-sistema-unico-de-saude/17466?id=17466
