0264/2020 - Desafios e possibilidades dos profissionais de saúde no cuidado ao idoso dependente Challenges and possibilities of health professionals in the care of dependent elderly
Investiga desafios e possibilidades de profissionais de saúde para a gestão do cuidado de idosos dependentes na Atenção Primária à Saúde.Recorreu-se à abordagem qualitativa fundamentada na fusão hermenêutica dialética. Efetivou-se entrevista com 38 profissionais de saúde, nos meses de junho a dezembro de 2019,em oito cidades das cinco regiões brasileiras.Dos resultados,emergiram temáticas sobre os desafios que os profissionais enfrentam na gestão do cuidado ao idoso, asestratégias por eles utilizadas e suas sugestões para elevar a qualidade do cuidado aos idosos que dependem de cuidado. Falhas na gestão, fatores estruturais, barreiras de acesso, escassez de insumos, desarticulação da rede e falta de segurança, foram apontados como dificuldades para direcionar as ações de proteção, prevenção e promoção da saúde.As estratégias aplicadas são diversificadas,ao tentar articular as equipes multiprofissionais. Fortalecer o acolhimento, estimular a consulta domiciliar, mobilizar grupos de apoio e realizar educação em saúde figuraram entre as práticas integrativas sugeridas pelos participantes. Em decorrência da complexidade do objeto de estudo,evidenciou-se que os profissionais reconhecem as deficiências nos serviços de saúde e enfrentam situações indesejadas pela ausência de pessoal qualificado nas equipes, bem como em razão da insuficiência de materiais e de transporte.
Palavras-chave:
Assistência à Saúde; Gestão em Saúde;Profissionais de Saúde;Saúde do Idoso; Idosos Dependentes; Atenção Primária à Saúde.
Abstract:
It investigates the challenges and possibilities of health professionals for the management of care for dependent elderly people in Primary Health Care. A qualitative approach based on the dialectical hermeneutic fusion was used. An interview was carried out with 38 health professionals,June to December 2019, in eight cities in the five Brazilian regions. From the results, themes emerged about the challenges that professionals face in the management of care for the elderly, the strategies they use and their suggestions for raising the quality of care for the elderly who depend on care. Management failures, structural factors, access barriers, scarcity of inputs, disruption of the network and lack of security, were pointed out as difficulties in directing health protection, prevention and promotion actions. The applied strategies are diverse, trying to articulate the multiprofessional teams, which involve the Family Health Strategy and specialists for the effectiveness of care. Strengthening reception, encouraging home consultation, mobilizing support groups and carrying out health education were among the integrative practices suggested by the participants. Due to the complexity of the object of study, it was evidenced that the professionals recognize the deficiencies in the health services and face undesirable situations due to the lack of qualified personnel in the team
Keywords:
Delivery of Health Care; Health Management; Health Personnel; Health of the Elderly; Frail Elderly; Primary Health Care.
Challenges and possibilities of health professionals in the care of dependent elderly
Resumo (abstract):
It investigates the challenges and possibilities of health professionals for the management of care for dependent elderly people in Primary Health Care. A qualitative approach based on the dialectical hermeneutic fusion was used. An interview was carried out with 38 health professionals,June to December 2019, in eight cities in the five Brazilian regions. From the results, themes emerged about the challenges that professionals face in the management of care for the elderly, the strategies they use and their suggestions for raising the quality of care for the elderly who depend on care. Management failures, structural factors, access barriers, scarcity of inputs, disruption of the network and lack of security, were pointed out as difficulties in directing health protection, prevention and promotion actions. The applied strategies are diverse, trying to articulate the multiprofessional teams, which involve the Family Health Strategy and specialists for the effectiveness of care. Strengthening reception, encouraging home consultation, mobilizing support groups and carrying out health education were among the integrative practices suggested by the participants. Due to the complexity of the object of study, it was evidenced that the professionals recognize the deficiencies in the health services and face undesirable situations due to the lack of qualified personnel in the team
Palavras-chave (keywords):
Delivery of Health Care; Health Management; Health Personnel; Health of the Elderly; Frail Elderly; Primary Health Care.
Silva, R.M, BRASIL, C. C. P, Bezerra, I.C, Figueiredo, M. L. F., Santos, M.C.L., Gonçalves, J.L, Jardim, M.H.A.G. Desafios e possibilidades dos profissionais de saúde no cuidado ao idoso dependente. Cien Saude Colet [periódico na internet] (2020/ago). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/desafios-e-possibilidades-dos-profissionais-de-saude-no-cuidado-ao-idoso-dependente/17746?id=17746
