0043/2014 - Morte no hospital e no domicílio: Influências populacionais e das políticas de saúde em Londrina-PR (1996 a 2010) Death in hospital and at home: Populational and Health Policies influences in Londrina - Paraná State, Brazil (1996-2010)
• Fernando Cesar Iwamoto Marcucci - Marcucci, F. C. M. - Londrina, PR - Universidade Estadual de Londrina - Dpto. de Saude Coletiva Londrina, Parana - <fcim@msn.com>
Coautor(es):
• Marcos Aparecido Sarria Cabrera - Cabrera, Marcos A. S. - Universidade Estadual de Londrina - Dpto. de Saude Coletiva Londrina, Parana - <fcim@msn.com>
Área Temática:
Saúde do Idoso
Resumo:
O envelhecimento da população e a transição epidemiológica implicam, frequentemente, num tempo prolongado de terminalidade e aumento da demanda por serviços de saúde com suporte para o processo de óbito, que ocorre principalmente nos hospitais. Mudanças no suporte oferecido e nas políticas em saúde podem influenciar nas características dos óbitos, possibilitando a ocorrência em domicílio ou instituições, quando houver possibilidade. Objetivo: Analisar os locais de óbito no município de Londrina-PR, entre 1996 a 2010, e verificar influências das mudanças populacionais e políticas. Método: Realizou-se uma análise das frequências dos óbitos no município, pelo Sistema de Informações sobre Mortalidade (SIM), considerando as causas e os locais de óbito. Resultados: Houve um aumento de 28% no número de óbitos da população geral mas 48% para aquela acima de 60 anos. Aumentou o número de óbitos hospitalares, que corresponderam por 70% das ocorrências, no entanto não houve aumento na frequência de outros locais, e os domicílios mantiveram cerca de 18%. Conclusão: As frequências de locais de óbito não alteraram no período, mesmo com políticas de saúde que ampliaram o suporte em outros locais, como o domicílio. O predomínio hospitalar foi semelhante a outros municípios brasileiros, mas maior que o observado em outros países.
Palavras-chave:
Mortalidade,
Causas de Morte,
Assistência Domiciliar,
Local de óbito,
Cuidados Paliativos.
Abstract:
The population ageing and the epidemiological transition often implies in a long time of terminal illness and increased demand for end-stage support in health services, mainly in hospitals. Changes on health care support and governmental health policies may influence on the deaths statistics, as directing occurrences to home or related institutions, when it is possible. Objective: To analyze the place of death frequencies in the city of Londrina (Paraná State, Brazil), from 1996 to 2010, and to verify the influence of populational and health policy changes on these statistics. Methods: An analysis was conducted about frequency of death occurred in Londrina, on National System of Information about Mortality (SIM) considering the main causes and place of death. Results: There was an increase of 28% in death of the general population but 48% for population over 60 years old. There was an increase on frequency of death in hospitals, which were responsible for 70% of the occurrences, although death frequencies in others places did not increase, and domiciliary occurrence rate was about 18%. Conclusions: The place of death frequencies did not change during this period, even with health policies that increased the support on other places, like patient´s home. The hospital predominance was similar to other Brazilian cities but higher than other countries.
Keywords:
Mortality
Causes of Death,
Home Nursing,
Place of Death,
Palliative Care.
Death in hospital and at home: Populational and Health Policies influences in Londrina - Paraná State, Brazil (1996-2010)
Resumo (abstract):
The population ageing and the epidemiological transition often implies in a long time of terminal illness and increased demand for end-stage support in health services, mainly in hospitals. Changes on health care support and governmental health policies may influence on the deaths statistics, as directing occurrences to home or related institutions, when it is possible. Objective: To analyze the place of death frequencies in the city of Londrina (Paraná State, Brazil), from 1996 to 2010, and to verify the influence of populational and health policy changes on these statistics. Methods: An analysis was conducted about frequency of death occurred in Londrina, on National System of Information about Mortality (SIM) considering the main causes and place of death. Results: There was an increase of 28% in death of the general population but 48% for population over 60 years old. There was an increase on frequency of death in hospitals, which were responsible for 70% of the occurrences, although death frequencies in others places did not increase, and domiciliary occurrence rate was about 18%. Conclusions: The place of death frequencies did not change during this period, even with health policies that increased the support on other places, like patient´s home. The hospital predominance was similar to other Brazilian cities but higher than other countries.
Palavras-chave (keywords):
Mortality
Causes of Death,
Home Nursing,
Place of Death,
Palliative Care.
Marcucci, F. C. M., Cabrera, Marcos A. S.. Morte no hospital e no domicílio: Influências populacionais e das políticas de saúde em Londrina-PR (1996 a 2010). Cien Saude Colet [periódico na internet] (2014/Set). [Citado em 19/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/morte-no-hospital-e-no-domicilio-influencias-populacionais-e-das-politicas-de-saude-em-londrinapr-1996-a-2010/15027?id=15027
