de Mello Ana Lucia Schaefer Ferreira, Moysés Samuel Jorge
Campus Reitor João David Ferreira Lima, Universidade Federal de Santa Catarina, Florianópolis, SC.
Cien Saude Colet. 2010 Sep;15(6):2709-18. doi: 10.1590/s1413-81232010000600009.
This study is a situational analysis of the health care services for attending accidents and violence, in Curitiba, focusing the general conditions of infrastructure, planning and support at the pre-hospital assistance level, considering mobile and fixed emergency services dedicated to the victimized elderly. Positive points were evidenced as well as gaps and needs to meet the national guidelines. The investigation integrated quantitative and qualitative approaches and it was carried out on the grounds of the triangulation of methods. It is concluded that on the theme of accidents and violence against the elderly still there is room for important improvements in the actions developed by the researched services: (1) preventive actions are not part of the routine of the services; (2) most of the services does not develop specific services, addressed to the peculiar demands of the elderly; (3) the interviewees' experience reveals difficulties for obtaining hospital beds, either for referral or transfer/admission of patients. Facing the issue of accidents and violence against the elderly in Curitiba requires considering the organization of data, flows, training of professionals and planning in the development of prevention programs, attendance and rehabilitation to the elderly.
本研究是对库里蒂巴市针对事故与暴力情况的医疗服务进行的情境分析，重点关注院前急救层面的基础设施、规划及支持的总体状况，其中考虑了为受害老年人提供服务的移动和固定急救服务。研究揭示了积极方面以及与国家指导方针存在差距和有待满足的需求。该调查综合了定量和定性方法，并基于方法的三角互证法展开。研究得出结论，在所研究的服务机构针对老年人事故与暴力问题所开展的行动方面，仍有很大的改进空间：（1）预防行动并非服务机构日常工作的一部分；（2）大多数服务机构并未针对老年人的特殊需求开展特定服务；（3）受访者的经验表明，在为患者转诊或转院/收治获取医院床位方面存在困难。面对库里蒂巴市老年人事故与暴力问题，需要在数据组织、流程、专业人员培训以及预防项目、老年人护理和康复发展规划等方面加以考量。
