Motta Luciana Branco da, Aguiar Adriana Cavalcanti de, Caldas Célia Pereira
Universidade do Estado do Rio de Janeiro, Rua Pinto Guedes 140, Rio de Janeiro, RJ, Brazil.
Cad Saude Publica. 2011 Apr;27(4):779-86. doi: 10.1590/s0102-311x2011000400017.
This study focuses on healthcare for the elderly under the Family Health Strategy in three municipalities (counties) in the State of Rio de Janeiro, Brazil, specifically analyzing the organization of the healthcare network and the knowledge of six health teams, using interviews and focus groups. The study emphasized the central role of work by community health agents, the prioritization of program activities as compared to management of problems in the community covered by the strategy, a work overload in the health teams, disorganization of the healthcare networks, and lack of systemic approaches based on the basic contents of Geriatrics and Gerontology. The article concludes that there is a need for a healthcare network for the elderly consisting of hierarchically organized services and levels of care that provide support for the healthcare teams' work. The teams could also benefit from continuing education programs. The undergraduate medical curriculum should also include more course content in geriatrics and gerontology.
本研究聚焦于巴西里约热内卢州三个市（县）家庭健康战略下的老年人医疗保健，具体通过访谈和焦点小组分析医疗保健网络的组织情况以及六个健康团队的相关知识。研究强调了社区健康工作者工作的核心作用、与战略所覆盖社区问题管理相比项目活动的优先地位、健康团队的工作负担过重、医疗保健网络的混乱无序，以及缺乏基于老年医学和老年学基本内容的系统方法。文章得出结论，需要一个由分层组织的服务和护理级别构成的老年人医疗保健网络，以支持医疗团队的工作。这些团队也能从继续教育项目中受益。本科医学课程还应在老年医学和老年学方面纳入更多课程内容。
