Veras Renato Peixoto, Caldas Célia Pereira, Motta Luciana Branco da, Lima Kenio Costa de, Siqueira Ricardo Carreño, Rodrigues Renata Teixeira da Silva Vendas, Santos Luciana Maria Alves Martins, Guerra Ana Carolina Lima Cavaletti
Departamento de Epidemiologia, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.
Departamento de Saúde Pública, Faculdade de Enfermagem, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.
Rev Saude Publica. 2014 Apr;48(2):357-65. doi: 10.1590/s0034-8910.2014048004941.
A detailed review was conducted of the literature on models evaluating the effectiveness of integrated and coordinated care networks for the older population. The search made use of the following bibliographic databases: Pubmed, The Cochrane Library, LILACS, Web of Science, Scopus and SciELO. Twelve articles on five different models were included for discussion. Analysis of the literature showed that the services provided were based on primary care, including services within the home. Service users relied on the integration of primary and hospital care, day centers and in-home and social services. Care plans and case management were key elements in care continuity. This approach was shown to be effective in the studies, reducing the need for hospital care, which resulted in savings for the system. There was reduced prevalence of functional loss and improved satisfaction and quality of life on the part of service users and their families. The analysis reinforced the need for change in the approach to health care for older adults and the integration and coordination of services is an efficient way of initiating this change.
对评估老年人群综合协调护理网络有效性的模型相关文献进行了详细综述。检索使用了以下书目数据库：PubMed、Cochrane图书馆、LILACS、科学网、Scopus和SciELO。纳入了12篇关于5种不同模型的文章进行讨论。文献分析表明，所提供的服务以初级保健为基础，包括家庭内服务。服务使用者依赖于初级保健与医院护理、日间护理中心以及家庭和社会服务的整合。护理计划和病例管理是护理连续性的关键要素。在研究中，这种方法被证明是有效的，减少了对医院护理的需求，从而为系统节省了成本。服务使用者及其家庭的功能丧失患病率降低，满意度和生活质量得到改善。该分析强化了老年人医疗保健方式变革的必要性，而服务整合与协调是启动这一变革的有效途径。
