Martins Aline Blaya, D'Avila Otávio Pereira, Hilgert Juliana Balbinot, Hugo Fernando Neves
Centro de Pesquisa em Odontologia Social, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil,
Universidade Federal do Rio Grande do Sul.
Cien Saude Colet. 2014 Aug;19(8):3403-16. doi: 10.1590/1413-81232014198.13312013.
This article seeks to establish a confrontation between theory and practice with respect to healthcare for the elderly. The theory was evaluated by a study of documents that comprise the legal and theoretical framework related to the health of the elderly, which generated a matrix to assess universal access, equity, comprehensiveness and quality of care. However, the practice of healthcare was evaluated by a population-based study conducted on 862 elderly individuals and a census that assessed primary healthcare (PHC) units in two districts of Porto Alegre in the state of Rio Grande do Sul, Brazil. The variables chosen to verify the categories were type of care accessed, first contact attribute, wheelchair accessibility and availability of priority access. Other variables include comprehensive care and the presence of dental root remains, basic PHC score, the adequacy of health facilities and ongoing professional training, as well as cross-sectional categories, elderly groups and home care. A mismatch was found between recommendation and practice in some factors and advances were observed in the equity and quality of care regarding the ongoing training of professionals.
本文旨在就老年人医疗保健问题在理论与实践之间展开一场对峙。通过对构成老年人健康相关法律和理论框架的文献进行研究来评估理论，该研究生成了一个矩阵，用于评估普遍可及性、公平性、全面性和护理质量。然而，医疗保健实践则通过对862名老年人进行的基于人群的研究以及对巴西南里奥格兰德州阿雷格里港两个区的初级卫生保健（PHC）单位进行的普查来评估。用于验证这些类别的选定变量包括所接受护理的类型、首次接触属性、轮椅可达性和优先通道的可用性。其他变量包括综合护理和牙根留存情况、基本初级卫生保健得分、卫生设施的充足性和持续专业培训，以及横断面类别、老年人群体和家庭护理。在某些因素方面发现了建议与实践之间的不匹配，并且在专业人员持续培训的护理公平性和质量方面观察到了进展。
