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[对老年人医疗保健行动的市政管理评估]

[Evaluation of municipal administration of healthcare actions for the elderly].

作者信息

Pereira Keila Cristina Rausch, Lacerda Josimari Telino de, Natal Sonia

机构信息

Universidade Federal de Santa Catarina, Florianópolis, Brasil.

Universidade do Sul de Santa Catarina, Florianópolis, Brasil.

出版信息

Cad Saude Publica. 2017 May 18;33(4):e00208815. doi: 10.1590/0102-311X00208815.

Abstract

Aging individuals can experience frailty and loss of independence and autonomy. Healthcare for the elderly should help them recover their health and maintain their autonomy, in keeping with the Brazilian Statute of the Elderly and underlying policies in the Brazilian Unified National Health System. Based on a multiple case study, the objective was to assess the capacity of municipal administration to provide healthcare for the elderly. The assessment was oriented by an evaluative model validated by experts in administration and evaluation, with 16 indicators analyzing political, organizational, technical, and operational factors. Care f or the elderly was rated fair in all five cases. Health promotion and prevention actions were identified as best practices, and the main challenge was in the intra and inter-sector linkages needed for healthcare for the elderly.

摘要

老年人可能会经历身体虚弱以及失去独立和自主能力的情况。根据巴西《老年人法规》以及巴西统一国家卫生系统的相关基础政策,老年人医疗保健应帮助他们恢复健康并保持自主能力。基于一项多案例研究,其目的是评估市政管理部门为老年人提供医疗保健的能力。该评估以一个经行政管理和评估领域专家验证的评估模型为导向,有16项指标用于分析政治、组织、技术和运营因素。在所有五个案例中,老年人护理被评为中等。健康促进和预防行动被确定为最佳实践,而主要挑战在于老年人医疗保健所需的部门内部和部门间联系。

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