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巴西的老龄化:医疗保健模式的构建。

Aging in Brazil: the building of a healthcare model.

作者信息

Veras Renato Peixoto, Oliveira Martha

机构信息

Universidade Aberta da Terceira Idade, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro. R. São Francisco Xavier 524/10º, Maracanã. 22261-001 Rio de Janeiro RJ Brasil.

出版信息

Cien Saude Colet. 2018 Jun;23(6):1929-1936. doi: 10.1590/1413-81232018236.04722018.

Abstract

The article discusses the development of a health care model for the elderly, seeking to add to the discussion about the aging of the population in the context of a new epidemiological and demographic scenario. Considering that the aging process in Brazil is relatively recent, more relevant social movements have been described in the construction of health policies directed towards the elderly. After an initial description of the main milestones, we present the model of care considered most appropriate for the best care of the elderly. Based on a critical analysis of health care models for the elderly, the article proposes an approach to care for this age group, focusing on health promotion and prevention, in order to avoid overloading the health system. Integrated care models aim to solve the problem of fragmented and poorly coordinated care in current health systems. The more the healthcare professional knows the history of his patient, the better the results; this is how contemporary and resolutive models of care should work, and it is these that are recommended by the most important national and international health agencies. This article is particularly concerned with a care model that is of higher quality, and is more resolutive and cost-effective.

摘要

本文讨论了一种针对老年人的医疗保健模式的发展,旨在在新的流行病学和人口统计学背景下,为有关人口老龄化的讨论增添内容。考虑到巴西的老龄化进程相对较新,在制定针对老年人的卫生政策时,已有更多相关社会运动被描述。在初步描述主要里程碑之后,我们提出了被认为最适合为老年人提供最佳护理的护理模式。基于对老年人医疗保健模式的批判性分析,本文提出了一种针对该年龄组的护理方法,重点是健康促进和预防,以避免卫生系统不堪重负。综合护理模式旨在解决当前卫生系统中护理分散和协调不佳的问题。医疗保健专业人员对其患者的病史了解得越多,结果就越好;当代果断的护理模式就应该这样运作,而这正是最重要的国家和国际卫生机构所推荐的。本文特别关注一种质量更高、更果断且更具成本效益的护理模式。

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