Damaceno Maria José Caetano Ferreira, Chirelli Mara Quaglio
Fundação Educacional do Município de Assis, Instituto Municipal de Ensino Superior de Assis. Av. Getúlio Vargas 1200, Vila Nova Santana. 19807-634 Assis SP Brasil.
Programa de Pós-Graduação Saúde e Envelhecimento, Faculdade de Medicina de Marília, Marília SP Brasil.
Cien Saude Colet. 2019 May 30;24(5):1637-1646. doi: 10.1590/1413-81232018245.04342019.
Changes in the demographic profile over recent decades, especially population aging, have implications for Brazilian public policies. This study aims to analyze how family health strategy teams implement and carry out care for the elderly in a Brazilian municipality. The qualitative field research was conducted by collecting data through semistructured interviews using Minayo as a point of reference and employing thematic content analysis. One observation was that the National Health Policy for Elderly People (Política Nacional de Saúde da Pessoa Idosa - PNSPI) has been facing challenges in its implementation at the municipal level in terms of the lack of specific actions by the PNSPI, limited actions or lack of accessibility, lack of training for health professionals, hiring and management of workers, intersectoral actions, and management. It was concluded that a better outlook for the implementation of the PNSPI in the context of the aging population will require strengthening actions through the precepts of comanagement, an expanded clinic, and health education to increase individuals' independence.
近几十年来人口结构的变化，尤其是人口老龄化，对巴西的公共政策产生了影响。本研究旨在分析家庭健康战略团队如何在巴西的一个城市中实施和开展对老年人的护理。定性实地研究通过以米纳约为参考点，采用半结构化访谈收集数据，并运用主题内容分析。一项观察结果是，《国家老年人健康政策》（Política Nacional de Saúde da Pessoa Idosa - PNSPI）在市级层面的实施面临挑战，具体表现为PNSPI缺乏具体行动、行动有限或缺乏可及性、卫生专业人员缺乏培训、工人的招聘和管理、部门间行动以及管理方面的问题。研究得出结论，在人口老龄化背景下，要改善PNSPI的实施前景，需要通过共同管理的理念、扩大诊所规模以及开展健康教育来增强行动，以提高个人的独立性。
