Departamento de Ciências da Saúde, Universidade Federal de Santa Catarina. R. Gov. Jorge Lacerda 3201, Urussanguinha. 90620-110 Araranguá SC Brasil.
Faculdade de Medicina, Universidade Federal do Rio Grande do Sul. Porto Alegre RS Brasil.
Cien Saude Colet. 2021 Jan;26(1):99-108. doi: 10.1590/1413-81232020261.30382020. Epub 2020 Aug 13.
Primary Health Care is a care model whose attributes contribute to solving most of the health problems of older adults in Brazil's increased longevity. This investigation aims to analyze the care provided to the dependent older adults and their caregivers within Primary Health Care. This is a qualitative study conducted in eight Brazilian municipalities in 2019. A total of 190 subjects participated in the research, whose information was collected through semi-structured interviews and analyzed through the theoretical framework of Dialectic Hermeneutics. Problems with access, home care, the health care network, and interprofessional work were identified. The teams provide practices under the biomedical model's logic focused on the medical professional, although health promotion and disease prevention actions have been identified. There is a need to qualify PHC and expand the scope of practices, incorporating the core of knowledge not traditionally introduced into the teams. Moreover, it is essential to strengthen the State's role and create specific public policies for dependent older adults and their caregivers.
初级保健是一种护理模式，其属性有助于解决巴西老年人寿命延长所带来的大多数健康问题。这项调查旨在分析初级保健为依赖老年人及其照顾者提供的护理。这是 2019 年在巴西八个城市进行的一项定性研究。共有 190 名受试者参加了这项研究，他们的信息是通过半结构化访谈收集的，并通过辩证解释学的理论框架进行分析。研究发现，在获得医疗服务、家庭护理、医疗保健网络和跨专业工作方面存在问题。这些团队提供的实践是基于生物医学模式的逻辑，以医疗专业人员为中心，尽管已经确定了促进健康和预防疾病的措施。有必要提高初级卫生保健的质量，并扩大实践范围，纳入传统上未引入团队的核心知识。此外，必须加强国家的作用，并为依赖老年人及其照顾者制定具体的公共政策。
