Programa de Pós-Graduação Stricto Sensu em Gerontologia. Brasília, Universidade Católica de Brasília, Distrito Federal, Brasil.
BMC Geriatr. 2024 Jun 13;24(1):515. doi: 10.1186/s12877-024-05129-4.
Despite 18 years since health surveillance regulations were promulgated in Brazil to govern Long-Term Care Institutions for Older Adults (LTCIs), many institutions fail to comply with the Differentiated Regime for Public Procurement (Resolution No. 502/2021) due to structural and operational conditions. This study aimed to investigate Brazilian LTCI managers' understanding of challenges that significantly impact institutional operation and gather suggestions for enhancing RDC No. 502/21.
A cross-sectional, exploratory, and qualitative study was conducted, involving 90 managers or technical supervisors from Brazilian LTCIs. Data were collected using a self-administered Google Forms instrument and analyzed through Thematic Analysis based on the Organizing for Quality (OQ) framework.
The most impactful challenges for LTCIs were healthcare, financing, human resources, relationship with oversight bodies, and family members.
Proposed improvements for RDC No. 502/21 included enhanced professional training, infrastructure revision, increased financial support from the state, realistic oversight/regulations, and tailored monitoring approaches.
LTCIs in Brazil face numerous challenges, and the suggested improvements aim to adapt regulations to institutional realities. However, considering the regulations' variability and purposes, further investigation is warranted.
尽管巴西自 18 年前颁布了健康监测法规来管理老年人长期护理机构（LTCIs），但由于结构和运营条件，许多机构未能遵守差异化公共采购制度（第 502/2021 号决议）。本研究旨在调查巴西 LTCI 经理对影响机构运营的重大挑战的理解，并收集有关加强 RDC 第 502/21 号决议的建议。
本研究采用了横断面、探索性和定性研究方法，涉及 90 名来自巴西 LTCIs 的经理或技术主管。使用 Google Forms 工具进行了自我管理的问卷调查，并通过基于组织质量（OQ）框架的主题分析进行了数据分析。
对 LTCIs 影响最大的挑战是医疗保健、融资、人力资源、与监督机构的关系以及家庭成员。
对 RDC 第 502/21 号决议的改进建议包括加强专业培训、基础设施修订、增加国家财政支持、现实的监督/规定以及量身定制的监测方法。
巴西的 LTCIs 面临着许多挑战，建议的改进旨在使法规适应机构的实际情况。然而，考虑到法规的多样性和目的，需要进一步的调查。
