Challenges and possibilities of health professionals in the care of dependent older adults

Ciencia e Saude Coletiva

article

Raimunda Magalhães da Silva¹  Christina César Praça Brasil¹  Indara Cavalcante Bezerra²  Maria do Livramento Fortes Figueiredo³  Míria Conceição Lavinas Santos¹  Jonas Loiola Gonçalves¹  Maria Helena de Agrela Gonçalves Jardim⁴ 

[1] Programa de Pós-Graduação em Saúde Coletiva. Universidade de Fortaleza. Av. Washington Soares 1321;Universidade Estadual do Ceará. Fortaleza CE Brasil.;Programa de Pós-Graduação em Enfermagem, Universidade Federal do Piauí. Teresina PI Brasil.;Universidade da Madeira. Ilha da Madeira Portugal.

关键词: Health care;    Health personnel;    Dependent older adults;    Primary Health Care;    Qualitative research;   

DOI  :  10.1590/1413-81232020261.31972020

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

This study investigates the challenges and possibilities of health professionals in managing care for dependent older adults in PHC. We employed a qualitative approach based on dialectical hermeneutic fusion. Interviews were carried out with 38 health professionals, from June to December 2019, in eight cities in the five Brazilian regions, which resulted in themes about the challenges of professionals in the management of care for older adults, the strategies used, and their suggestions for improving the quality of care for dependent older adults. Management failures, structural factors, access barriers, scarce supplies, disrupted network, and lack of security, were pointed out as hardships in directing health protection, prevention, and promotion actions. The applied strategies are diverse and conflicting and aim to articulate the multiprofessional teams, which involve the Family Health Strategy and specialists to implement care. Strengthening reception, encouraging home consultation, mobilizing support groups, and carrying out health education were among the participants’ integrative practices. Due to the complex study object, it was evidenced that professionals recognize the shortcomings in the health services and face undesirable situations due to the lack of qualified personnel in the teams and the defective materials and transportation.

【 授权许可】

CC BY