Quem cuidará de nós em 2030? percepção dos representantes das Secretarias de Saúde da Região Metropolitana de São Paulo

• Ano de defesa: 2012
• Autor(a) principal: Kimura, Cleber
• Orientador(a): Côrte, Beltrina
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica de São Paulo
• Programa de Pós-Graduação: Programa de Estudos Pós-Graduados em Gerontologia
• Departamento: Gerontologia
• País: BR
• Palavras-chave em Português: Serviços públicos; Cuidados; Longevidade; Saúde; Idosos; Acolhimento; 2030
• Palavras-chave em Inglês: Public services; Care; Longevity; Health; Elderly; Shelter
• Área do conhecimento CNPq: CNPQ::CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL
• Link de acesso: https://tede2.pucsp.br/handle/handle/12413

The current study depicts part of the original research, Electronic Delphi Method in prospecting necessary service/care for the elderly Who shall take care of us in 2030? , in partnership with Pontifícia Universidade Católica de São Paulo (PUC/SP), Universidade de Brasília, Universidade Católica de Brasília and Escola de Artes e Ciências Humanas da USP (Pontifical Catholic University at São Paulo PUC/SP, University of Brasilia, Catholic University of Brasilia and the School of Liberal Arts, at USP), sponsored by FAD-DF and the Ministry of Health, which intends to better understand how health public officials of São Paulo Metropolitan Area municipalities (Região Metropolitana de São Paulo - RMSP, in Portuguese) perceive currently available care and services, and, of those, which are viewed as appropriate and suitable for senior citizens in 2030. The qualitative methodological approach was used, as it facilitated to understand subjective and particular care related issues mentioned by the 39 female and male interviewees, all of them health public service officials, managers and workers in their city health departments. The Statistical Package for the Social Sciences (SPSS), NVivo software, Laurence Bardin s content analysis technique and Clifford Geertz s social discourse technique were used, in order to determine the interviewees profile and their social discourse towards care. Out of the 39 interviewees (54% male and 46% female), between 28 and 66 years old, 43.5% are health department workers, asked to participate in the study by their superiors; 56,5% are health managers, but not necessarily health civil secretaries; 87% of the top public health administrators in different cities made themselves unavailabe to cooperate and display information about what is being done. 58.9% of total interviewees had no technical qualification or were experts on gerontology/geriatrics. The interviewed officials were designated to work in public service out of trust or by way of civil service examination, the former being mainly interested in primarily pleasing their sponsors, either the political party and/or the politician who indicated them. Welcoming and treatment is understood as a solution for health problems, as far as eldercare is concerned; 82% are not satisfied with specialized care [Digite texto] 11 provided to the elderly in their towns, a matter of great concern, when we consider the population s fast ageing as opposed to how slow health services improve, and low long it takes for health politics and laws to be approved and implemented. It was acknowledged that the eldercare system offered in their cities is still at an early stage, there is a lack of human resources, a dissatisfaction with the upper levels of government, as they feel hampered by disagreements towards the allocation of health funds among city,state and federal governments; how personnel is recruited and qualified after being nominated. For 2030, they wish a better infrastructure in public spaces, more qualified personnel, greater collaboration among health departments, listening to the needs and the experiences of the elderly in creating new health policies, projects and equipments for themselves, reenforcement of communication and articulation among different public health departments. When asked how they would like to be treated in 2030, RMSP health officials most frequent request was with respect , a clear confirmation of the actual lack of it in the care and services which they are responsible for nowadays. If no actions are taken, this scenario shall almost certainly remain the same