Cuidados pós-agudos: como estão inseridas nas políticas de saúde brasileira as Instituições de Longa Permanência para Idosos (ILPIs) e as Clínicas de Retaguarda?

• Ano de defesa: 2018
• Autor(a) principal: Polisaitis, Ariane Eloiza Guilherme
• Orientador(a): Malik, Ana Maria
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Palavras-chave em Português: Cuidados; Longa permanência; Cuidados continuados; Sistema de saúde; Doenças crônicas; Envelhecimento populacional
• Palavras-chave em Inglês: Care; Long-term care facility; Long-term care; Health system; Chronic diseases; Population aging
• Link de acesso: https://hdl.handle.net/10438/24065

The fast growth of the elderly population with chronic and degenerative diseases and underwrites influencing hospitals to reduce their costs have demanded the use of long-term services considering they are less expensive. Health requirements tend to become more chronic and complex due to population aging. Health systems need to be aligned with population demands, which will increasingly require changes in clinical care and assist approaches. This work aims to identify how Long-Term Care Facilities (LTCFs) for the elderly and Nursing Homes are classified in Brazil. An exploratory and descriptive study has been carried out on the SUS Department of Informatics website in order to browse the National Classification of Economic Activities (CNAE), and also on the Brazilian Institute of Geography and Statistics website in order to browse the National Registry of Establishment of Health (CNES). A database collected in 2017 has also been reviewed. It contains patient hospitalization records from two different service providers in the metropolitan region of São Paulo, the first one is a Long-Term Care Facility and the second one is a Nursing Home. This research has identified the lack of standardization in the classification of CNAE and in the CNES registration process, making it difficult to collect data about the amount of establishments, and amount of beds in Nursing Homes and LTCFs. With regard to health policies in the current Brazilian scenario it is considered a government’s omission, since long-term care provided in Brazilian LTCFs has not been updated up to the present moment. The elderly people admitted to the LTCF for the short-term care service were hospitalized for an average of 49 days. 65% of the total admissions to the LTCF were discharged to return to their home. Patients treated at the Nursing Home remained on an average of 53 days, and 76% of the patients were discharged to return to their home. Brazil has a great potential to build up a health system to integrate Pre-Acute Care, Acute Care and Post-Acute Care, thus enabling the configuration of a care network.