Panorama dos desafios e mudanças associadas a RDC 502 de 2021 segundo gestores e responsáveis técnicos de instituições brasileiras de longa permanência para idosos

• Ano de defesa: 2022
• Autor(a) principal: Oliveira, Letycia Parreira de
• Orientador(a): Silva, Henrique Salmazo da
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Católica de Brasília
• Programa de Pós-Graduação: Programa Stricto Sensu em Gerontologia
• Departamento: Escola de Saúde e Medicina
• País: Brasil
• Palavras-chave em Português: Idosos; Humanização; Assistência de saúde; Instituição de longa permanência para idosos; Long-term care facilities for elderlies
• Palavras-chave em Inglês: Humanization; Health Care; Elderly
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE
• Link de acesso: https://bdtd.ucb.br:8443/jspui/handle/tede/3023

The provision of qualified care to institutionalized elderly in Brazil still challenges managers, professionals, public policymakers and society itself. After 15 years of the promulgation of the guidelines for the operation of Long Stay Institutions for the Elderly (LSIE), by the Health Surveillance Agency, mismatches between the recommended and the offered by these services are still observed. Objective: To investigate, from the perspective of managers and technicians in charge of Brazilian LSIEs, what are the challenges to ensure the proper functioning of institutions, based on the Resolution of the Collegiate Board of Directors - RDC 502 2021, as well as to describe which proposals for institutions to achieve the provisions set out in the RDC and suggestions for reformulating this resolution. Method: This is a cross-sectional, exploratory and quantitative study, in which forms built and made available through the Google Forms tool were applied with questions related to the challenges, proposals and suggestions, faced by LSIEs in elderly care, based on the understanding of RDC 502 2021. Results: Of the 90 institutions accessed, more than half were located in the Southeast region of Brazil (51.1%) and most were characterized as private non-profit (34.4%). The biggest challenge of the referenced was the availability of financial resources to offer care and general expenses of the institution, followed by availability of human resources, Adequacy of the Property and the institution's facilities, Coverage and service of the Unified Health System, Medical and health follow-up and Offer of leisure activities. Other challenges permeated dimensions such as health, relationship with supervisory bodies and with the family. To achieve the provisions set out in the RDC, the following actions were mentioned: improvement and training of professionals working in the LSIEs, the review of the infrastructure for routine activities, the need for greater financial support from the State, and the application of realistic proposals of inspection and compatible with the reality of each LSIE. In this last topic, it is not clear which parameters of the RDC should be re-elaborated and how they should be operationalized. Regarding the actions to reform the RDC, most actions were identified as emerging, and the most prevalent was “to compose ancillary laws that regulate the minimum funding of institutionalized elderly care by municipalities and states”, “ make municipal and state managers co-responsible for actions to strengthen institutions" and "refer guidelines for pacting the care of the institutionalized elderly by the region's health units" Conclusion: Facing of the challenges and suggestions reported, it is observed that the debate on reformulations in the DRC must be accompanied by actions that provide better working and operating conditions for LSIEs, and this can permeate the domain of drawing up public policies that aim to reduce the probabilities of financial shortages and difficulties related to structural and human resources aspects.