巴西巴伊亚州长期护理机构的保健战略

M. Duarte, João Victor Nunes Freitas, Rafaela Andrade Correia, M. Frank, Helena Patáro de Oliveira Novaes, J. Soub, D. Noronha, P. Lloyd-Sherlock
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引用次数: 2

摘要

目的:描述巴西巴伊亚州生活在长期护理机构(ltcf)的老年人的卫生保健策略。方法:这是一项涉及在巴伊亚州发现的ltcf的生态研究,这些ltcf被邀请参加2021年4月至6月期间进行的调查。感兴趣的变量是长期cf特征、卫生保健策略、国家公共卫生系统(葡萄牙语为SUS)团队的访问量以及SUS采取的卫生保健行动。对位于东部宏观区域的长期信托基金与该州其他地区的长期信托基金进行了比较分析,并按融资类型(私营和非私营)进行了分类。结果:样本包括177家长期信托基金,其中一半以上位于东部宏观区域,即州首府所在地。大多数设施宣称自己是非私人的(68%)。不到三分之一的长期信托基金拥有自己的医疗队。尽管67%的长期卫生保健中心报告了单一卫生系统提供的一些卫生保健,但只有49%报告了临床咨询,除了疫苗接种外,其他单一卫生系统行动的比例更低(91%)。东部宏观区域有单一保健系统团队陪同的长期医疗服务提供者的百分比较低,而有补充医疗保险的长期医疗服务提供者的百分比最高。结论:本研究表明,由于公共卫生保健提供者普遍忽视了这一人群,LTCF居民获得基本卫生服务的机会有限。支持长期信托基金的公共政策不足对向居民提供的护理质量产生了重要影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health care strategies in long-term care facilities in Bahia State, Brazil
OBJECTIVE: To describe health care strategies for older people living in long-term care facilities (LTCFs) in Bahia state, Brazil. METHODS: This is an ecological study involving LTCFs identified in Bahia state, which were invited to participate in a survey conducted between April and June 2021. The variables of interest were LTCF characteristics, health care strategies, visits received from national public health system (SUS, in Portuguese) teams, and health care actions taken by SUS. A comparative analysis was performed between LTCFs located in the East macro-region and other parts of the state, in general and also stratified by funding type (private and non-private). RESULTS: The sample consisted of 177 LTCFs, more than half of them were located in the East macro-region, seat of the state capital. Most facilities declared themselves as non-private (68%). Less than one-third of the LTCFs had their own health teams. Although 67% of LTCFs reported some health care provided by SUS, only 49% reported clinical consultations, with even lower percentages for other SUS actions, except for vaccination (91%). The East macro-region had a lower percentage of LTCFs accompanied by a SUS team, and the highest percentage of LTCFs with supplementary health insurance. CONCLUSIONS: This study shows the limited access of LTCF residents to essential health services, due to a general neglect of this population by public health care providers. The inadequacy of public policies to support LTCFs has important consequences for the quality of care offered to residents.
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