SUMMARY OBJECTIVE: To estimate the human resources and services needed to meet the demand of the Brazilian population who would benefit from palliative care, based on the population growth projection for 2040. METHODS: Population and mortality estimates and projections were obtained from the Brazilian Institute of Geography and Statistics. Service needs were estimated based on literature data. RESULTS: The expected increase in the Brazilian population for 2000-2040 is 31.5%. The minimum estimate of patients with palliative care needs was 662,065 in 2000 and 1,166,279 in 2040. The staff required for each hundred thousand inhabitants would increase from 1,734 to 2,282, the number of doctors needed would increase from 4,470 to 6,274, and the number of nurses from 8,586 to 11,294, for the same period. CONCLUSION: The definition of a national strategy predicting the increasing palliative care needs of the population is necessary. The expansion of the support network for chronic and non-transmissible diseases is necessary, but the training of existing human resources at all levels of attention to perform palliative actions can be a feasible alternative to minimize the suffering of the population.
Introduction: Chronic non-communicable diseases (CNCD) constitute a health problem of growing magnitude in Brazil, leading concerns, to the Ministry of Health (MOH), about the care of persons with chronic conditions (due to advanced diseases), multiple harms and in need of long-term care, requiring continuous assistance,. However, few data exist on the size of the population potentially in need of palliative care in Brazil. Objective:To estimate the size of the Brazilian population that could benefit from palliative care across 26 federated states and the Federal District.Methods: This is a cross-sectional study, using national death certificate and hospital admission data. Brazilian death registration and hospital admission data from 1 st of January to 31 st of December 2014 were analyzed and compared with estimation methods of Rosenwax and Murtagh including all adults (≥ 15 years old) who died in the period of 1 st of January to 31 st of December 2014 in Brazil.Results: the proportion of individuals who died from diseases that indicate palliative care needs at the end of life ranged from 24.6% to 85.2%. Conclusion:Integration of several existing policies, trigger and strengthen actions and integral care to patients with palliative care needs respectful of the specificities of each area as well as to support decision-making and the development of actions in health, in particular to the definition of needs and priorities, the construction of prospective scenarios, and the assessment of ongoing actions.
Estimating resources and specific parameters to structure and tailor palliative care assistance in countries whose health policies do not provide this mode, as the case of Brazil, has been a difficult task, considering the existing diversities between curative and palliative assistance and understanding regarding the combination of different types and criteria of care.
It has been a difficult task to define the number of patients in need of palliative care, the necessary resources and the specific criteria to structure and adapt palliative care services in Brazil. Until now the quantification of palliative care needs in our country has been estimated in an isolated way and based on international experiences. However, there are doubts about the applicability of these parameters considering the population and territorial dimensions, as well as the regional diversities. The analysis of the population morbidity and mortality profiles is necessary to the establishment of possible parameters to be employed for the assistance in palliative care, such as hospital admissions for the treatment of clinical intercurrences of cancer patients. Aims: To develop estimates of the current situation, the coverage and the need for palliative care services. Identify the number of hospitals that admitted potential patients with palliative care needs and the number of hospital beds used for the hospitalizations. Methods: Retrospective and observation analysis of the hospital admission registers of cancer patients were performed to verify the number of cancer patients in need of palliative care and the number of clinic hospital beds used yearly to admit these patients. Data on hospital admission of cancer patients, like average length of stay and hospital mortality were used. Results: Between 2008 and 2016, were registered in the Hospital Information System of SUS (SIH-SUS) 1,7 million hospitalizations for treatment of clinical intercurrence of cancer patient. These admissions were identified on 3,374 different health units around the country. An average of 91% of all hospitalizations for treatment of clinical intercurrence of cancer patient were registered in 380 hospitals Conclusions: To improve the quality of life, relieve physical suffering, cater for the psychological, spiritual and social needs of people with severe and advanced diseases, as well as to provide support to families and caregivers, it is indispensable to consider the existing models of health care. The inclusion or expansion of palliative attention meets the size, nature and severity of the needs of cancer patients.Key words: Cancer, Hospital Admissions, Estimated palliative care needs, Hospital beds for palliative caremethaodos.revista de ciencias sociales, 2017, 5 (2): 341-354 ISSN: 2340-8413 | http://dx.doi.org/10.17502/m.rcs.v5i2.172 Cledy Eliana dos Santos, José Manuel Peixoto Caldas, José Américo Serafim, Newton Barros, Altamiro da Costa Pereira, Marcelo Eduardo Zanella Capra, Airton Stein y Alberto Freitas Nota de investigación 342 ResumenDefinir el número de pacientes que necesitan cuidados paliativos, los recursos necesarios y los criterios específicos para estructurar y adaptar los servicios de cuidados paliativos en Brasil ha sido una tarea difícil. Hasta el momento, la cuantificación de las necesidades de cuidados paliativos en nuestro país ha sido estimada de un modo aislado y se ha basado en experiencias inte...
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