Modelos de atenção à saúde do idoso: repensando o sentido da prevenção

Greater knowlegde of patient history among health professionals leads to improved results. This is how the contemporary and resolutive models of care recommended by the most important national and international health agencies work. Current models of care stem from a time when Brazil was a country of young people and acute diseases. But the desire for a higher quality, more efficient and more cost-effective model of care is not only a Brazilian phenomenon. The whole world is debating the issue, recognizing the need for change and proposing improvements in their health systems. The same thing is occurring here. The theme of this text, as Dr. Martha de Oliveira, director of the Agência Nacional de Saúde Suplementar (National Agency Of Supplementary Health) (ANS) comments below, is in agreement with this movement. We advocate a logic that prioritizes low-intensity interventions and constant monitoring, with the doctor responsible for a portfolio of clients who he or she accompanies throughout the different care settings. The text proposes integrated medical treatment, a flow of educational actions, health promotion, the prevention of preventable diseases, the postponement of illness, early care intervention and rehabilitation from sickness. It is time to change and innovate!

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“…Martha oliveira 1 Expert Comment 1 Agência Nacional de Saúde Suplementar (ANS), Desenvolvimento Social. Rio de Janeiro, RJ, Brasil.…”

Section: Resultsunclassified

“…The current provision of health services fragments care for the elderly, with multiple specialist consultations, a lack of information sharing, and numerous drugs, tests and other procedures. This overloads the system, with a strong financial impact at all levels, and does not generate significant benefits for quality of life [1][2][3] .…”

Section: Introductionmentioning

confidence: 99%

Care pathway for the elderly: detailing the model

Veras

Oliveira²

2016

Rev. bras. geriatr. gerontol.

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“…The policy of most providers is to try to reduce the "weight" of this segment in their client portfolios. The elderly, on the other hand, complain of the cost, difficulties in receiving care and a refusal to cover many of the tests requested -there is no other commercial relationship in which the seller and customers have such antagonistic positions 8 .…”

Section: Discussionmentioning

confidence: 99%

Supplementary Health and aging after 19 years of regulation: where are we now?

Oliveira

Veras

Cordeiro

2017

Rev. bras. geriatr. gerontol.

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The present article aims to analyze the changes in supplementary health and their effects on the adherence to and maintenance within health plans of the elderly, to demonstrate the current state of the care model offered, and to begin the debate regarding the importance of changing care models and remuneration in the sector. It was observed that turnover in health plans was lower among the elderly than among the non-elderly population, with greater adherence to individual and pre-regulation plans and a very low adherence to dental plans. The elderly were also more representative over the previous year, demonstrating a greater need for permanence in times of economic crisis. Care and cost data point to the urgent need to reformulate the care practice, supported by structures that are practically non-existent in Brazilian supplemental health care today and are not funded in the sector (such as palliative care and care management physicians, among others).

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“…Advances in technology, science and medicine offer for those who use them, modern tools for the maintenance of health and the opportunity to enjoy more years of life in the old age. [3] The decrease in functional ability, with the senescence and fragility cause increased losses in health, physical functioning, intellectual functioning, activity, motivation, social participation and subjective well-being and may be aggravated by stressful events generated by social vulnerability, between the unmet needs and the double jeopardy of being old and belong to the social segment of the poorest and least educated. [4] The functional ability as well as the socioeconomic and demographic dimensions, nutritional status, physical and cognitive ability, must be observed, providing important data for the rehabilitation and recovery of these.…”

Section: Introductionmentioning

confidence: 99%

Aging Process And Quality Of Life: Evaluation Of Weight Loss In The Elderly

Feitosa

Soares²,

Quental³

et al. 2015

Int Arch Med

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Introduction: Physiological Physiological changes can cause reduced medium or long term functional ability, taking the elderly to be susceptible to weakness or dependence on care. A better quality of life among older people aims to promote aging with independence and autonomy, making them healthier and more active and, in addition, adequate nutrition is very important to meet the nutritional needs in this age group. The objective was to Evaluate weight loss in the elderly Methods: Quantitative and descriptive study performed in a Family Health Unit of the city of Cajazeiras, PB, Brazil. The sample consisted of 100 elderly. Data collection took place in April, May and June 2015, using a semi-structured questionnaire validated by Linda Fried and adapted to the reality studied. Data were tabulated in Microsoft Office Excel software and analyzed using SPSS (version 21). We used descriptive analysis of frequency and percentage and to verify the association between biodemographic variables with weight variation we used the chi-square test (χ2). An error equal or less than 55 was accepted, in other words, p < 0.05. The results are shown in tables.Results: It was found that the majority of the sample was between 60 and 80 years old (85%) and female (60%). Regarding the health variables, 46% have a weight between 60 and 80 Kg, 47% has a height between 1.40 and 1.55 or 1.56 and 1.70. In relation to the Body Mass Index (BMI), 90% has the BMI less than 25. It was also found that, with relation to weight loss 83% showed no weight loss.

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Modelos de atenção à saúde do idoso: repensando o sentido da prevenção

Abstract:  Palavras-chave: Envelhecimento humano; Idoso; Prevenção de Doenças; Doença Crônica, Linha de cuidado. Modelos de atenção à saúde do idoso:repensando o sentido da prevenção

Cited by 40 publications

References 19 publications

Care pathway for the elderly: detailing the model

Care pathway for the elderly: detailing the model

Supplementary Health and aging after 19 years of regulation: where are we now?

Aging Process And Quality Of Life: Evaluation Of Weight Loss In The Elderly

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