Banca de DEFESA: KELLIMILA SANTANA SILVA SODRE

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : KELLIMILA SANTANA SILVA SODRE
DATA : 28/01/2020
HORA: 09:30
LOCAL: SALA 01 ISC UFBA
TÍTULO:

Home-Care Program of the Health Department for the State of Bahia: a management perspective.

PALAVRAS-CHAVES:

Home-care; management models; healthcare service organization.

PÁGINAS: 90
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

The study is a research of a qualitative nature, a single case study with a built-in focus, with the general objective of analyzing the operation of the State Home-Care Program under a management perspective. The research was approved by the Research Ethics Committee (CEP) of the Institute of Public Health (ISC) at Universidade Federal da Bahia, with co-participation of the CEP of SESAB (Bahia State Department of Health). The study was performed within the scope of the SESAB which, in 2018, promoted substantial changes in its process for offering and organizing this service, through the opening of a public offering process for the accreditation of private home-care companies. The research used documental analysis, secondary data and semistructured interviews with eight key-informants as methodological strategy. The collected data was sorted and consolidated to the analysis criteria defined and treated in accordance with the conceptual elements. The results demonstrated three moments in the handling of the Home-Care (HC) actions in Bahia: direct administration, FESF (State Family Health Foundation) and private enterprises. Included in the grounds for the choice of the provision of services by home-care companies was the influence of a central administration, justified by the need for increasing the high complexity hospital bed turnover rate, with a greater rationalization of financial resources. Among the changes, the de-hospitalization of users outside the HC criteria to smaller units or to the municipalities of origin, one of the pillars of the new Program, contributed towards the release of high complexity hospital beds. Despite the expansion of the healthcare coverage, a decrease was observed in the number admitted patients having a high number of readmissions due to deteriorating clinical condition (41%), during the period from May 2018 to May 2019. The change in the organization of the working processes implied in the loss of federal funding for the healthcare teams and, in turn, the lack of use of assessment parameters of the service evidenced a weakness in the operation and control of the program. It is concluded that the recent option for the provision of services by private enterprises seems to reinforce the fragmentation of the healthcare, not promoting the integration among the services, based on the precariousness of the work, with the continued underfunding of the public sector and the sub-regulation of the private sector. It is suggested that SESAB convene healthcare service user organizations, health professionals and academic specialists to broaden the HC feasibility analysis and expansion, based on the health perspective and in defense of the interests of SUS, and on the healthcare needs of the population.

MEMBROS DA BANCA:
Interno - 2334417 - ALCIONE BRASILEIRO OLIVEIRA CUNHA
Interno - 3359216 - ISABELA CARDOSO DE MATOS PINTO
Externo à Instituição - KENIA LARA SILVA - UFMG