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Home care organization with the Better at Home Program
Edna Aparecida Barbosa de Castro1, Denise Rocha Raimundo Leone2, Camila Medeiros Dos Santos3
1Departamento de Enfermagem Aplicada, Faculdade de Enfermagem, Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.
Revista Gaucha De Enfermagem
|May 31, 2018
Summary
This study reveals that integrating management and care aspects significantly improves home healthcare organization. This approach enhances service effectiveness and reduces health need fragmentation for better patient outcomes.
Area of Science:
- Healthcare Management
- Public Health Policy
- Qualitative Research Methods
Background:
- The "Better at Home" program aims to improve municipal healthcare delivery.
- Understanding home healthcare organization is crucial for effective service provision.
- Municipalities joining the "Better at Home" program were studied.
Purpose of the Study:
- To investigate home healthcare organization modes within the "Better at Home" program.
- To identify factors influencing the structure and delivery of homecare services.
- To analyze how municipal healthcare integrates with homecare.
Main Methods:
- A multicenter qualitative study design.
- Data collected via semi-structured interviews with 12 Homecare Services coordinators and six managers across 12 municipalities.
- Content analysis used for data processing (February 2014 - July 2015).
Main Results:
- Two primary analysis categories emerged: Supply management influenced by political/administrative demands, prior experiences, and local health profiles.
- Modes of organization were found to be mediated by user needs.
- Integration of management and care aspects was key to progress.
Conclusions:
- Significant advancements in homecare organization result from integrating management and care.
- Homecare as a substitutive modality can improve service effectiveness.
- This approach helps reduce service fragmentation and enhances the solvability of health needs.
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