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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.
Abstract:
OBJECTIVE To understand the home healthcare organization modes in the context of healthcare delivered by the municipalities that have joined a Program entitled Better at Home. METHODS A multicenter qualitative study. Data collection performed in 12 municipalities, from February of 2014 to July of 2015, through semi-structured interviews with 12 Homecare Services coordinators and six managers. Content analysis was used as a method of data processing. RESULTS Two categories of analysis have emerged: Supply management regulated by political and administrative demands, previous experiences and local health profile; and Modes of organization mediated by users' needs. CONCLUSION It is concluded that the significant progress observed in homecare organization modes stems from the integration of management and care aspects. It is highlighted that this substitutive care modality may enhance the effectiveness of the services, reducing fragmentation and solvability of the health needs.
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