Gestão e políticas em saúde: impactos e implicações na internação de idosos

Detalhes bibliográficos
Ano de defesa: 2015
Autor(a) principal: Pereira, Magali das Graças Machado lattes
Orientador(a): Silveira, Nadia Dumara Ruiz
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Pontifícia Universidade Católica de São Paulo
Programa de Pós-Graduação: Programa de Estudos Pós-Graduados em Gerontologia
Departamento: Gerontologia
País: BR
Palavras-chave em Português:
Palavras-chave em Inglês:
Área do conhecimento CNPq:
Link de acesso: https://tede2.pucsp.br/handle/handle/12460
Resumo: This study analyzes the profile of long-term hospitalizations of beneficiaries, aged 60 years or older, of a self-managed health plan. This type of hospitalization was chosen for this study because the performance of unsystematic and random procedures is common - either due to the existence of diverse pathologies or to the degree of complexity of the therapies -, and this raises costs and weakens patients and families. Such specificities in the current reality, in which infectious and chronic-degenerative diseases feature prominently, greatly increase hospitalization costs. Factors like high average stay, high costs of technological resources, medical and nursing assistance combined with other medical procedures that are necessary to provide high-quality care for patients, have been worrying managers of health care services and have generated cost-effectiveness discussions regarding the survival of such services and also of hospitals. The significant increase in the number of people older than 60 years has resulted from advances in the health and social areas, a new scenario that requires that greater attention is paid to longevity: it can demand specific care concerning the emergence or aggravation of pathologies, and, consequently, longer hospitalization periods. The results found in this study show irrelevant alterations after 16 years passed. Therefore, it is important that companies that provide self-managed health plans better understand older people s health care needs, and that public policies targeted at older individuals are truly effective