Banca de DEFESA: JOAO PAULO DAMASIO SALES

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : JOAO PAULO DAMASIO SALES
DATE: 28/01/2021
TIME: 09:00
LOCAL: Videoconferência
TITLE:

EVALUATION OF HEALTH PROMOTION PROGRAMS FOR THE ELDERLY: AN ANALYSIS OF THE QUALITY OF SERVICES IN SUPPLEMENTARY HEALTH

KEY WORDS:

Health Evaluation. Health Promotion. Aged. Quality of Health Care. Supplemental Health.

PAGES: 122
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Rapid global population ageing is considered to be one of the major social and economic challenges of our time. Healthcare events and conferences, scientific investigations and conceptualization seek to elucidate the phenomenon and its political, social, economic, cultural and epidemiological impacts. In Brazil, the healthcare system needs to discover new ways to resolve these effects, since the increase in the number of elderly people dimension the demands for health services and modify the population's morbidity and mortality profile, requiring healthcare sector adaptations to new demands. Given this fact, health promotion emerges as a coping strategy, which seeks solutions to mitigate the effects imposed by this demographic phenomenon, such as the risks, fragility and vulnerability common to the aging process. This study aims to analyze the quality of health promotion services for the elderly through the evaluation of a health promotion program for old-aged in supplementary health. An integrative literature review on the evaluation of health promotion programs for the elderly was carried out between January and March 2020; a documentary research, developed through the study of secondary data requested from National Agency of Supplementary Health - Brazil, submitted to descriptive statistical analysis and Descending Hierarchical Analysis in the IRaMuTeQ® software; a consensus of experts, who used the Delphi technique in three rounds: a) open-ended questionnaire addressed through content analysis, b) closed-ended questionnaire, using the Likert scale and using a coefficient of variation to determine consensus , and c) sending the result and questionnaire of open-ended questions for final consensus; finally, a case study was carried out in a program of quality of life for the elderly in supplementary health, with the adoption of semi-structured interviews, treated by means of content analysis and institutional documents, submitted to documentary research. The results were crossed with the dimensions of health promotion practices for the elderly and guidelines from the National Agency of Supplementary Health – Brazil. Thus, a sequence of studies was developed, entitled: evaluation of health promotion programs for the elderly: an integrative review; profile of health promotion and risk and disease prevention programs, exclusive to the elderly, in supplementary health; dimensions of health promotion practices for the elderly: a consensus of specialists; evaluation of a quality of life program for the elderly in supplementary health. Most studies on the subject discuss the evaluation of the impact of health promotion actions on participants, however few have an emphasis on the evaluation of services, structure and work processes. It was found that there was a gradual commitment by the regulatory agency to establish guidelines, financial incentives, and qualification of programs for health operators, which resulted in an increase in the number of new programs. However, despite the efforts, the number of programs focusing on the elderly is still small, given the growing demand in the national territory. Eighteen dimensions of health promotion practices were found and resulted in guiding principles in the theoretical and practical fields, serving as a framework for the planning, execution and evaluation of health promotion practices for the elderly. These dimensions, when applied to a quality of life program for the elderly, enabled the identification of an adequate structure to offer the service, a favorable organizational climate and an integrated team formed by diverse professionals, is in accordance with the guidelines of the National Agency of Supplementary Health – Brazil, does not have a continuous professional training program and does not systematically evaluate the results. Information capable of supporting decision making and devising ways to achieve efficiency, effectiveness and effectiveness in the management of care for the elderly can be provided, through knowledge and evidence resulting from the application of the proposed dimensions.

 

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