| E113 |
Learn about the different experiences of local managers with federal guidelines and regulations related to the implementation of the Better at Home Program. |
In terms of potential, the program’s guiding ordinance is considered appropriate to the reality. The importance of federal coordination instruments with local adaptations and the need for flexibility in the recommendations of the PMeC* ordinance are recognized. Participation in the program has brought greater financial resources to HC†, improving the health team and the flow of care. The PMeC* has allowed deaths to occur at home and has led to dehospitalization. However, there is still resistance on the part of hospital medical staff to refer patients to the program, as well as difficulties in the composition of HC† teams. |
| E214 |
Understanding the limitations and potential of pediatric home care provided by the Better at Home Program in a municipality in the state of Ceará. |
The lack of knowledge among professionals at different levels of care about HC† hinders continuity of care, as does the absence of certain professional categories, the lack of dedicated physical infrastructure for PMeC*, and the shortage of essential care supplies. There was a lack of transportation, training, and links between the program and PHC‡ management. Another negative feature mentioned was the change of professionals at each management cycle, severing the link between professionals, patients, and the network. However, one criterion for improvement is the decrease in pediatric hospital admissions. |
| E315 |
Characterizing Home Care Services operating in Paraíba. |
The use of call centers is a major strategy for user care. Areas for improvement include HCS§ transportation, which is shared with other services in the network. Some teams do not meet the minimum required working hours, working only certain shifts, which affects the continuity of care. HCS§ headquarters are usually attached to other health services, and even with interconnection, there is fragmentation in communication between services. With regard to electronic patient records and ITP||, these are only carried out in 50% of services, demonstrating fragmentation in some essential areas for patient information and individualized care planning. |
| E416 |
Understanding the organization of Home Care in the context of public health care provided by municipalities that have joined the Better at Home Program in the State of Minas Gerais. |
They perceive integration with the network as a weakness of the PMeC*. Holding meetings between teams from different services and organizing processes are seen as effective strategies for improving user service in HC†. |
| E517 |
Analyze how the Home Care Service was implemented from the perspective of primary health care professionals in the municipality of Araranguá, Santa Catarina. |
The importance of the PMeC* in the dehospitalization of patients and in improving the quality of life of users and their families has been highlighted, serving as a reference for PHC‡ and hospitals. Areas for improvement include the lack of care sharing, the difficulty of interaction between professionals, and the lack of knowledge of referrals by PHC‡. In addition, there is an overload of the HCS§ team, a lack of physical structure and vehicles, and difficulty in holding users accountable for care. Continuing education in health with HCN¶ professionals is suggested. |
| E618 |
Understanding the experience of professionals in the Better at Home Program in light of resilience. |
The PMeC* is seen as a welcoming, decisive service that performs humanized, multidisciplinary work, looking beyond clinical demands. The service provides support and care to families, making it a unique service in the HCN⁋. The service enters homes and, because it has such close contact with diverse situations, professionals are exposed to overload, helplessness, and fragility. Due to the strong bond with families, some are reluctant to be discharged from the PMeC*. |
| E719 |
Characterize the implementation of the Better at Home Program and analyze it from the perspective of municipal managers. |
The PMeC* is perceived as an alternative to hospitalization, has great potential for dehospitalization and coordination with the HCN¶. It optimizes hospital beds, enters the network for case discussion and care sharing. Greater attention should be given to the dissemination of the program by the Ministry of Health to the population, with a need for further explanation of the ordinance with the HCN¶ for better understanding. Incentives to improve the technical quality of the PMeC* team and the correct supply of inputs and training to PHC‡ for the proper referral of patients. |
| E820 |
Assess professionals’ understanding of interdisciplinarity in the actions of the Better at Home Program in the municipality of Palmeira dos Índios, Alagoas. |
The meaning of interdisciplinarity is still little known or misunderstood among professionals. At HCS§, it occurs through everyday actions, in horizontal relationships with exchanges or shared care. Teamwork is closely linked to the lack of vehicles exclusively for HCS§, or the use of an exclusive vehicle for dressings, demonstrating a lack of shared care. Admissions are carried out only by a social service professional, where no exchanges are made, and ITP|| is not performed. There is a need for improvements in interpersonal relationships, team meetings, multiprofessional care, as well as the dissemination of program criteria for HCN¶. |
Potential strengths and limitations of the Better at Home Program identified by professionals and managers: a scoping review of the literature
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