Evidence map›Paper›PMID 37878856›Full record

ArticleRevista de saude publica2023

Greater Care Program in the face of the challenges of aging: a qualitative analysis.

Cláudio Phillipe Fernandes de Castro, Janaína de Souza Aredes, Karla Cristina Giacomin, Josélia Oliveira Araújo Firmo

Open access · goldAbstract read
In one paragraph

Article in Revista de saude publica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 72% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Cláudio Phillipe Fernandes de CastroFundação Oswaldo Cruz. Instituto René Rachou. Programa de Pós-graduação em Saúde Coletiva. Belo Horizonte, MG, Brazil.ORCID http://orcid.org/0000-0002-2853-1116
Janaína de Souza AredesFundação Oswaldo Cruz. Instituto René Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brazil.ORCID http://orcid.org/0000-0002-4147-2405
Karla Cristina GiacominSecretaria Municipal de Saúde de Belo Horizonte. Belo Horizonte, MG, Brazil.ORCID http://orcid.org/0000-0002-9510-6953
Josélia Oliveira Araújo FirmoFundação Oswaldo Cruz. Instituto René Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brazil.ORCID http://orcid.org/0000-0001-5330-476X
Fundação Oswaldo Cruz · BRSecretaria Municipal de Saúde · BR

Funding

Medical Research Council MR/R024219/1
6 · The paper itself

Abstract

objectiveTo understand the perception of different actors involved in the older adults care process in the intersectoral strategy of the Programa Maior Cuidado (PMC - Greater Care Program), aiming at the development of actions that contribute to the improvement of the services provided.

methodsEleven qualitative interviews guided by a semi-structured script were conducted in 2020 with key informants directly involved in the PMC: the older adults and their families, caregivers, health professionals and social assistance. In addition, to understand the functioning and proposals of the PMC, a documentary analysis was also carried out with the tracking of existing information on the guidelines, protocols, and management instruments. The content analysis technique was used to classify textual data, and the interpretation process was mediated by the theoretical-methodological framework of hermeneutic anthropology.

resultsTwo categories were identified: "Repercussions of the care offered by the PMC: the 'little' that makes a difference" and "Problems beyond the PMC: the limits of family care in the face of violence against the older adults". For all interviewees, the perception the PMC is very necessary is unison, being able to minimize the occurrence of health problems and avoid transfers of the older adults to hospitals and Long Stay Institutions for the Elderly (Instituição de Longa Permanência - ILPI in Portuguese). Chronic comorbidities increase the demands of health care and generate situations that can be managed by the PMC caregiver. Population aging requires the planning of strategies and public policies aimed at providing continuous care for the older adults, including those living in communities. The PMC emerges as an intersectoral alternative to assist in this issue.

conclusionsThe PMC can be considered a good practice model to be expanded to other locations, however there are gaps that need to be rediscussed so that its processes are improved and its results enhanced.

Indexed as

AgingCaregiversAgedBrazilDelivery of Health CareHealth PersonnelHumansQualitative Research

Identifiers

PMID37878856
PMCPMC10547383
OpenAlexW4387948558

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.