Author:
de Oliveira Letycia Parreira,da Silva Henrique Salmazo
Abstract
Abstract
Background
Despite 18 years since health surveillance regulations were promulgated in Brazil to govern Long-Term Care Institutions for Older Adults (LTCIs), many institutions fail to comply with the Differentiated Regime for Public Procurement (Resolution No. 502/2021) due to structural and operational conditions. This study aimed to investigate Brazilian LTCI managers’ understanding of challenges that significantly impact institutional operation and gather suggestions for enhancing RDC No. 502/21.
Methods
A cross-sectional, exploratory, and qualitative study was conducted, involving 90 managers or technical supervisors from Brazilian LTCIs. Data were collected using a self-administered Google Forms instrument and analyzed through Thematic Analysis based on the Organizing for Quality (OQ) framework.
Results
The most impactful challenges for LTCIs were healthcare, financing, human resources, relationship with oversight bodies, and family members.
Discussion
Proposed improvements for RDC No. 502/21 included enhanced professional training, infrastructure revision, increased financial support from the state, realistic oversight/regulations, and tailored monitoring approaches.
Conclusion
LTCIs in Brazil face numerous challenges, and the suggested improvements aim to adapt regulations to institutional realities. However, considering the regulations’ variability and purposes, further investigation is warranted.
Funder
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Publisher
Springer Science and Business Media LLC
Reference47 articles.
1. Yasobant S. Comprehensive public health action for our aging world: the quintessence of public health policy. J Int Med Res. 2018;46(2):555–6.
2. DIEESE. https://www.dieese.org.br/. [cited 2023 Jun 27]. Departamento Intersindical de Estatística e Estudos Socioeconômicos. https://www.dieese.org.br/.
3. Fonseca Travassos G, Bragança Coelho A, Arends-Kuenning MP. The elderly in Brazil: demographic transition, profile, and socioeconomic condition. Rev Bras Estud Popul. 2020;37:1–27.
4. de Alcântara A O (Org.), editor. Camarano AA (Org.), Giacomin KC (Org.). Política Nacional do Idoso. Velhas e novas questões [National Policy for the Elderly: Old and New Issues]. Rio de Janeiro: Ipea; 2016.
5. OECD. OECD Reviews of Health Systems: Brazil 2021. OECD; 2021.