Banca de DEFESA: MARGARETH SANTOS DE AMORIM

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : MARGARETH SANTOS DE AMORIM
DATE: 25/03/2025
TIME: 09:00
LOCAL: Meet
TITLE:

EVALUATION OF PUBLIC POLICIES FOR HEALTH CARE FOR THE ELDERLY

KEY WORDS:

Public Policies, Elderly Health, Comprehensiveness, Evaluation Instruments and Indicators, Public Health.

PAGES: 118
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Introduction: The global demographic transition is increasing the elderly population, challenging health systems. The World Health Organization (WHO) predicts a significant rise by 2050. In Brazil, the elderly population is also growing, putting pressure on health and social security systems. Accessibility and comprehensiveness in healthcare are essential, yet they face several barriers. Evaluating public health policies for the elderly is crucial, using quality indicators. The COVID-19 pandemic has exacerbated the vulnerability of this population. Objective: This study aims to develop a diagnosis of strategies for assessing public health policies for the elderly, with a focus on improving the quality of healthcare. It seeks to identify existing models and instruments for analyzing public policies related to elderly healthcare quality in the literature and propose indicators to facilitate the evaluation and effective monitoring of the implementation of the Elderly Health Public Policy. Methods: This is a methodological development study in health, consisting of two phases: I - Scoping Review; II - Development of the Elderly Health Evaluation Indicator Matrix. The scoping review was conducted following the Joanna Briggs Institute manual and guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. Searches for articles were carried out in the following databases: Embase, Medline/PubMed, Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature, Latin American and Caribbean Literature in Health Sciences, and Science Direct. Additionally, searches were conducted on Google Scholar and gray literature (www.opengrey.eu). The search strategy was executed in January 2024, with no language restrictions. A descriptive analysis of the mapped studies was conducted, categorizing them by analysis categories. Phase II involved the development of the evaluation indicator instrument, which was carried out in three distinct steps: defining the construct of interest, identifying its domains, generating and selecting indicators based on the defined domains through a systematic search of existing indicators from sources such as WHO, PAHO, MS, SISAPI, RIPAS, among others, and, finally, defining the operational aspects of the indicators and the instrument itself. Results: A total of articles were included, which identified instruments that assess the health conditions of the elderly, as well as demographic, socioeconomic, and epidemiological indicators, procedures, and healthcare services. All studies utilized a quantitative approach. The indicators were related to the evaluation and effective monitoring of the implementation of the Elderly Health Public Policy. Moreover, the thesis highlights the lack of robust qualitative evaluation of existing policies and programs, limiting the understanding of the needs and challenges faced by the elderly population. The absence of comprehensive qualitative evaluation may lead to a superficial understanding of the needs and challenges faced by the elderly, resulting in policies that do not fully address their demands. In response to these gaps, the thesis proposes an innovative indicator matrix, structured into 6 categories, 8 subcategories, and 24 indicators, aimed at evaluating the quality of elderly health policy and the integration of policies focused on this population. This matrix provides a comprehensive and systematic framework for evaluating quality, allowing for a more in-depth and targeted analysis of relevant aspects for the public policy in question, enabling a swift and technically grounded assessment of the general situation in each thematic area. Conclusion: In summary, the thesis contributes to the field of elderly health by synthesizing existing knowledge on instruments and indicators for evaluating public policies, as well as proposing a set of indicators for monitoring health policies directed at the Brazilian population, structured within relevant thematic areas. This effort aims to improve the quality of care and comprehensiveness of elderly healthcare in the Unified Health System (SUS).

COMMITTEE MEMBERS:
Presidente - 2374850 - THAIZA TEIXEIRA XAVIER NOBRE
Interna - 2262871 - ANA ELZA OLIVEIRA DE MENDONCA
Externo ao Programa - 1161810 - GILSON DE VASCONCELOS TORRES - UFRNExterna à Instituição - RACHEL BERNARDES DE LIMA - UFT
Externa à Instituição - LUCIANA ARAUJO DOS REIS - UESB