Performance and continuing education process in long-term care institutions for the elderly
Abstract
Objective: To assess the performance of Long-Term Care Institutions for the Elderly (LTCIs) with a focus on proposing monitoring indicators. Method: A quantitative study was conducted in 41 nonprofit institutions under the XV Regional Health Department in the São José do Rio Preto-SP region. Monitoring spreadsheets agreed upon with Municipal Health Surveillance agencies were analyzed; these were completed monthly by the institutions and consolidated annually. Descriptive statistics and indicator calculations, composed of rates and ratios, were employed for data analysis. Results: The annual consolidation showed an installed capacity of 1,402 beds, an occupancy rate of 92.5%, and a coverage rate of 6.1 per 1,000 elderly. Among the residents, 21.4% came from municipalities other than the institution's location; 70.3% were over 70 years old; 50.6% were men; 18.6% were level III dependency; 14.6% had an Alzheimer’s diagnosis; and 63.1% of the workforce were direct care professionals (equating to 2.1 care professionals per level III resident). On average, 5.1 health surveillance visits, 0.6 council visits, and 12.1 primary care visits were conducted annually. Conclusion: Expanding the monitoring indicators made it possible to analyze and understand the situation of institutionalized elderly people, organize workflows, ensure access to SUS services, and develop prioritized actions in the Elderly Care Network.
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References
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