Home care: potential and challenges for the dehospitalization of children with complex chronic conditions
Abstract
Objetivo: To review and analyze the scientific evidence on dehospitalization through home care for children with complex chronic conditions. Method: A survey of articles published between 2010 and 2023 in the databases Web of Science, PubMed and Scopus was carried out in April 2024, following the PRISMA guidelines. Of the 385 articles found, 41 were considered eligible and 17 were selected for analysis. Results: The articles analyzed addressed different aspects of home care, organized into five thematic axes: costs, caregivers, transition of care, quality of home care and planning of home care. They highlight the importance of this type of care, the gaps for availability of this service, the policies involved and future directions in home care. Final thoughts: The literature review highlights the need for an approach that focuses on integrality and equity in care for children with complex chronic conditions, highlighting the importance of family involvement and empowerment. The implementation of comprehensive policies, adequate financing and the organization of health care in networks are essential to ensure a qualified home care, favoring the growth and development of these children.
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References
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