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INTEGRATED CARE IN THE COMMUNITY: THE CASE OF THE PROGRAMA MAIOR CUIDADO (OLDER ADULT CARE PROGRAMME) IN BELO HORIZONTE-MINAS GERAIS, BRASIL
health and social integration
integrated care
older vulnerable people
Autor
Afiliación
Centre for Studies in Public Health and Aging. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brasil
Centre for Health Services Studies. University of Kent. Canterbury, Kent, UK.
Municipal Health Secretary. Belo Horizonte, MG, Brasil.
University of East Anglia. School of International Development. Norwich, UK.
Centre for Studies in Public Health and Aging. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brasil
Centre for Health Services Studies. University of Kent. Canterbury, Kent, UK.
Municipal Health Secretary. Belo Horizonte, MG, Brasil.
University of East Anglia. School of International Development. Norwich, UK.
Centre for Studies in Public Health and Aging. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brasil
Resumen en ingles
Internationally, there is a large body of scientific evidence concerning the benefits of integrating health and social care to ensure that frail older people living in the community receive the assistance they need to maintain independence. In the Brazilian city of Belo Horizonte, located in the state of Minas Gerais, an integrated care intervention has been developed: the Programa Maior Cuidado - Older Adult Care Programme (PMC). This programme represents a pioneering example in Brazil of the provision of carers for highly vulnerable older people, through integrated action between public health and social service agencies. This paper draws on the first phase of a mixed method evaluation of PMC, including data from documentary sources, focus groups, empirical observation and expert workshops, to examine the processes that led to the establishment of programme. The origins of the PMC are discussed and its operational processes, with a particular emphasis on integrated activities and the roles of different actors. The paper situates PMC within comparable international experiences of integrated provision for older people and considers how it has been affected by unique context and challenging of a middle-income country.
Palabras clave en ingles
Brazilhealth and social integration
integrated care
older vulnerable people
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