Fraturas na terceira idade: um desafio a gestão pública em saúde

Abstract

Population aging has been gradually increasing and is characterized by the feminization of old age. Talking about the aging of women requires analyzing the trajectories linked to the working conditions that make them more dependent in old age, not only from an economic point of view but also physical weaknesses that can cause the loss of autonomy, requiring the State to respond through the offer of efficient health service articulated and prepared to serve this public. Thus, this research sought to recognize the living and health conditions of elderly women hospitalized in the hospital who suffered fractures, as well as to identify with health care network managers the conditions of services to face the problem of fractures in the elderly. This is a qualitative exploratory research. The discussion is centered on the critical dialectical method that concerns the epistemological option of analyzing reality of Marxist origin. Being the intentional non-probabilistic sample. The data collection instruments used were semistructured interviews and unsystematic observation. The interviewed subjects were elderly women admitted to the University Hospital of Santa Maria (HUSM) and key managers of the health network. For data analysis, the content analysis method was used, based on Gagneten (1987). From the results obtained through the categories that emerged from the subjects' speeches and with theoretical surveys, it was possible to recognize the conditioning factors of the aging process from a perspective of class and gender. The research pointed out the weaknesses of health care services and proposed a flow of action with Primary Health Care, based on the construction of a Care Plan for Responsible Discharge that guarantees the continuity of care for elderly women in a network after hospital discharge.