Atenção domiciliar no âmbito do sistema único de saúde: um modelo de implantação do Programa Melhor em Casa para os municípios gaúchos

Abstract

This article discusses the Home Care Policy in the Brazilian Unified Health System (SUS) through the “Better at Home Program”, created by the Ministry of Health, which encourages optional adherence by states or municipalities. An implementation model for municipalities in Rio Grande do Sul was proposed based on the experience of Porto Alegre/RS. This is a research guided by Design Science Research, which constituted a rigorous and well-founded process for the development and validation of the model. The results were presented in two large blocks: home care services in the city of Porto Alegre, and a model for implementing the “Better at Home Program” as a management tool. The research elaborated a flowchart with the step by step that can support the conduction of the process of implantation of a home care service in the municipalities of Rio Grande do Sul by the local managers. Still, it is necessary to consolidate and expand Home Care based on the approximation of theory and practice