Intersectorality in social and health care: promoting integrated policies for care-dependent older people in Brazil

社会和医疗保健的跨部门合作：促进巴西依赖护理的老年人的综合政策

• 批准号: ES/V003747/1
• 负责人: Peter Lloyd-Sherlock
• 金额: $ 8.86万
• 依托单位: University of East Anglia
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FV003747%2F1
• 关键词: Intersectorality; social; health; care; promoting

This project will extend the impact of a current project funded by MRC/CONFAP. Key objectives of that project include(1) evaluation of a novel integrated health and social care intervention for older people in Belo Horizonte (BH), Brazil:Programa Maior Cuidado (PMC).(2) feasibility study for a similar intervention in the city of Fortaleza (FZ) (to demonstrate potential policy transfer).(3) close engagement with local/national stakeholders.These objectives are ahead of schedule and we did not anticipate the speed or degree of policy-maker uptake of our initialresearch. Based on our evaluation, BH municipality has committed to extend and modify PMC. FZ funded a feasibilitystudy, completed in June 2019 and the State of Ceará (which includes FZ) have provided about £2million for relatedintervention, to be developed and evaluated in partnership with us. Other municipalities have requested our support forsimilar interventions. The Federal Ministry of Health (FMoH) now sees PMC as a model of good practice and is workingwith us to extend its implementation.This has created new impact opportunities, some of which require further funding. Activities specific to FZ and Ceará will befunded by the Brazilian government. We are seeking NFIS funds for:(1) Monitoring and evaluation of the extension and reform of PMC in BH. This will provide additional evidence of ourinfluence. It permits a baseline in the new districts, which will add robustness to our evaluations.(2) We have selected one new municipality (Contagem), to pilot a new model for supporting PMC-type interventions. It willentail less direct interaction with the core project team and will support the development of an online knowledge hub. Thishub will later serve as a resource for other interested municipalities.(3) Additional collaboration with FMoH to disseminate good practice.(4) Further international engagement: using the Brazilian experience as a reference point for other countries.We are seeking NFIS funds for: (1) Monitoring and evaluation of the extension and reform of PMC in BH. This will provide additional evidence of our influence. It permits a baseline in the new districts, which will add robustness to our evaluations.(2) We have selected one new municipality (Contagem), to pilot a new model for supporting PMC-type interventions. It will entail less direct interaction with the core project team and will support the development of an online knowledge hub. This hub will later serve as a resource for other interested municipalities.(3) Additional collaboration with FMoH to disseminate good practice.(4) Further international engagement: using the Brazilian experience as a reference point for other countries.

该项目将扩大MRC/CONFAP资助的当前项目的影响。该项目的主要目标包括(1)评估巴西贝洛奥里藏特（波黑）的一项新的老年人综合保健和社会护理干预措施：主要护理方案（PMC）。(2)对福塔莱萨市（波黑）的一项类似干预措施进行可行性研究（以证明潜在的政策转移）。(3)与地方/国家利益相关者密切合作。这些目标是提前实现的，我们没有预料到政策制定者接受我们初步研究的速度和程度。根据我们的评估，波黑市政府已承诺扩展和修改PMC。FZ资助了一项可行性研究，该研究于2019年6月完成，英国国家（包括FZ）为相关干预提供了约200万英镑，将与我们合作开发和评估。其他城市也要求我们支持类似的干预措施。联邦卫生部现在将PMC视为良好做法的典范，并正在与我们合作扩大其实施。这创造了新的影响机会，其中一些需要进一步供资。FZ和ceear<e:1>的具体活动将由巴西政府资助。我们正在寻求NFIS资金用于：(1)监测和评估波斯尼亚-黑塞哥维那PMC的扩展和改革。这将进一步证明我们的影响力。它允许在新的地区建立一个基线，这将增加我们评估的稳健性。(2)我们选择了一个新的城市（Contagem）来试点支持pmc型干预措施的新模式。它将减少与核心项目团队的直接互动，并将支持在线知识中心的开发。之后，这将成为其他感兴趣的市政当局的资源。(3)与联邦卫生部加强合作，传播良好做法。(4)进一步的国际参与：利用巴西的经验作为其他国家的参考点。我们正在寻求NFIS资金用于：(1)监测和评估波斯尼亚-黑塞哥维那PMC的扩展和改革。这将进一步证明我们的影响力。它允许在新的地区建立一个基线，这将增加我们评估的稳健性。(2)我们选择了一个新的城市（Contagem）来试点支持pmc型干预措施的新模式。它将减少与核心项目团队的直接互动，并将支持在线知识中心的开发。该中心以后将作为其他感兴趣的市政当局的资源。(3)与联邦卫生部加强合作，传播良好做法。(4)进一步的国际参与：利用巴西的经验作为其他国家的参考点。

项目成果

The effects of an innovative integrated care intervention in Brazil on local health service use by dependent older people.

在巴西进行创新的综合护理干预对抚养老年人当地卫生服务使用的影响。

• DOI: 10.1186/s12913-022-07552-y
• 发表时间: 2022-02-11
• 期刊: BMC health services research
• 影响因子: 2.8
• 作者: Lloyd-Sherlock P;Giacomin K;Sempé L
• 通讯作者: Sempé L

Building the capacity of community health workers to support health and social care for dependent older people in Latin America: a pilot study in Fortaleza, Brazil.

• DOI: 10.1186/s12877-021-02477-3
• 发表时间: 2021-10-02
• 期刊: BMC geriatrics
• 影响因子: 4.1
• 作者: Neto JBF;de Moraes GLA;de Souza Aredes J;Giacomin KC;de Melo LP;Sempe L;Lloyd-Sherlock P
• 通讯作者: Lloyd-Sherlock P

Discontinuation of Health Interventions Among Brazilian Older Adults During the Covid-19 Pandemic: REMOBILIZE Study.

Covid-19 大流行期间巴西老年人停止健康干预措施：REMOBILIZE 研究。

• DOI: 10.1177/00207314221092354
• 发表时间: 2022
• 期刊: planning, administration, evaluation
• 作者: Coelho De Amorim JS

Belo Horizonte's pioneering community care programme for older people

贝洛奥里藏特开创性的老年人社区护理计划

• 发表时间: 2020
• 作者: Lloyd-Sherlock, P.

Integrated care in the community: the case of the Programa Maior Cuidado (Older Adult Care Program) in Belo Horizonte-Minas Gerais, Brazil.

社区综合护理：巴西贝洛奥里藏特-米纳斯吉拉斯州的 Programa Maior Cuidado（老年人护理计划）案例。

• 发表时间: 2021
• 期刊: International Journal of Integrated Care
• 影响因子: 2.4
• 作者: J.de Souza Aredes