Long-term care institutions for elders and the health system

Analyze Long Term Care Institutions for Elders (ILPI) organizational social system and its relation to the National Health System (SUS). To identify communication that occurs in the structural couplings between the ILPIs and the SUS and to analyze resonances of the structural coupling between the SU...

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Bibliographic Details
Published in:Revista latino-americana de enfermagem 2007-11, Vol.15 (6), p.1144-1149
Main Authors: Creutzberg, Marion, Gonçalves, Lúcia Hisako Takase, Sobottka, Emil Albert, Ojeda, Beatriz Sebben
Format: Article
Language:English
Subjects:
Aged
Brazil
Health Services for the Aged - organization & administration
Humans
Long-Term Care
NURSING
Nursing Homes
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Summary:Analyze Long Term Care Institutions for Elders (ILPI) organizational social system and its relation to the National Health System (SUS). To identify communication that occurs in the structural couplings between the ILPIs and the SUS and to analyze resonances of the structural coupling between the SUS and the ILPIs. A descriptive, exploratory qualitative study using the functional Niklas Luhmann's method. The data were collected using second order observations, through interviews with seven managers and eight elders, communication analysis of 52 Brazilian ILPIs and third order observations in national literature. The exclusion of the institutionalized elder from the programmed health actions occurs in the health system. There is mutual lack of knowledge between the ILPIS and SUS, and stimulus is necessary for a more successful structural coupling. The little sensitiveness of the SUS regarding the ILPI communications was identified as impediment to the performance of these institutions' social function.
ISSN:0104-1169
1518-8345
0104-1169
DOI:10.1590/S0104-11692007000600014