Integrated Care in the Community: The Case of the Programa Maior Cuidado (Older Adult Care Programme) in Belo Horizonte-Minas Gerais, BRA

Aredes, Janaína De Souza, Billings, Jenny, Giacomin, Karla Cristina, Lloyd-Sherlock, Peter and Firmo, Josélia Oliveira Araújo (2021) Integrated Care in the Community: The Case of the Programa Maior Cuidado (Older Adult Care Programme) in Belo Horizonte-Minas Gerais, BRA. International Journal of Integrated Care, 21 (2). pp. 1-12. ISSN 1568-4156

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Abstract

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.

Item Type: Article
Faculty \ School: Faculty of Social Sciences > School of International Development
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 30 Jul 2021 00:10
Last Modified: 08 Sep 2021 01:59
URI: https://ueaeprints.uea.ac.uk/id/eprint/80906
DOI: 10.5334/ijic.5619

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