Figure 1
Study design.
a: In this stage, three Expert Workshop were also held. Objective: networks and dissemination of the first results to public policy makers.
b: Belo Horizonte, capital of the state of Minas Gerais, is organized into 9 administrative regions (health districts). PMC operates in all administrative regions.
c: In two focus groups there was also participation of Community Health Agents (Agente Comunitário de Saúde – ACS in Portuguese).
Data recording: Field notes (focus groups and observation of meetings), digitization and filing of the documents collected (document analysis). Organization of a database with the systematization of the main documents and records identified.
Source: Elaborated by the authors.
Figure 2
PMC in theory: objectives, criteria and organisational structure.
Abbreviations: CRAS: Social Assistance Reference Center (Centro de Referência em Assistência Social – CRAS in Portuguese); CS: Health Centre (Centro de Saúde – CS in Portuguese); GT: Working Group (Grupo de Trabalho – GT in Portuguese); Pré-GT: Pre-Working Group (Pré-Grupo de Trabalho – Pré-GT in Portuguese); OSC: Civil Society Organisation (Organização da Sociedade Civil – OSC in Portuguese); ESF: Family Health Teams (Equipe de Saúde da Família – ESF in Portuguese).
Source: elaborated by the authors, research data. Document analysis, 2019.
Table 1
People included in PMC (by sex and degree of dependence) and rate of renewal (2011–2018)a.
| YEAR | N | GENDER | DEGREE OF DEPENDENCE | RATE OF RENEWAL | ||
|---|---|---|---|---|---|---|
| Mb | Fc | Dd | SDe | % | ||
| % | % | % | % | |||
| 2011 | 549 | 29.51 | 70.49 | 45.7 | 54.3 | – |
| 2012 | 214 | 28.97 | 71.03 | 47.7 | 52.3 | 39.00 |
| 2013 | 207 | 29.47 | 70.53 | 48.3 | 51.7 | 37.70 |
| 2014 | 161 | 27.95 | 72.05 | 37.3 | 62.7 | 29.30 |
| 2015 | 208 | 32.69 | 67.31 | 41.8 | 58.2 | 37.90 |
| 2016 | 177 | 31.07 | 68.93 | 39.5 | 60.5 | 32.20 |
| 2017 | 212 | 32.08 | 67.92 | 41 | 59 | 38.60 |
| 2018 | 252 | 36.11 | 63.89 | 34.9 | 65.1 | 45.90 |
| Average | – | 30.98 | 69.02 | 42.03 | 57.98 | 37.2 |
[i] Note: a: Total elderly people included in the PMC since its implementation: 1,980 elderly people.
Abbreviations: b: Male; c: Female; d: Dependent; e: Semi-dependent.
Source: Elaborated by the authors based on research data. Document analysis, 2019.
Table 2
Reason for discharge/interruption of participation in PMC by sex and degree of dependence (2011–2018).
| REASON | MALE | FEMALE | TOTAL | |||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Da | % | SDb | % | D | % | SD | % | N | % | |
| Change of residence | 16 | 16.33 | 22 | 15.07 | 45 | 21.74 | 86 | 19.72 | 233 | 26.27 |
| Family resumes care | 21 | 21.43 | 22 | 15.07 | 56 | 27.05 | 97 | 22.25 | 196 | 22.10 |
| Family opt out | 24 | 24.49 | 26 | 17.81 | 49 | 23.67 | 69 | 15.83 | 168 | 18.94 |
| Institutionalization | 11 | 11.22 | 16 | 10.96 | 22 | 10.63 | 48 | 11.01 | 97 | 10.94 |
| Older person opts out | 6 | 6.12 | 21 | 14.38 | 11 | 5.31 | 57 | 13.07 | 95 | 10.71 |
| Risk situation for the caregiverc | 14 | 14.29 | 21 | 14.38 | 18 | 8.70 | 40 | 9.17 | 93 | 10.48 |
| Rehabilitation of the elderly | 5 | 5.10 | 17 | 11.64 | 6 | 2.90 | 36 | 8.26 | 64 | 7.22 |
| No datad | 1 | 1.02 | 1 | 0.68 | – | – | 3 | 0.69 | 5 | 0.56 |
| Subtotal (all reasons above) | 98 | 36.98 | 146 | 60.58 | 207 | 45.59 | 436 | 66.67 | 887 | 54.96 |
| Death | 167 | 63.02 | 95 | 39.42 | 247 | 54.41 | 218 | 33.33 | 727 | 45.04 |
| Total | 265 | 100.0 | 241 | 100.0 | 454 | 100.0 | 654 | 100.0 | 1614 | 100.0 |
[i] a: Dependent; b: Semi-dependent; c: Lack of security in the territory of operation; d: No reason provided.
Source: Elaborated by the authors based on research data. Document analysis, 2019.
Figure 3
Potential and limits of the PMC – professionals’ perspective.
Source: Testimonials collected during the meetings focus groups. Field notes, 2019.
Figure 4
Limits and potential strengths of PMC.
Abbreviations: CRAS: Social Assistance Reference Center (Centro de Referência em Assistência Social – CRAS in Portuguese).
Source: elaborated by the authors based Observation of meetings. Field notes, 2019.