El Ministerio de Salud de Brasil incrementó los montos transferidos para el mantenimiento de los equipos médicos, en aras de reforzar los servicios de la atención domiciliaria, a través del programa Meljor em Casa. De acuerdo con la cartera de salud, el ajuste será del 30%, el cual está contenido en la Ordenanza 3949/2024, atendiendo a una antigua demanda de estos servicios que no recibía un aumento desde hace varios años.
Por su parte, el secretario de Atención Especializada en Salud (Saes), Adriano Massuda, destacó que este aumento será importante para mejorar la atención a los usuarios, representando así “un avance significativo en la calidad de la atención domiciliaria brindada a los pacientes”.
La ordenanza asignó recursos financieros del Bloque de Mantenimiento de Acciones y Servicios de Salud Pública – Grupo de Atención Especializada, por un total de R$ 358 millones, distribuidos de la siguiente manera:
- R$ 269 millones anuales para ser integrados en la media y alta complejidad (límites MAC) de los estados, municipios y el Distrito Federal.
- R$ 89 millones que serán transferidos en una sola cuota a estas mismas entidades.
Los montos retroactivos correspondientes a los meses de septiembre a diciembre de 2023 se enviarán a las entidades federativas en una única cuota. Asimismo, los montos retroactivos relacionados con la diferencia del aumento de los primeros siete meses de 2024 serán transferidos a través del Fondo Nacional de Salud (FNS) durante el segundo semestre de 2024, dependiendo de la disponibilidad financiera.
Sobre la atención domiciliaria
La atención domiciliaria es una modalidad de salud proporcionada en el domicilio del paciente, caracterizada por un conjunto de acciones que incluyen la promoción de la salud, prevención, tratamiento de enfermedades y rehabilitación, garantizando la continuidad de la atención integrada dentro de la Red de Atención a la Salud (RAS). Este tipo de servicio está disponible en el SUS y se ofrece según las necesidades del paciente, involucrando diversos equipos de salud.
Dependiendo de las necesidades del paciente, esta atención domiciliaria puede ser realizada por diferentes equipos. Por ejemplo, cuando el paciente requiere visitas menos frecuentes, como una vez al mes, y se encuentra más estable, la atención puede ser brindada por el equipo de salud de la familia de su referencia. Los casos más complejos son atendidos por equipos multidisciplinarios de atención domiciliaria (Emad) y de apoyo (Emap) del Servicio de Atención Domiciliaria (SAD) – Mejor en Casa.
¿Cómo recibir atención domiciliaria?
El servicio de atención domiciliaria, proporcionado a través de Mejor en Casa, está compuesto por varios profesionales sanitarios que brindan atención domiciliaria a personas que necesitan cuidados de salud más intensivos. El acceso al servicio generalmente es facilitado por un equipo hospitalario cuando el usuario se encuentra hospitalizado, o a solicitud del equipo de Salud de la Familia (atención primaria) o de la Unidad de Atención de Emergencias (UPA).
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