Sustentabilidade econômica das instituições de longa permanência para idosos

Abstract

O objetivo do trabalho é verificar a forma de sustentabilidade econômica e o valor do custo de permanência de um idoso nas Instituições de Longa Permanência para Idosos - ILPIs. Foram coletadas informações das despesas e receitas de quatro instituições, por meio da aplicação de um questionário e de entrevista, em maio de 2011. O resultado da pesquisa mostra que há uma insuficiência de recursos destinados às instituições, sendo que a principal fonte de arrecadação das filantrópicas são as doações da comunidade, com o suporte da prestação de serviços voluntários. Os recursos do governo representam uma parcela pouco expressiva, pois para cada idoso com razoável condição física o governo repassa R$ 6,71, enquanto para os incapacitantes o valor chega a R$ 7,81.

Characterization of long-term care facilities for the elderly in the metropolitan region of Belo Horizonte

“…Corroborating with the findings of this study, there were almost two volunteers (1.80) per elderly person in the philanthropic LTCFs, and the government contributed 12% of the expenses through signed contracts 27 . The history of asylums or shelters in Brazil is still marked by the participation of the church (Saint Vincent de Paul Society) and by the philanthropy that guarantees institutions tax exemptions and an increased chance of receiving donations and voluntary staff and/or staff granted by the State A study conducted between 2006 and 2009 showed that philanthropic facilities in the northeast of Brazil established a wider range of partnerships than public and private facilities 28 .…”

“…Despite the growing increase in private LTCFs, the prohibitive costs charged makes such facilities an option for few elderly persons, considering the incomes received by the majority of retirees 27 .…”

Health Problems of Institutionalized Elderly

“…(Table 2) In relation to self-reported health problems, 74 events were mentioned. For analysis, it was decided to group them according to the International Classification of Diseases and Related Problems/ICD-10 [6]. The most frequent diseases were those related to the cardiovascular system (15.9%), followed by endocrine, nutritional and metabolic diseases (9.4%), diseases of the musculoskeletal system and connective tissue (5.1%) and mental and behavio- 3).…”

“…Not only is the family the fundamental factor for institutionalization, but the lack of financial resources leads many older people to be forwarded to the institutions subsidized by the government or charities [5,6].…”

“…When an elderly person loses his life referential, until its health status is changed, becoming more vulnerable to illness. In the elderly has been common the involvement of depression, a medical condition that is associated with decreased quality of life, dissatisfaction with life, making it difficult to perform daily activities and may lead to risk of suicide [6].…”