A Política Nacional de Atenção Domiciliar face à Precarização dos Serviços Sociais: Alguns apontamentos para o debate

Abstract

This Course Completion Work (TCC) discusses the issue of home care in the Unified Health System (SUS), through the National Policy on Home Care (PNAD) and the Melhor em Casa Program (PMC), a model of care in the area. of health in a process of great expansion in recent years. This model aims to replace the care provided in the hospital, but which place the care provided under the family's responsibility. Home Care is an Americanized term that is more used in the supplementary network and by companies that provide this service. The role of the State was also highlighted, which becomes a minimum for social services and faithfully serves the interests of capital, also bringing consequences for the scope of health as a universal right. The general objective of this research is to analyze the implementation of the National Policy of Home Care, identifying the impacts of the capital crisis for its effectiveness through the reduction of social services. The methodology used to carry out the TCC was documental and bibliographic research on the subject. The results show that the advance of neoliberal ideology that was installed with the structural crisis since the 1970s, presents itself as a gear for the reduction of social services through the logic of a minimal state. It is noted that Home Care (AD) in the SUS, advances in normative terms and legislation, but evidences the lack of responsibility of the State, transferring care to the family/caregiver nucleus. However, the implementation of the National Policy for Home Care (PNAD) in the SUS has brought benefits to the population that needs care at home; on the other hand, the burden of responsibility that the family member/caregiver exerts is verified.