Os desafios da gestão dos serviços de home care frente a crise pandêmica

Abstract

Introduction: The year 2020 was marked by a worldwide pandemic of COVID-19, caused by the new coronavirus (SARS-Cov2). Health services have exceeded their installed capacities, field hospitals have been built quickly, and mechanical ventilators and personal protective equipment have become the most sought-after items to face the pandemic. With social isola-tion and the need for people to stay at home, home care companies had to face the challenge of adapting to meet the demand during this Pandemic. The question is: From the perspective of home care managers, what are the relevant factors in the management of services in the face of the pandemic scenario? Objectives: General: To identify the factors that impact the man-agement of home care services in the pandemic scenario caused by SARS-CoV-2 and Specific Objectives: to analyze the management processes involved in the care of patients during the pandemic period; know the contingency measures taken by home care companies during the pandemic; contribute to the management of home care with knowledge of factors that enable the planning of effective and contingent actions in the face of crises. Methodological Proce-dure: This is an exploratory study, with a qualitative approach, which analyzed the impact factors on the service management of nine home care companies, based in the city of São Pau-lo - SP. An online questionnaire survey was conducted with company managers, invited for convenience and who agreed to participate in the study. Sample: Data collection through online questionnaire, interviews, and document analysis. Data analysis: Content analysis using an Excel spreadsheet, with critical analysis of the content of each answer. Risks and Benefits: There were no risks for the participant, except in case of impediment to the application of the questionnaire due to conflict of interest, which was already exclusive to the research, the em-barrassment may have been another risk, which had as a protective measure digital question-naire application. There is no direct benefit to the research participant. Conclusions: This study provides evidence that the difficulty lies in developing a prescription for organizational elements for a simultaneous choice of generic strategies. Based on the results of this research, it is expected to be able to contribute to the management of home care companies, in crisis management, with the development of new strategies that facilitate the work and management of the teams and services provided. In practice, the research demonstrates the difficulties faced by home care companies, but which may be adapted for crisis management in other health organizations.