Educação permanente em saúde e validação de roteiro de vídeo educa- tivo acerca do acolhimento à pessoa idosa na atenção primária à saúde

Abstract

Population aging requires effective public policies to ensure equal and universal access, as recommended by the Statute of the Elderly and the UN Sustainable Development Goals. Reception, a principle of the National Humanization Policy, should ensure that the elderly receive comprehensive care, being a dynamic and participatory process. However, in practice, it is often confused with administrative triage, without considering the real meaning of qualified listening. The study aimed to develop Permanent Health Education action and educational video script with information on humanization, reception and qualified listening to the elderly in Primary Health Care. This is a methodological, cross-sectional study, based on intervention research and action research; carried out in Matrix Health Units in Uberaba, Minas Gerais. It was developed in stages and took place from March 2022 to November 2024: exploratory phase for validation of instruments, description of matrix units and integrative reviews; collection, analysis and categorization of collected data; development of strategies for change, resulting in Permanent Education actions and the development of an educational video script. Quantitative data were analyzed using mean, standard deviation and percentage, while qualitative data followed Bardin's Content Analysis. The perceptions of professionals and elderly individuals were analyzed, identifying gaps in knowledge and practice. Professionals recognized the importance of humanization, but reported difficulties due to overload, inadequate infrastructure and lack of training. Reception was often confused with triage; and qualified listening, although valued, was not always effective. Among the elderly, most felt welcomed, although they often interpreted reception as just good care. They reported difficulties in communicating with professionals and in understanding health guidelines. Permanent Education actions were developed in four meetings with different teams, contextualizing the theme, concepts from the literature and the results of the phases of the field research; the “problem tree” dynamic was proposed as an activity at the end of the meeting with problematizations coming from the statements of professionals and elderly individuals interviewed. The actions contributed to the dissemination of results and promoted reflections on changes in practice, highlighting the need for improved communication between professionals and users. The educational video was developed to clarify fundamental concepts about humanization and care, and was validated by content and technical experts. The results indicate that, although the importance of humanization in Primary Care is recognized, structural and operational challenges hinder its full implementation. Humanization in Primary Care requires ongoing training of professionals and innovative strategies for users, such as audiovisual technologies, to ensure more effective and efficient care for the elderly. The study contributes to Sustainable Development Goals 3 and 10, proposing strategies to improve the quality of care and reduce inequalities in access to health care.