Banca de DEFESA: LARISSA DE FREITAS OLIVEIRA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : LARISSA DE FREITAS OLIVEIRA
DATE: 23/06/2025
TIME: 09:00
LOCAL: Plataforma Teams
TITLE:

Comprehensive Care for Alzheimer’s Disease in the Brazilian Unified Health System (SUS): A Multidimensional Analysis of Structural, Clinical, and Therapeutic Aspects

 

KEY WORDS:

“Alzheimer Disease; Unified Health System; Comprehensive Health Care; Non-Pharmacological Interventions; Caregiver Burden.”

PAGES: 100
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

“Alzheimer’s Disease (AD) is a leading cause of dependency among older adults, exerting significant impact on affected individuals, their caregivers, and the public healthcare system. With increasing longevity and the consequent rise in dementia prevalence, a comprehensive understanding of the multifaceted care for AD patients within Brazil’s Unified Health System (SUS) is critical. This doctoral thesis presents a multidimensional analysis of AD care provided by the State Health Department of the Federal District (SES-DF), addressing clinical, structural, and therapeutic factors influencing service delivery. The study aims to evaluate the organization of the Health Care Network (RAS) concerning the clinical and therapeutic management of neuropsychiatric symptoms in older adults with AD, alongside factors associated with caregiver burden. This research comprises two quantitative, observational, descriptive, and cross-sectional studies. The first study analyzed data from 962 caregiver–older adult dyads with dementia, attending specialized elder care services, focusing on determinants of caregiver burden. The second study utilized structured questionnaires with SES-DF healthcare professionals to assess interdisciplinary team composition, use of non-pharmacological interventions, and management strategies for agitation and aggression in AD patients. Findings revealed that caregiver burden correlated significantly with neuropsychiatric symptoms, male sex of the care recipient, age under 90, higher education level, functional and financial dependency, multimorbidity, and moderate disease stage. While most professionals expressed confidence in managing disruptive behaviors, teams were primarily composed of physicians and nurses, with limited integration of non-pharmacological or complementary practices. Professionals with specific training exhibited enhanced capacity for shared care and effective referrals. These findings underscore critical gaps in AD care within SUS, highlighting the urgent need for public policies promoting the institutionalization of nonpharmacological approaches, professional qualification, and strengthening of care networks. The thesis concludes that achieving equitable, effective, and person-centered care for individuals with dementia and their caregivers necessitates intersectoral collaboration, ongoing professional development, and support for interdisciplinary practice.”

COMMITTEE MEMBERS:
Interno - 3320778 - ALEXANDRE DE GOES MARTINI
Externa à Instituição - ANGELA MARIA SACRAMENTO - SESDF
Externa ao Programa - 2323916 - JULIANA ONOFRE DE LIRA - nullPresidente - ***.616.438-** - MARIA RITA CARVALHO GARBI NOVAES - UnB
Externo à Instituição - SUDERLAN SABINO LEANDRO - SESDF