|National humanization policy (NHP)||Patient and family centered care (PFCC)||Child-friendly health care (CFHC)|
|Brasil ||USA [16, 17, 19, 54]||Europe |
|Enable, promote and consolidate in hospitals accredited by SUS (Sistema Único de Saúde) the creation of a humanization culture that is democratic, compassionate and critical.||
• Respect and dignity.|
• Information Sharing.
• Partnership and Collaboration.
• To improve the quality of health care in term of effectiveness, efficiency and equity with attention to patient safety and his satisfaction.|
• Services designed for the child and his family.
• Interventions focus not only on managing the child’s health condition, but also on their physical or social environment
• To encourage children to exercise their right to participate.
• To sensitize the hospital management|
• Census of the hospital situation in terms of humanized services
• Development and implementation of the operational plan of humanization
• Evaluation of the results of the implementation of the process of humanization
• Step 1: select a care experience|
• Step 2: establish the “Care Experience Guiding Council”
• Step 3: evaluate the current state using shadowing
• Step 4: expand Guiding Council into working group and care team
• Step 5: write the history of “ideal experience”
• Step 6: identify projects and form project improvement teams
• Interventions in five areas: participation, promotion, protection, prevention and provision.|
• Training for staff.
• To assist children to become “knowledgeable patients”.
• To achieve synergy between: policy makers from different sectors; commissioners, providers and regulators of services; health, education and social-care organizations.
• “Child-friendly” healthcare environment.
• Age-appropriate interventions to reduce fear, discomfort and pain.
1. National Network for the Humanization|
2. Working groups
• Family Centered Rounds (FCR)|
• Interdisciplinary care
• Practical model of policy based on children’s rights.|
• Applying evidence-based and user-friendly guidelines for health professionals and families.
1. Welcome and user support|
2. Work professionals’ work
3. Logic of management
1. Staff satisfaction|
2. Parents satisfaction
3. Level of anxiety in parents and patients
4. Timing of discharge
1. Improved health|
2. Reducing inequalities
3. Creating a sustainable system within the limits of available resources.