Table 1 Comparison of the main characteristics of the Brazilian (NHP), the North American (PFCC) and the European (CFHC) models of humanization
National humanization policy (NHP) | Patient and family centered care (PFCC) | Child-friendly health care (CFHC) |
|---|---|---|
Brasil [5] | Europe [33] | |
Aims | ||
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. • Participation. • Partnership and Collaboration. • Negotiation | • 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. |
Methods | ||
• 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. |
Instruments | ||
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. |
Result indicators | ||
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. |