Potential strengths and limitations of the Better at Home Program identified by professionals and managers: a scoping review of the literature

Authors

  • Cristina Nunes Viana Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil. Prefeitura Municipal de Porto Alegre, Secretaria Municipal de Saúde, Porto Alegre, RS, Brasil.
  • Leticia Alves da Silva e Silva Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil.
  • Fernanda Cirne Lima Weston Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brasil. Novocure, DSS Learning and Operations Specialist, Porto Alegre, RS, Brasil. Bolsista da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brasil.
  • Adriana Aparecida Paz Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil. Bolsista do Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brasil.

DOI:

https://doi.org/10.1590/1518-8345.8251.4880

Keywords:

Home Care Services; Hospital-Based Home Care Services; Home Nursing; Home Health Nursing; Homebound Persons; Home Schooling.

Abstract

Objective:  to map the strengths and limitations of the Better at Home Program identified by health professionals and managers in the scientific literature. Method:  this is a scoping review based on the JBI manual and the PRISMA-ScR guidelines. The search was conducted in the MEDLINE/PubMed, LILACS, Scopus, Embase, Web of Science, CINAHL databases, and CAPES theses and dissertations, covering publications between 2011 and 2024. Results:  552 studies were identified, eight met the inclusion criteria and were analyzed. The program’s potential lies in promoting dehospitalization, strengthening networking, developing educational health initiatives with families, and providing flexibility in care management. On the other hand, limitations were evident in relation to insufficient continuing education for professionals, emotional exhaustion among teams, technological limitations, and difficulties in communicating with the Health Care Network. Conclusion:  the Better at Home Program is a relevant strategy in the dehospitalization process; however, it faces structural and operational challenges that compromise its sustainability. Investments in technological support and team strengthening are necessary to improve the continuity and quality of home care. Study registry: Open Science Framework: DOI 10.17605/OSF.IO/6UCDB

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Published

2026-07-24

Issue

Vol. 34 (2026)

Section

Review Articles

License

Copyright (c) 2026 Revista Latino-Americana de Enfermagem

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Viana, C. N., Silva, L. A. da S. e, Weston, F. C. L., & Paz, A. A. (2026). Potential strengths and limitations of the Better at Home Program identified by professionals and managers: a scoping review of the literature. Revista Latino-Americana De Enfermagem, 34, e4880. https://doi.org/10.1590/1518-8345.8251.4880