{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T12:06:54Z","timestamp":1784549214164,"version":"3.55.0"},"reference-count":34,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Latino-Am. Enfermagem"],"abstract":"<jats:p>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\u2019s 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<\/jats:p>","DOI":"10.1590\/1518-8345.8251.4879","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T11:24:56Z","timestamp":1784546696000},"source":"Crossref","is-referenced-by-count":0,"title":["Potential strengths and limitations of the Better at Home Program identified by professionals and managers: a scoping review of the literature"],"prefix":"10.1590","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5009-9146","authenticated-orcid":false,"given":"Cristina Nunes","family":"Viana","sequence":"first","affiliation":[{"name":"Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre,  Brazil; Prefeitura Municipal de Porto Alegre,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2314-168X","authenticated-orcid":false,"given":"Leticia Alves da Silva e","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9360-9875","authenticated-orcid":false,"given":"Fernanda Cirne Lima","family":"Weston","sequence":"additional","affiliation":[{"name":"Pontif\u00edcia Universidade Cat\u00f3lica do Rio Grande do Sul,  Brazil; Novocure,  Brazil; Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior (CAPES),  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1932-2144","authenticated-orcid":false,"given":"Adriana Aparecida","family":"Paz","sequence":"additional","affiliation":[{"name":"Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre,  Brazil; Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico (CNPq),  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"key":"ref1","series-title":"Caderno de aten\u00e7\u00e3o domiciliar","first-page":"102","year":"2012"},{"key":"ref2","first-page":"56","article-title":"Altera as Portarias de Consolida\u00e7\u00e3o nos 5 e 6, de 28 de setembro de 2017, para atualizar as regras do Servi\u00e7o de Aten\u00e7\u00e3o Domiciliar (SAD) e do Programa Melhor em Casa (PMeC)","volume":"4","year":"2024","journal-title":"Portaria GM\/MS n\u00ba 3.005, de 2 de janeiro de 2024"},{"key":"ref3","article-title":"Educational strategies for human resources in home health care: 8 years\u2019 experience from Brazil","volume":"44","author":"Savassi LCM","year":"2020","journal-title":"Rev Panam Salud Publica"},{"key":"ref4","series-title":"Potencializar a utiliza\u00e7\u00e3o do Programa Melhor em Casa: relat\u00f3rio de an\u00e1lise de impacto 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