Análise comparativa dos custos associados ao modelo "Ageing in Place" e às instituições de longa permanência para pessoas idosas no Brasil

Abstract

Population aging increases the need to discuss care models that combine autonomy, safety, quality of life, and economic sustainability. In this context, the concept of Ageing in place emphasizes the possibility of aging in the usual living environment while preserving social ties, identity, and participation, provided that adequate housing conditions, support networks, and access to services are available. This study aimed to understand the social and economic implications of the Ageing in place model based on scientific literature and documentary evidence, in comparison with institutional care provided by Long-Term Care Institutions for Older Adults (ILPIs). A scoping review was conducted, complemented by a descriptive analysis of a home adaptation budget and estimates of the costs associated with institutional care. The review included 13 studies, which were analyzed using methodological procedures compatible with their respective designs. The findings indicated that Ageing in place may contribute to the preservation of autonomy, identity, sense of belonging, social participation, and continuity of family and community relationships. However, its implementation depends on environmental, functional, and socioeconomic conditions, as well as on the availability of support networks and services. The analyzed budget estimated an initial investment of BRL 22,542.00 for home adaptations. For ILPIs, reference costs updated to August 2026 resulted in an estimated monthly cost ranging from BRL 4,804.58 to BRL 7,138.24 per older adult. The comparison showed that these amounts have different economic characteristics and do not allow a conclusion regarding overall economic superiority between the models. It is concluded that Ageing in place represents a care option that requires adequate support, while ILPIs remain an important component of the long-term care network. The findings reinforce the need for integrated strategies involving housing, health, social assistance, accessibility, and support for informal caregivers.