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ABRAHCT — Associação Brasileira de Hospitais e Clínicas de Transição
Older person in rehabilitation walking with the support of a healthcare professional

ABRAHCT

Discharge has come. Recovery is not over yet.

A post-acute care hospital is the admission that comes after the critical phase of an illness and before going home. A whole team around the patient, with one concrete goal: to walk again, to eat again, to wash without help.

The patient's journey

Where the post-acute care hospital fits

Between leaving the acute hospital and going home there is a gap: the patient no longer needs intensive care, but cannot yet manage alone. That gap is what the post-acute care hospital covers.

  1. Before

    Acute care hospital

    The critical phase of the illness, when the risk is immediate.

    This is where you go for the emergency, the surgery, intensive care. It deals with the acute problem: the infection, the stroke, the fracture, the sudden deterioration of a chronic condition. Once the condition stabilises, the patient is discharged from that hospital — and cannot always go straight home.

  2. Here

    Post-acute care and rehabilitation hospital

    The time to recover what the illness took away.

    An admission for a defined period, with a rehabilitation programme at the centre of the care: doctors, nurses, physiotherapists, speech therapists, occupational therapists and dietitians working together so the patient can walk again, eat again, breathe unaided, wash without help. The family learns the care they will carry on at home. Discharge is the goal.

  3. After

    Life after discharge

    Home, with or without support.

    Most people go home. Those who still need technical care continue with home care. Those who cannot live alone may move to an ILPI, which is housing, not an admission.

After discharge, three possible paths

Home
The expected outcome: the patient has regained enough autonomy for daily life.
Home care
The team comes to the house: dressings, intravenous medication, physiotherapy, nursing. The care continues, the address changes.
ILPI, Brazil's care home
Long-term care institution for older people: collective housing for people aged 60 or over (Anvisa, RDC 502/2021). The person goes to live there. It is not an admission and has no end date, which is why it is not the same as a post-acute care hospital.

Understand how the admission works →

For families

Are you looking for a place?

ABRAHCT represents the institutions in the sector. It does not admit patients, does not schedule admissions and does not recommend treatment. A referral for admission is always made by the medical team caring for the patient.

If someone in your family is being discharged and the doctor mentioned post-acute care, see the member institutions and contact each one directly.

See member units

The questions of those deciding right now →

ABRAHCT

2020

The year the association was founded by ten institutions from five states.

Read our history →

01

Represent

Brings the post-acute care hospitals together and speaks for them where the sector's rules are discussed.

02

Understand

Gathers data on beds, length of stay and care, and publishes what it finds.

03

Transform

Works for rules of its own for post-acute care: today these units are regulated as acute care hospitals.

The work is led by an elected board and by three technical committees: Scientific Committee, Regulatory Committee and Communication and Market Committee.

Meet the board →

Sector figures

2,745

beds dedicated to post-acute care in Brazil

+101.6%

growth in the number of beds over five years

72%

of the country's post-acute care hospitals represented by ABRAHCT

ABRAHCT survey released in August 2023, compared with the 1,361 beds in operation in 2018.

See the full reading of the data →

Press

The sector in the news.

See the full archive →

For institutions

Your unit can become a member.

Hospitals, clinics and companies working in post-acute care will find here the membership categories and how to join.

See membership categories