OBJECTIVES: to evaluate health gains sensitive to nursing care in the context of long-term home care. METHODS: this was a quantitative, retrospective study carried out in the north of Portugal. The sample consisted of 151 users aged 18 or over. Descriptive and correlational analysis, non-parametric tests and exploratory factor analysis were carried out. RESULTS: the results revealed that the patients admitted were an ageing, dependent population with multimorbidities and low potential for rebuilding autonomy. The care provided by the home care team had a positive impact on improving functionality, controlling symptoms, reducing pressure ulcers and the risk of falls. CONCLUSIONS: there is an urgent need for effective investment in promoting home care, guaranteeing timely and equitable access to health care. It is necessary to invest in effective, efficient public policies, driven by social and economic sustainability, in order to guarantee better health outcomes for the population.