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http://hdl.handle.net/1843/60725| Type: | Artigo de Periódico |
| Title: | Psychiatric hospitalizations by the unified health system in brazil between 2000 and 2014 |
| Authors: | Hugo André da Rocha Ilka Afonso Reis Marco Anto¿nio da Cunha Santos Ana Paula Souto Melo Mariangela Leal Cherchiglia |
| Abstract: | OBJECTIVE: To characterize the profile of patients hospitalized for mental and behavioral disorders by the Unified Health System (SUS) in Brazil between 2000 and 2014, and to verify how aspects of the new mental health policy influenced the rate of hospitalized patients in that period.METHODS: Non-concurrent prospective cohort study using secondary data from inpatients with a primary diagnosis of mental and behavioral disorders between 01/01/2000 and 12/31/2014. Sociodemographic, clinical, and hospital characteristics variables were selected. Overall rates of hospitalized patients were calculated according to reason for admission, type of hospital, legal nature, and number of admissions per year for each patient. The association between rates of hospitalized patients, number of psychiatric beds per year, and number of Psychosocial Care Centers per year were tested.RESULTS: We selected a total of 1,549,298 patients, whose most frequent diagnoses on first admission were psychoactive substance use disorders, followed by schizophrenia and mood disorders. The median of hospitalizations per patient was 1.9 and the length of stay per patient was 29 days. The overall rate of hospitalized patients was reduced by almost half in the period. The number of beds per year was positively associated with the rates of hospitalized patients; the number of CAPS per year was negatively associated with some rates of hospitalized patients.CONCLUSION: Even in the face of adversity, the National Mental Health Policy has advanced in its goal of progressively reducing hospital beds and increasing the supply of substitute services such that both strategies were associated with the reduced inpatient rates. But the changes were felt with greater intensity in the first years of the policy’s implementation, becoming less pronounced in recent years. |
| Subject: | Mental Disorders Day Care, Medical Hospitalization Commitment of Mentally Ill Public Health Policy Unified Health System |
| language: | eng |
| metadata.dc.publisher.country: | Brasil |
| Publisher: | Universidade Federal de Minas Gerais |
| Publisher Initials: | UFMG |
| metadata.dc.publisher.department: | ICX - DEPARTAMENTO DE ESTATÍSTICA MED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL |
| Rights: | Acesso Aberto |
| metadata.dc.identifier.doi: | 10.11606/s1518- 8787.2021055002155 |
| URI: | http://hdl.handle.net/1843/60725 |
| Issue Date: | 2021 |
| metadata.dc.url.externa: | https://doi.org/10.11606/s1518-8787.2021055002155 |
| metadata.dc.relation.ispartof: | Revista de Saúde Pública |
| Appears in Collections: | Artigo de Periódico |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| Comorbidities and in-hospital death of viral pneumonia adults admitted to SUS (2002–2015) pdfa.pdf | 260.18 kB | Adobe PDF | View/Open |
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