Use este identificador para citar ou linkar para este item: http://hdl.handle.net/1843/60725
Tipo: Artigo de Periódico
Título: Psychiatric hospitalizations by the unified health system in brazil between 2000 and 2014
Autor(es): Hugo André da Rocha
Ilka Afonso Reis
Marco Anto¿nio da Cunha Santos
Ana Paula Souto Melo
Mariangela Leal Cherchiglia
Resumo: 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.
Assunto: Mental Disorders
Day Care, Medical
Hospitalization
Commitment of Mentally Ill
Public Health Policy
Unified Health System
Idioma: eng
País: Brasil
Editor: Universidade Federal de Minas Gerais
Sigla da Instituição: UFMG
Departamento: ICX - DEPARTAMENTO DE ESTATÍSTICA
MED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL
Tipo de Acesso: Acesso Aberto
Identificador DOI: 10.11606/s1518- 8787.2021055002155
URI: http://hdl.handle.net/1843/60725
Data do documento: 2021
metadata.dc.url.externa: https://doi.org/10.11606/s1518-8787.2021055002155
metadata.dc.relation.ispartof: Revista de Saúde Pública
Aparece nas coleções:Artigo de Periódico

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