Psychiatric hospitalizations by the unified health system in brazil between 2000 and 2014

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dc.creatorHugo André da Rocha
dc.creatorIlka Afonso Reis
dc.creatorMarco Anto¿nio da Cunha Santos
dc.creatorAna Paula Souto Melo
dc.creatorMariangela Leal Cherchiglia
dc.date.accessioned2023-11-09T20:07:11Z
dc.date.accessioned2025-09-09T01:30:55Z
dc.date.available2023-11-09T20:07:11Z
dc.date.issued2021
dc.format.mimetypepdf
dc.identifier.doi10.11606/s1518- 8787.2021055002155
dc.identifier.issn00348910
dc.identifier.urihttps://hdl.handle.net/1843/60725
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofRevista de Saúde Pública
dc.rightsAcesso Aberto
dc.subjectMental Disorders
dc.subjectDay Care, Medical
dc.subjectHospitalization
dc.subjectCommitment of Mentally Ill
dc.subjectPublic Health Policy
dc.subjectUnified Health System
dc.subject.otherMental Disorders
dc.subject.otherDay Care
dc.subject.otherHospitalization
dc.subject.otherCommitment of Mentally III
dc.subject.otherUnified Health System
dc.subject.otherMental Health
dc.subject.otherPublic Health Policy
dc.titlePsychiatric hospitalizations by the unified health system in brazil between 2000 and 2014
dc.typeArtigo de periódico
local.citation.epage14
local.citation.issue14
local.citation.spage1
local.citation.volume55
local.description.resumoOBJECTIVE: 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.
local.publisher.countryBrasil
local.publisher.departmentICX - DEPARTAMENTO DE ESTATÍSTICA
local.publisher.departmentMED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL
local.publisher.initialsUFMG
local.url.externahttps://doi.org/10.11606/s1518-8787.2021055002155

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