Knowledge translation for improving the care of deinstitutionalized people with severe mental illness in health policy
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/41590 |
Resumo: | Universidade de Sorocaba. Sorocaba, SP, Brasil. |
id |
CRUZ_eaecd617f9053af336ac6c3ddb4836a1 |
---|---|
oai_identifier_str |
oai:www.arca.fiocruz.br:icict/41590 |
network_acronym_str |
CRUZ |
network_name_str |
Repositório Institucional da FIOCRUZ (ARCA) |
repository_id_str |
2135 |
spelling |
Fulone, IzabelaBarreto, Jorge Otávio MaiaBarberato-Filho, SilvioCarvalho, Marcel Henrique deLopes, Luciane Cruz2020-06-09T14:41:39Z2020-06-09T14:41:39Z2020FULONE, Izabela et al. Knowledge translation for improving the care of deinstitutionalized people with severe mental illness in health policy. Frontiers in Pharmacology, [Lausanne], v. 10, n. 1470, p.1-10, jan. 2020.1663-9812https://www.arca.fiocruz.br/handle/icict/4159010.3389/fphar.2019.01470engFrontiers MediaDeinstitutionalizationEvidence-Based PracticeHealth policyTranslational Medical ResearchMental HealthDeinstitutionalizationEvidence-informed policyHealth policyKnowledge translationMental healthPolicy-makingDesinstitucionalizaçãoPolítica Informada por EvidênciasPolítica de SaúdePesquisa Médica TranslacionalSaúde MentalKnowledge translation for improving the care of deinstitutionalized people with severe mental illness in health policyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade de Sorocaba. Sorocaba, SP, Brasil.Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.Universidade de Sorocaba. Sorocaba, SP, Brasil.Instituto Veredas. Brasília, DF, Brasil.Universidade de Sorocaba. Sorocaba, SP, Brasil.Background: Knowledge translation (KT) is an effective strategy that uses the best available research evidence to bring stakeholders together to develop solutions and improve public health policy-making. Despite progress, the process of deinstitutionalization in Brazil is still undergoing consolidation, and the changes and challenges that are involved in this process are complex and necessitate evidence-informed decision-making. Accordingly, this study used KT tools to support efforts that aim to improve the care that is available to deinstitutionalized people with severe mental disorders in Brazil. Methods: We used the Supporting Policy Relevant Reviews and Trials tools for evidenceinformed health policymaking and followed eight steps: 1) capacity building; 2) identification of a priority policy issue within a Brazilian public health system; 3) meetings with policymakers, researchers and stakeholders; 4) development of an evidence brief (EB) that addresses the problem of deinstitutionalization; 5) facilitating policy dialogue (PD); 6) the evaluation of the EB and PD; 7) post-dialogue mini-interviews; and 8) dissemination of the findings. Results: Capacity building and meetings with key informants promoted awareness about the gap between research and practice. Local findings were used to define the problem and develop the EB. Twenty-four individuals (policy-makers, stakeholders, researchers, representatives of the civil society, and public defense) participated in the PD. They received the EB to subsidise their deliberations during the PD, which in turn were used to validate and improve the EB. The PD achieved the objective of promoting an exhaustive discussion about the problem and proposed options and improved communication and interaction among those who are involved in mental health care. The features of both the EB and PD were considered to be favorable and helpful. Conclusions: The KT strategy helped participants understand different perspectives and values, the interpersonal tensions that exist among those who are involved in the field of mental health, and the strategies that can bridge the gap between research and policymaking. The present findings suggest that PDs can influence practice by promoting greater engagement among stakeholders who formulate or revise mental health policies.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/41590/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALve_Izabela_Fulone_etal.pdfve_Izabela_Fulone_etal.pdfapplication/pdf1045105https://www.arca.fiocruz.br/bitstream/icict/41590/2/ve_Izabela_Fulone_etal.pdfbde8d56a5a70477035e4c405a3bde544MD52TEXTve_Izabela_Fulone_etal.pdf.txtve_Izabela_Fulone_etal.pdf.txtExtracted texttext/plain55283https://www.arca.fiocruz.br/bitstream/icict/41590/3/ve_Izabela_Fulone_etal.pdf.txt3a73ba7bec960daaee547272775f2d2cMD53icict/415902020-06-10 02:07:11.464oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352020-06-10T05:07:11Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.pt_BR.fl_str_mv |
Knowledge translation for improving the care of deinstitutionalized people with severe mental illness in health policy |
title |
Knowledge translation for improving the care of deinstitutionalized people with severe mental illness in health policy |
spellingShingle |
Knowledge translation for improving the care of deinstitutionalized people with severe mental illness in health policy Fulone, Izabela Deinstitutionalization Evidence-Based Practice Health policy Translational Medical Research Mental Health Deinstitutionalization Evidence-informed policy Health policy Knowledge translation Mental health Policy-making Desinstitucionalização Política Informada por Evidências Política de Saúde Pesquisa Médica Translacional Saúde Mental |
title_short |
Knowledge translation for improving the care of deinstitutionalized people with severe mental illness in health policy |
title_full |
Knowledge translation for improving the care of deinstitutionalized people with severe mental illness in health policy |
title_fullStr |
Knowledge translation for improving the care of deinstitutionalized people with severe mental illness in health policy |
title_full_unstemmed |
Knowledge translation for improving the care of deinstitutionalized people with severe mental illness in health policy |
title_sort |
Knowledge translation for improving the care of deinstitutionalized people with severe mental illness in health policy |
author |
Fulone, Izabela |
author_facet |
Fulone, Izabela Barreto, Jorge Otávio Maia Barberato-Filho, Silvio Carvalho, Marcel Henrique de Lopes, Luciane Cruz |
author_role |
author |
author2 |
Barreto, Jorge Otávio Maia Barberato-Filho, Silvio Carvalho, Marcel Henrique de Lopes, Luciane Cruz |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Fulone, Izabela Barreto, Jorge Otávio Maia Barberato-Filho, Silvio Carvalho, Marcel Henrique de Lopes, Luciane Cruz |
dc.subject.mesh.pt_BR.fl_str_mv |
Deinstitutionalization Evidence-Based Practice Health policy Translational Medical Research Mental Health |
topic |
Deinstitutionalization Evidence-Based Practice Health policy Translational Medical Research Mental Health Deinstitutionalization Evidence-informed policy Health policy Knowledge translation Mental health Policy-making Desinstitucionalização Política Informada por Evidências Política de Saúde Pesquisa Médica Translacional Saúde Mental |
dc.subject.en.pt_BR.fl_str_mv |
Deinstitutionalization Evidence-informed policy Health policy Knowledge translation Mental health Policy-making |
dc.subject.decs.pt_BR.fl_str_mv |
Desinstitucionalização Política Informada por Evidências Política de Saúde Pesquisa Médica Translacional Saúde Mental |
description |
Universidade de Sorocaba. Sorocaba, SP, Brasil. |
publishDate |
2020 |
dc.date.accessioned.fl_str_mv |
2020-06-09T14:41:39Z |
dc.date.available.fl_str_mv |
2020-06-09T14:41:39Z |
dc.date.issued.fl_str_mv |
2020 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
FULONE, Izabela et al. Knowledge translation for improving the care of deinstitutionalized people with severe mental illness in health policy. Frontiers in Pharmacology, [Lausanne], v. 10, n. 1470, p.1-10, jan. 2020. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/41590 |
dc.identifier.issn.pt_BR.fl_str_mv |
1663-9812 |
dc.identifier.doi.none.fl_str_mv |
10.3389/fphar.2019.01470 |
identifier_str_mv |
FULONE, Izabela et al. Knowledge translation for improving the care of deinstitutionalized people with severe mental illness in health policy. Frontiers in Pharmacology, [Lausanne], v. 10, n. 1470, p.1-10, jan. 2020. 1663-9812 10.3389/fphar.2019.01470 |
url |
https://www.arca.fiocruz.br/handle/icict/41590 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Frontiers Media |
publisher.none.fl_str_mv |
Frontiers Media |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da FIOCRUZ (ARCA) instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Repositório Institucional da FIOCRUZ (ARCA) |
collection |
Repositório Institucional da FIOCRUZ (ARCA) |
bitstream.url.fl_str_mv |
https://www.arca.fiocruz.br/bitstream/icict/41590/1/license.txt https://www.arca.fiocruz.br/bitstream/icict/41590/2/ve_Izabela_Fulone_etal.pdf https://www.arca.fiocruz.br/bitstream/icict/41590/3/ve_Izabela_Fulone_etal.pdf.txt |
bitstream.checksum.fl_str_mv |
5a560609d32a3863062d77ff32785d58 bde8d56a5a70477035e4c405a3bde544 3a73ba7bec960daaee547272775f2d2c |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
repositorio.arca@fiocruz.br |
_version_ |
1798324925703913472 |