Evaluation of the organization of care in mental health in primary health care in Brazil

Detalhes bibliográficos
Autor(a) principal: Gerbaldo, Tiziana Bezerra
Data de Publicação: 2022
Outros Autores: Arruda, Adenilda Teixeira, Horta , Bernardo Lessa, Garnelo , Luiza
Tipo de documento: Artigo
Idioma: por
Título da fonte: Trabalho, Educação e Saúde (Online)
Texto Completo: https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/970
Resumo: The article is the result of a cross-sectional study about care in mental health with 29,778 teams from the Family Health Strategy from all over Brazil (87.1% of the total of teams), including a normative evaluation of the data of the second cycle of the National Program for the Enhancement of Access and Quality in Primary Health Care (2013-2014) in the dimensions of the profile of the professionals, promotion of mental health, management, and offer of care. The results showed that 33.8% of the interviewees had precarious labor relationships, and that 60.3% of them did not feel prepared to work in mental health. The offer of the set of actions evaluated only occurred in 9.5% of the teams in all of Brazil (2.2% in the Northern region). Around half of them did not develop strategies to promote health, and only 9.8% actually carried out the management of care. We concluded that the low percentages of implementation on the national level coexist with significant regional inequalities, with the worst results coming from the Northern region. It is necessary to strengthen the actions of promotion of health, the qualification of the teams, to reverse the precariousness of the labor relationships, and to reorganize the management of care.
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spelling Evaluation of the organization of care in mental health in primary health care in BrazilEvaluación de la organización del cuidado de la salud mental en la atención básica de la salud en BrasilAvaliação da organização do cuidado em saúde mental na atenção básica à saúde do Brasilsaúde mentalatenção básicaprogramas de saúdemental health; primary health care; health programsmental healthprimary health carehealth programssalud mentalatención básicaprogramas de saludThe article is the result of a cross-sectional study about care in mental health with 29,778 teams from the Family Health Strategy from all over Brazil (87.1% of the total of teams), including a normative evaluation of the data of the second cycle of the National Program for the Enhancement of Access and Quality in Primary Health Care (2013-2014) in the dimensions of the profile of the professionals, promotion of mental health, management, and offer of care. The results showed that 33.8% of the interviewees had precarious labor relationships, and that 60.3% of them did not feel prepared to work in mental health. The offer of the set of actions evaluated only occurred in 9.5% of the teams in all of Brazil (2.2% in the Northern region). Around half of them did not develop strategies to promote health, and only 9.8% actually carried out the management of care. We concluded that the low percentages of implementation on the national level coexist with significant regional inequalities, with the worst results coming from the Northern region. It is necessary to strengthen the actions of promotion of health, the qualification of the teams, to reverse the precariousness of the labor relationships, and to reorganize the management of care.Este artículo resultó de un estudio transversal sobre el cuidado de la salud mental realizado con 29.778 equipos de la Estrategia de Salud de la Familia de todo Brasil (87,1% del total), incluyendo la evaluación normativa de los datos del segundo ciclo del Programa Nacional de Mejora del Acceso y Calidad de la Atención Básica (2013-2014) en las dimensiones perfil de los profesionales, promoción de la salud mental, gestión y oferta del cuidado. Los resultados demostraron que el 33,8% de los entrevistados contaban con una relación laboral precaria y el 60,3% de ellos no se sentía preparado para trabajar en la salud mental. La oferta del conjunto de acciones evaluadas sólo se produjo en el 9,5% de los equipos de todo Brasil (2,2% en la región Norte). Alrededor de la mitad no desarrollaba estrategias de promoción de la salud y sólo el 9,8% hacía efectiva la gestión del cuidado. Se concluyó que los bajos porcentajes de implantación a nivel nacional coexisten con expresivas desigualdades regionales, con peores resultados en el Norte. Se hace necesario el fortalecimiento de acciones de promoción de la salud, la cualificación de los equipos, la desprecarización de las relaciones laborales y la reordenación de la gestión del cuidado.Este artigo resultou de um estudo transversal sobre o cuidado em saúde mental com 29.778 equipes da Estratégia Saúde da Família de todo o Brasil (87,1% do total), incluindo avaliação normativa dos dados do segundo ciclo do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (2013-2014) nas dimensões perfil dos profissionais, promoção da saúde mental, gestão e oferta do cuidado. Os resultados mostraram que 33,8% dos entrevistados tinham vínculo trabalhista precário e 60,3% deles se sentiam despreparados para atuar em saúde mental. A oferta do conjunto de ações avaliadas só ocorreu em 9,5% das equipes em todo o Brasil (2,2% na região Norte). Cerca de metade não desenvolvia estratégias de promoção da saúde e apenas 9,8% efetivavam a gestão do cuidado. Concluiu-se que os baixos percentuais de implantação em nível nacional coexistem com expressivas desigualdades regionais, com piores resultados no Norte. Fazem-se necessários o fortalecimento de ações de promoção da saúde, a qualificação das equipes, a desprecarização de vínculos e o reordenamento da gestão do cuidado.Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz2022-07-15info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo Avaliado pelos paresapplication/pdfhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/97010.1590/1981-7746-sol00150 Trabalho, Educação e Saúde; v. 16 n. 3 (2018)1981-7746reponame:Trabalho, Educação e Saúde (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/970/234Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venânciohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGerbaldo, Tiziana BezerraArruda, Adenilda TeixeiraHorta , Bernardo LessaGarnelo , Luiza2022-07-15T17:42:05Zoai:ojs.pkp.sfu.ca:article/970Revistahttps://www.tes.epsjv.fiocruz.br/index.php/tesPUBhttps://www.tes.epsjv.fiocruz.br/index.php/tes/oairevtes@fiocruz.br1981-77461678-1007opendoar:2024-03-06T13:01:01.678652Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Evaluation of the organization of care in mental health in primary health care in Brazil
Evaluación de la organización del cuidado de la salud mental en la atención básica de la salud en Brasil
Avaliação da organização do cuidado em saúde mental na atenção básica à saúde do Brasil
title Evaluation of the organization of care in mental health in primary health care in Brazil
spellingShingle Evaluation of the organization of care in mental health in primary health care in Brazil
Gerbaldo, Tiziana Bezerra
saúde mental
atenção básica
programas de saúde
mental health; primary health care; health programs
mental health
primary health care
health programs
salud mental
atención básica
programas de salud
title_short Evaluation of the organization of care in mental health in primary health care in Brazil
title_full Evaluation of the organization of care in mental health in primary health care in Brazil
title_fullStr Evaluation of the organization of care in mental health in primary health care in Brazil
title_full_unstemmed Evaluation of the organization of care in mental health in primary health care in Brazil
title_sort Evaluation of the organization of care in mental health in primary health care in Brazil
author Gerbaldo, Tiziana Bezerra
author_facet Gerbaldo, Tiziana Bezerra
Arruda, Adenilda Teixeira
Horta , Bernardo Lessa
Garnelo , Luiza
author_role author
author2 Arruda, Adenilda Teixeira
Horta , Bernardo Lessa
Garnelo , Luiza
author2_role author
author
author
dc.contributor.author.fl_str_mv Gerbaldo, Tiziana Bezerra
Arruda, Adenilda Teixeira
Horta , Bernardo Lessa
Garnelo , Luiza
dc.subject.por.fl_str_mv saúde mental
atenção básica
programas de saúde
mental health; primary health care; health programs
mental health
primary health care
health programs
salud mental
atención básica
programas de salud
topic saúde mental
atenção básica
programas de saúde
mental health; primary health care; health programs
mental health
primary health care
health programs
salud mental
atención básica
programas de salud
description The article is the result of a cross-sectional study about care in mental health with 29,778 teams from the Family Health Strategy from all over Brazil (87.1% of the total of teams), including a normative evaluation of the data of the second cycle of the National Program for the Enhancement of Access and Quality in Primary Health Care (2013-2014) in the dimensions of the profile of the professionals, promotion of mental health, management, and offer of care. The results showed that 33.8% of the interviewees had precarious labor relationships, and that 60.3% of them did not feel prepared to work in mental health. The offer of the set of actions evaluated only occurred in 9.5% of the teams in all of Brazil (2.2% in the Northern region). Around half of them did not develop strategies to promote health, and only 9.8% actually carried out the management of care. We concluded that the low percentages of implementation on the national level coexist with significant regional inequalities, with the worst results coming from the Northern region. It is necessary to strengthen the actions of promotion of health, the qualification of the teams, to reverse the precariousness of the labor relationships, and to reorganize the management of care.
publishDate 2022
dc.date.none.fl_str_mv 2022-07-15
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigo Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/970
10.1590/1981-7746-sol00150
url https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/970
identifier_str_mv 10.1590/1981-7746-sol00150
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/970/234
dc.rights.driver.fl_str_mv Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Trabalho, Educação e Saúde; v. 16 n. 3 (2018)
1981-7746
reponame:Trabalho, Educação e Saúde (Online)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Trabalho, Educação e Saúde (Online)
collection Trabalho, Educação e Saúde (Online)
repository.name.fl_str_mv Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv revtes@fiocruz.br
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