Desafio para a atenção básica: incorporação da assistência em saúde mental
Autor(a) principal: | |
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Data de Publicação: | 2006 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2866 |
Resumo: | The objective of this study was to evaluate mental health care provided within a primary health care setting. The study was conducted in a Primary Health Care Center (PHC) in the city of Sao Paulo, Brazil. A comparative study was made between pediatricians' diagnosis of mental health problems and those identified by the Child Behavior Checklist (CBCL) in children (5-11 years) from August to October 2000. Eleven pediatricians were interviewed for more in-depth analysis. The study analyzed 411 patient charts and held 206 interviews with the children's parents. Analysis of the resulting data shows that the pediatricians provided a diagnosis of mental health problems in 17.5% of the children examined. When compared with probable mental health problems identified by the CBCL, only 25.3% of the children were diagnosed by the physician as having mental health problems. Interviews with pediatricians identified difficulties in the definition and conceptualization of mental health problems, lack of organization in the referral system, and insufficient technical support. |
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Desafio para a atenção básica: incorporação da assistência em saúde mentalCuidados Primários de SaúdeSaúde MentalCriançaThe objective of this study was to evaluate mental health care provided within a primary health care setting. The study was conducted in a Primary Health Care Center (PHC) in the city of Sao Paulo, Brazil. A comparative study was made between pediatricians' diagnosis of mental health problems and those identified by the Child Behavior Checklist (CBCL) in children (5-11 years) from August to October 2000. Eleven pediatricians were interviewed for more in-depth analysis. The study analyzed 411 patient charts and held 206 interviews with the children's parents. Analysis of the resulting data shows that the pediatricians provided a diagnosis of mental health problems in 17.5% of the children examined. When compared with probable mental health problems identified by the CBCL, only 25.3% of the children were diagnosed by the physician as having mental health problems. Interviews with pediatricians identified difficulties in the definition and conceptualization of mental health problems, lack of organization in the referral system, and insufficient technical support.Com o objetivo de avaliar a atenção em saúde mental na atenção básica de saúde foi realizado um estudo comparativo entre os diagnósticos de Problemas de Saúde Mental (PSM), realizados pelos pediatras, e os prováveis PSM identificados por meio da aplicação de um questionário padronizado (CBCL). O estudo foi realizado com crianças de 5 a 11 anos atendidas em uma unidade básica de saúde (UBS), entre agosto e outubro de 2002, no Município de São Paulo, Brasil. Para aprofundar a análise foram realizadas 11 entrevistas com os pediatras da UBS. A análise de 411 prontuários e dos 206 questionários aplicados aos pais, mostram que os pediatras realizaram diagnóstico de PSM em 17,5% das crianças atendidas. Quando comparado com os prováveis PSM identificados pelo CBCL, apenas 25,3% das crianças são identificadas com PSM pelos médicos. A entrevista realizada com os pediatras identifica dificuldades na definição de PSM, a carência de instrumentos para o reconhecimento dos problemas e falta de um sistema de encaminhamento, e carecem de apoio técnico específico.Reports in Public HealthCadernos de Saúde Pública2006-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2866Reports in Public Health; Vol. 22 No. 9 (2006): SeptemberCadernos de Saúde Pública; v. 22 n. 9 (2006): Setembro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2866/5772https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2866/5773Tanaka, Oswaldo YoshimiLauridsen-Ribeiro, Edithinfo:eu-repo/semantics/openAccess2024-03-06T15:27:16Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/2866Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:03:19.658391Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Desafio para a atenção básica: incorporação da assistência em saúde mental |
title |
Desafio para a atenção básica: incorporação da assistência em saúde mental |
spellingShingle |
Desafio para a atenção básica: incorporação da assistência em saúde mental Tanaka, Oswaldo Yoshimi Cuidados Primários de Saúde Saúde Mental Criança |
title_short |
Desafio para a atenção básica: incorporação da assistência em saúde mental |
title_full |
Desafio para a atenção básica: incorporação da assistência em saúde mental |
title_fullStr |
Desafio para a atenção básica: incorporação da assistência em saúde mental |
title_full_unstemmed |
Desafio para a atenção básica: incorporação da assistência em saúde mental |
title_sort |
Desafio para a atenção básica: incorporação da assistência em saúde mental |
author |
Tanaka, Oswaldo Yoshimi |
author_facet |
Tanaka, Oswaldo Yoshimi Lauridsen-Ribeiro, Edith |
author_role |
author |
author2 |
Lauridsen-Ribeiro, Edith |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Tanaka, Oswaldo Yoshimi Lauridsen-Ribeiro, Edith |
dc.subject.por.fl_str_mv |
Cuidados Primários de Saúde Saúde Mental Criança |
topic |
Cuidados Primários de Saúde Saúde Mental Criança |
description |
The objective of this study was to evaluate mental health care provided within a primary health care setting. The study was conducted in a Primary Health Care Center (PHC) in the city of Sao Paulo, Brazil. A comparative study was made between pediatricians' diagnosis of mental health problems and those identified by the Child Behavior Checklist (CBCL) in children (5-11 years) from August to October 2000. Eleven pediatricians were interviewed for more in-depth analysis. The study analyzed 411 patient charts and held 206 interviews with the children's parents. Analysis of the resulting data shows that the pediatricians provided a diagnosis of mental health problems in 17.5% of the children examined. When compared with probable mental health problems identified by the CBCL, only 25.3% of the children were diagnosed by the physician as having mental health problems. Interviews with pediatricians identified difficulties in the definition and conceptualization of mental health problems, lack of organization in the referral system, and insufficient technical support. |
publishDate |
2006 |
dc.date.none.fl_str_mv |
2006-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2866 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2866 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2866/5772 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2866/5773 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 22 No. 9 (2006): September Cadernos de Saúde Pública; v. 22 n. 9 (2006): Setembro 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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1798943357675765760 |