The referral and counter-referral system in mental health from the perspective of the physician working in primary care

Detalhes bibliográficos
Autor(a) principal: Rocha, Mayara Nakiria Tavares da
Data de Publicação: 2022
Outros Autores: Calheiros, David dos Santos, Wyszomirska, Rozangela Maria de Almeida Fernandes
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/27458
Resumo: This study sought to understand the Mental Health Referral and Counter-Referral system from the perspective of physicians of primary health care (PHC). To do so, a qualitative approach with an exploratory focus was adopted, and interviews were conducted with physicians working in PHC in a city in the state of Alagoas, Brazil. The collected and produced data were treated using content thematic analysis. In this context, the Reference and Counter-Reference system was recognized as a form of dialogue between the components of the care network, especially the Psychosocial care network, however, there is a mostly negative perception about its operation, given situations such as the difficulty of dialogue between the PHC medical professional and the psychiatrist, as well as the performance of the patient as a channel or vehicle of communication between the network, in view of the absence of an instrument that performs this function properly. Thus, it is necessary to think of ways to make the Referral and Counter-Referral system more efficient, in order to provide a greater possibility for the development of integral care in mental health.
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spelling The referral and counter-referral system in mental health from the perspective of the physician working in primary careEl sistema de referencia y contrarreferencia en salud mental desde la perspectiva del médico que actúa en atención primariaO sistema de referência e contrarreferência em saúde mental sob a perspectiva do médico atuante na atenção primáriaSalud MentalAtención PrimariaMédicoReferenciaContrarreferencia.Mental HealthPrimary CarePhysicianReferralContrarreferência.Saúde MentalAtenção PrimáriaMédicoReferênciaContrarreferência.This study sought to understand the Mental Health Referral and Counter-Referral system from the perspective of physicians of primary health care (PHC). To do so, a qualitative approach with an exploratory focus was adopted, and interviews were conducted with physicians working in PHC in a city in the state of Alagoas, Brazil. The collected and produced data were treated using content thematic analysis. In this context, the Reference and Counter-Reference system was recognized as a form of dialogue between the components of the care network, especially the Psychosocial care network, however, there is a mostly negative perception about its operation, given situations such as the difficulty of dialogue between the PHC medical professional and the psychiatrist, as well as the performance of the patient as a channel or vehicle of communication between the network, in view of the absence of an instrument that performs this function properly. Thus, it is necessary to think of ways to make the Referral and Counter-Referral system more efficient, in order to provide a greater possibility for the development of integral care in mental health.El presente estudio buscó comprender el sistema de Referencia y Contrarreferencia en salud mental en la perspectiva del médico que actúa en la Atención Primaria (APS). Por lo tanto, se adoptó un enfoque cualitativo para la investigación, con un enfoque exploratorio, y se realizaron entrevistas con médicos que actúan en la APS de un municipio del estado de Alagoas/Brasil. Los datos recolectados y producidos fueron tratados a través del análisis de contenido temático. En este contexto, el sistema de Referencia y Contrarreferencia fue reconocido como una forma de diálogo entre los componentes de la red de atención, en especial la RAPS, sin embargo existe una percepción mayoritariamente negativa respecto a su funcionamiento, dadas situaciones como la dificultad de diálogo entre el profesional médico de la APS y el psiquiatra, así como el papel del paciente como canal o vehículo de comunicación entre la red, ante la falta de un instrumento que cumpla adecuadamente esta función. Por lo tanto, es necesario pensar formas de hacer más eficiente el sistema de Referencia y Contrarreferencia, a fin de brindar mayores posibilidades para el desarrollo de la atención integral en el contexto de la salud mental.O presente estudo buscou compreender o sistema de Referência e Contrarreferência em saúde mental sob a perspectiva do médico atuante na Atenção Primária (APS). Para tanto, se adotou para a pesquisa a abordagem qualitativa com enfoque exploratório, sendo realizadas entrevistas com médicos atuantes na APS de um município do estado de Alagoas/ Brasil. Os dados coletados e produzidos foram tratados mediante a análise temática de conteúdo. Nesse contexto, sistema de Referência e Contrarreferência foi reconhecido como uma forma de diálogo entre os componentes das rede de atenção, em especial a RAPS, no entanto existe uma percepção majoritariamente negativa quanto ao seu funcionamento, dada a situações como a dificuldade de diálogo entre o profissional médico da APS e o psiquiatra, bem como a atuação do paciente como canal ou veículo de comunicação entre a rede, tendo em vista e inexistência de um instrumento  que exerça tal função de maneira adequada. Assim, se faz- necessário pensar maneiras de torna o sistema de Referência e Contrarreferência mais eficiente, de modo a proporcionar maior possibilidade para o desenvolvimento de um cuidado integral no âmbito da saúde mental.Research, Society and Development2022-03-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2745810.33448/rsd-v11i4.27458Research, Society and Development; Vol. 11 No. 4; e50211427458Research, Society and Development; Vol. 11 Núm. 4; e50211427458Research, Society and Development; v. 11 n. 4; e502114274582525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/27458/24136Copyright (c) 2022 Mayara Nakiria Tavares da Rocha; David dos Santos Calheiros; Rozangela Maria de Almeida Fernandes Wyszomirskahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessRocha, Mayara Nakiria Tavares daCalheiros, David dos SantosWyszomirska, Rozangela Maria de Almeida Fernandes2022-03-27T17:17:09Zoai:ojs.pkp.sfu.ca:article/27458Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:45:11.589652Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv The referral and counter-referral system in mental health from the perspective of the physician working in primary care
El sistema de referencia y contrarreferencia en salud mental desde la perspectiva del médico que actúa en atención primaria
O sistema de referência e contrarreferência em saúde mental sob a perspectiva do médico atuante na atenção primária
title The referral and counter-referral system in mental health from the perspective of the physician working in primary care
spellingShingle The referral and counter-referral system in mental health from the perspective of the physician working in primary care
Rocha, Mayara Nakiria Tavares da
Salud Mental
Atención Primaria
Médico
Referencia
Contrarreferencia.
Mental Health
Primary Care
Physician
Referral
Contrarreferência.
Saúde Mental
Atenção Primária
Médico
Referência
Contrarreferência.
title_short The referral and counter-referral system in mental health from the perspective of the physician working in primary care
title_full The referral and counter-referral system in mental health from the perspective of the physician working in primary care
title_fullStr The referral and counter-referral system in mental health from the perspective of the physician working in primary care
title_full_unstemmed The referral and counter-referral system in mental health from the perspective of the physician working in primary care
title_sort The referral and counter-referral system in mental health from the perspective of the physician working in primary care
author Rocha, Mayara Nakiria Tavares da
author_facet Rocha, Mayara Nakiria Tavares da
Calheiros, David dos Santos
Wyszomirska, Rozangela Maria de Almeida Fernandes
author_role author
author2 Calheiros, David dos Santos
Wyszomirska, Rozangela Maria de Almeida Fernandes
author2_role author
author
dc.contributor.author.fl_str_mv Rocha, Mayara Nakiria Tavares da
Calheiros, David dos Santos
Wyszomirska, Rozangela Maria de Almeida Fernandes
dc.subject.por.fl_str_mv Salud Mental
Atención Primaria
Médico
Referencia
Contrarreferencia.
Mental Health
Primary Care
Physician
Referral
Contrarreferência.
Saúde Mental
Atenção Primária
Médico
Referência
Contrarreferência.
topic Salud Mental
Atención Primaria
Médico
Referencia
Contrarreferencia.
Mental Health
Primary Care
Physician
Referral
Contrarreferência.
Saúde Mental
Atenção Primária
Médico
Referência
Contrarreferência.
description This study sought to understand the Mental Health Referral and Counter-Referral system from the perspective of physicians of primary health care (PHC). To do so, a qualitative approach with an exploratory focus was adopted, and interviews were conducted with physicians working in PHC in a city in the state of Alagoas, Brazil. The collected and produced data were treated using content thematic analysis. In this context, the Reference and Counter-Reference system was recognized as a form of dialogue between the components of the care network, especially the Psychosocial care network, however, there is a mostly negative perception about its operation, given situations such as the difficulty of dialogue between the PHC medical professional and the psychiatrist, as well as the performance of the patient as a channel or vehicle of communication between the network, in view of the absence of an instrument that performs this function properly. Thus, it is necessary to think of ways to make the Referral and Counter-Referral system more efficient, in order to provide a greater possibility for the development of integral care in mental health.
publishDate 2022
dc.date.none.fl_str_mv 2022-03-25
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://rsdjournal.org/index.php/rsd/article/view/27458
10.33448/rsd-v11i4.27458
url https://rsdjournal.org/index.php/rsd/article/view/27458
identifier_str_mv 10.33448/rsd-v11i4.27458
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/27458/24136
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv 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 Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 11 No. 4; e50211427458
Research, Society and Development; Vol. 11 Núm. 4; e50211427458
Research, Society and Development; v. 11 n. 4; e50211427458
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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