The referral and counter-referral system in mental health from the perspective of the physician working in primary care
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , |
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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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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1797052707662462976 |