Hospitalization due to drug use did not change after a decade of the Psychiatric Reform
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/126607 |
Resumo: | OBJECTIVE To investigate whether the psychiatric hospitalization rates due to use of psychoactive substances and average time of hospitalization suffered any changes after the first decade of effective implementation of the psychiatric reform in Brazil. METHODS This article examines the evolution of hospitalizations due to disorders arising from the use of alcohol or other substances in the state of Santa Catarina, Southern Brazil, from 2000 to 2012. This is an ecological, time-series study, which uses data from admissions obtained by the Informatics Service of the Brazilian Unified Health System. Hospitalization rates by 100,000 inhabitants and average time of occupancy of beds were estimated. Coefficients of variation of these rates were estimated by Poisson Regression. RESULTS The total and male hospitalization rates did not vary (p = 0.056 and p = 0.244, respectively). We observed an increase of 3.0% for the female sex (p = 0.049). We did not observe any significant variation for occupancy time of beds. CONCLUSIONS The deployment of services triggered by the Brazilian psychiatric reform was not accompanied by a reduction of hospitalization rates or mean occupancy time of hospitalized patients during this first decade of implementation of the reform. |
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Hospitalization due to drug use did not change after a decade of the Psychiatric Reform Hospitalizações por uso de drogas não se alteram com uma década de Reforma Psiquiátrica OBJECTIVE To investigate whether the psychiatric hospitalization rates due to use of psychoactive substances and average time of hospitalization suffered any changes after the first decade of effective implementation of the psychiatric reform in Brazil. METHODS This article examines the evolution of hospitalizations due to disorders arising from the use of alcohol or other substances in the state of Santa Catarina, Southern Brazil, from 2000 to 2012. This is an ecological, time-series study, which uses data from admissions obtained by the Informatics Service of the Brazilian Unified Health System. Hospitalization rates by 100,000 inhabitants and average time of occupancy of beds were estimated. Coefficients of variation of these rates were estimated by Poisson Regression. RESULTS The total and male hospitalization rates did not vary (p = 0.056 and p = 0.244, respectively). We observed an increase of 3.0% for the female sex (p = 0.049). We did not observe any significant variation for occupancy time of beds. CONCLUSIONS The deployment of services triggered by the Brazilian psychiatric reform was not accompanied by a reduction of hospitalization rates or mean occupancy time of hospitalized patients during this first decade of implementation of the reform. OBJETIVO Investigar se as taxas de internações psiquiátricas por uso de substâncias psicoativas e o tempo médio de hospitalização se modificaram após a primeira década de efetiva implementação da reforma psiquiátrica no Brasil. MÉTODOS Este artigo analisa a evolução das hospitalizações devido a transtornos decorrentes do uso de álcool ou outras substâncias no estado de Santa Catarina, de 2000 a 2012. Trata-se de estudo ecológico, de série temporal, com dados de internações obtidas do Serviço de Informática do Sistema Único de Saúde. Foram estimadas taxas de hospitalização por 100 mil habitantes e tempo médio de ocupação dos leitos. Foram estimados coeficientes de variação dessas taxas por Regressão de Poisson. RESULTADOS As taxas de internação total e para o sexo masculino não variaram (p = 0,244 e p = 0,056, respectivamente). Houve incremento de 3,0% para o sexo feminino (p = 0,049). Não se observou variação significativa para tempo de ocupação dos leitos. CONCLUSÕES A implantação de serviços desencadeada pela reforma psiquiátrica brasileira não foi acompanhada de redução das taxas de hospitalização ou tempo médio de permanência de quem foi hospitalizado ao longo dessa primeira década de implantação da reforma. Universidade de São Paulo. Faculdade de Saúde Pública2016-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/12660710.1590/S1518-8787.2016050006085Revista de Saúde Pública; Vol. 50 (2016); 26Revista de Saúde Pública; Vol. 50 (2016); 26Revista de Saúde Pública; v. 50 (2016); 261518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/126607/123612https://www.revistas.usp.br/rsp/article/view/126607/123613Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessBalbinot, Alexandre DidoHorta, Rogério LessaCosta, Juvenal Soares Dias daAraújo, Renata BrasilPoletto, SimoneTeixeira, Marina Bressaneli2018-02-26T17:09:54Zoai:revistas.usp.br:article/126607Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2018-02-26T17:09:54Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Hospitalization due to drug use did not change after a decade of the Psychiatric Reform Hospitalizações por uso de drogas não se alteram com uma década de Reforma Psiquiátrica |
title |
Hospitalization due to drug use did not change after a decade of the Psychiatric Reform |
spellingShingle |
Hospitalization due to drug use did not change after a decade of the Psychiatric Reform Balbinot, Alexandre Dido |
title_short |
Hospitalization due to drug use did not change after a decade of the Psychiatric Reform |
title_full |
Hospitalization due to drug use did not change after a decade of the Psychiatric Reform |
title_fullStr |
Hospitalization due to drug use did not change after a decade of the Psychiatric Reform |
title_full_unstemmed |
Hospitalization due to drug use did not change after a decade of the Psychiatric Reform |
title_sort |
Hospitalization due to drug use did not change after a decade of the Psychiatric Reform |
author |
Balbinot, Alexandre Dido |
author_facet |
Balbinot, Alexandre Dido Horta, Rogério Lessa Costa, Juvenal Soares Dias da Araújo, Renata Brasil Poletto, Simone Teixeira, Marina Bressaneli |
author_role |
author |
author2 |
Horta, Rogério Lessa Costa, Juvenal Soares Dias da Araújo, Renata Brasil Poletto, Simone Teixeira, Marina Bressaneli |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Balbinot, Alexandre Dido Horta, Rogério Lessa Costa, Juvenal Soares Dias da Araújo, Renata Brasil Poletto, Simone Teixeira, Marina Bressaneli |
description |
OBJECTIVE To investigate whether the psychiatric hospitalization rates due to use of psychoactive substances and average time of hospitalization suffered any changes after the first decade of effective implementation of the psychiatric reform in Brazil. METHODS This article examines the evolution of hospitalizations due to disorders arising from the use of alcohol or other substances in the state of Santa Catarina, Southern Brazil, from 2000 to 2012. This is an ecological, time-series study, which uses data from admissions obtained by the Informatics Service of the Brazilian Unified Health System. Hospitalization rates by 100,000 inhabitants and average time of occupancy of beds were estimated. Coefficients of variation of these rates were estimated by Poisson Regression. RESULTS The total and male hospitalization rates did not vary (p = 0.056 and p = 0.244, respectively). We observed an increase of 3.0% for the female sex (p = 0.049). We did not observe any significant variation for occupancy time of beds. CONCLUSIONS The deployment of services triggered by the Brazilian psychiatric reform was not accompanied by a reduction of hospitalization rates or mean occupancy time of hospitalized patients during this first decade of implementation of the reform. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-01-01 |
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://www.revistas.usp.br/rsp/article/view/126607 10.1590/S1518-8787.2016050006085 |
url |
https://www.revistas.usp.br/rsp/article/view/126607 |
identifier_str_mv |
10.1590/S1518-8787.2016050006085 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/126607/123612 https://www.revistas.usp.br/rsp/article/view/126607/123613 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 50 (2016); 26 Revista de Saúde Pública; Vol. 50 (2016); 26 Revista de Saúde Pública; v. 50 (2016); 26 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221797647384576 |