Atención de pacientes pobres con trastornos afectivos de la ciudad de México

Detalhes bibliográficos
Autor(a) principal: Berenzon, Shoshana
Data de Publicação: 2005
Outros Autores: Juárez, Francisco
Tipo de documento: Artigo
Idioma: spa
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/31913
Resumo: OBJECTIVE: To describe the pathways of formal and informal services utilization in urban low income population presenting depressive, dysthymic and bipolar disorders. METHODS: Information was gathered in face to face interviews using a standardized questionnaire that included sections from the Composite International Diagnostic Interview and one section on service utilization. Interviewees (n=1,486) were selected through stratified socioeconomic variables and a random multistep sample of households of Mexico City. RESULTS: A significant proportion of individuals with affective disorders attended at the same time to formal and informal services. It was observed that the majority of individuals established the first contact with a general practitioner (81% of the men with depressive disorders, 100% with dysthymia and 36% with bipolar disorders; 44.4% of the women with depression, 23% with dysthymia and 100% with bipolar disorders). Also, 45% of men with depression, 40% with dysthymia and 65% of the women with bipolar disorders sought help through resources provided by alternative medicines. CONCLUSIONS: The combination of various medical systems has at least two roles: 1) increases the set of care options and thereby maximize healthcare resources available; 2) allows to approaching different aspects of the same illness that a single medical system is unable to meet its complexity.
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spelling Atención de pacientes pobres con trastornos afectivos de la ciudad de México Mental health services to poor patients with affective disorders in Mexico City Servicios de salud mentalTrastornos afectivosTrastornos del humorPoblación urbanaÁreas de pobrezaEntrevistasFatores socioeconómicosMental health servicesMood disordersAffective disordersUrban populationPoverty areasHealth services^i2^sutilizatInterviewsSocio-economic factors OBJECTIVE: To describe the pathways of formal and informal services utilization in urban low income population presenting depressive, dysthymic and bipolar disorders. METHODS: Information was gathered in face to face interviews using a standardized questionnaire that included sections from the Composite International Diagnostic Interview and one section on service utilization. Interviewees (n=1,486) were selected through stratified socioeconomic variables and a random multistep sample of households of Mexico City. RESULTS: A significant proportion of individuals with affective disorders attended at the same time to formal and informal services. It was observed that the majority of individuals established the first contact with a general practitioner (81% of the men with depressive disorders, 100% with dysthymia and 36% with bipolar disorders; 44.4% of the women with depression, 23% with dysthymia and 100% with bipolar disorders). Also, 45% of men with depression, 40% with dysthymia and 65% of the women with bipolar disorders sought help through resources provided by alternative medicines. CONCLUSIONS: The combination of various medical systems has at least two roles: 1) increases the set of care options and thereby maximize healthcare resources available; 2) allows to approaching different aspects of the same illness that a single medical system is unable to meet its complexity. OBJETIVO: Describir los caminos de atención seguidos por población adulta, que cubre los criterios diagnósticos de trastornos depresivos, distimia y trastorno bipolar. MÉTODOS: La información se obtuvo mediante una entrevista personal, utilizando un cuestionario estandarizado que incluía secciones del Composite International Diagnostic Interview sobre trastornos afectivos y una sección sobre utilización de servicios. Los entrevistados (n=1,486) fueron seleccionados a partir de una muestra aleatoria, estratificada según las variables socioeconómicas y multietápicas (manzanas, viviendas, individuos), residentes en la Ciudad de México. RESULTADOS: Un número importante de las personas con trastornos afectivos informaron recurrir tanto a servicios formales como informales de atención. Se observó que en muchos casos se estableció el primer contacto con un médico general (81% de los hombres con trastornos depresivos, 100% con distimia y 36% con trastornos bipolares; 44.4% de las mujeres con depresión, 23% con distimia y 100% con trastornos bipolares). Del mismo modo, se observó que el 45% de los hombres con depresión, el 40% de los varones con distimia y el 65% de las mujeres con trastorno bipolar concluyeron los caminos asistenciales con el uso de los recursos proporcionados por las medicinas alternativas. CONCLUSIONES: El uso entremezclado de diversos sistemas de atención cumple por lo menos dos funciones. 1) permite armar un conjunto de opciones potenciales y así maximizar los recursos curativos con los que se cuenta, 2) permite atender distintos aspectos de una misma enfermedad donde un sólo sistema médico no puede satisfacer la complejidad del evento. Universidade de São Paulo. Faculdade de Saúde Pública2005-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3191310.1590/S0034-89102005000400016Revista de Saúde Pública; Vol. 39 No. 4 (2005); 619-626 Revista de Saúde Pública; Vol. 39 Núm. 4 (2005); 619-626 Revista de Saúde Pública; v. 39 n. 4 (2005); 619-626 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPspahttps://www.revistas.usp.br/rsp/article/view/31913/33896Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessBerenzon, ShoshanaJuárez, Francisco2012-07-08T22:44:23Zoai:revistas.usp.br:article/31913Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T22:44:23Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Atención de pacientes pobres con trastornos afectivos de la ciudad de México
Mental health services to poor patients with affective disorders in Mexico City
title Atención de pacientes pobres con trastornos afectivos de la ciudad de México
spellingShingle Atención de pacientes pobres con trastornos afectivos de la ciudad de México
Berenzon, Shoshana
Servicios de salud mental
Trastornos afectivos
Trastornos del humor
Población urbana
Áreas de pobreza
Entrevistas
Fatores socioeconómicos
Mental health services
Mood disorders
Affective disorders
Urban population
Poverty areas
Health services^i2^sutilizat
Interviews
Socio-economic factors
title_short Atención de pacientes pobres con trastornos afectivos de la ciudad de México
title_full Atención de pacientes pobres con trastornos afectivos de la ciudad de México
title_fullStr Atención de pacientes pobres con trastornos afectivos de la ciudad de México
title_full_unstemmed Atención de pacientes pobres con trastornos afectivos de la ciudad de México
title_sort Atención de pacientes pobres con trastornos afectivos de la ciudad de México
author Berenzon, Shoshana
author_facet Berenzon, Shoshana
Juárez, Francisco
author_role author
author2 Juárez, Francisco
author2_role author
dc.contributor.author.fl_str_mv Berenzon, Shoshana
Juárez, Francisco
dc.subject.por.fl_str_mv Servicios de salud mental
Trastornos afectivos
Trastornos del humor
Población urbana
Áreas de pobreza
Entrevistas
Fatores socioeconómicos
Mental health services
Mood disorders
Affective disorders
Urban population
Poverty areas
Health services^i2^sutilizat
Interviews
Socio-economic factors
topic Servicios de salud mental
Trastornos afectivos
Trastornos del humor
Población urbana
Áreas de pobreza
Entrevistas
Fatores socioeconómicos
Mental health services
Mood disorders
Affective disorders
Urban population
Poverty areas
Health services^i2^sutilizat
Interviews
Socio-economic factors
description OBJECTIVE: To describe the pathways of formal and informal services utilization in urban low income population presenting depressive, dysthymic and bipolar disorders. METHODS: Information was gathered in face to face interviews using a standardized questionnaire that included sections from the Composite International Diagnostic Interview and one section on service utilization. Interviewees (n=1,486) were selected through stratified socioeconomic variables and a random multistep sample of households of Mexico City. RESULTS: A significant proportion of individuals with affective disorders attended at the same time to formal and informal services. It was observed that the majority of individuals established the first contact with a general practitioner (81% of the men with depressive disorders, 100% with dysthymia and 36% with bipolar disorders; 44.4% of the women with depression, 23% with dysthymia and 100% with bipolar disorders). Also, 45% of men with depression, 40% with dysthymia and 65% of the women with bipolar disorders sought help through resources provided by alternative medicines. CONCLUSIONS: The combination of various medical systems has at least two roles: 1) increases the set of care options and thereby maximize healthcare resources available; 2) allows to approaching different aspects of the same illness that a single medical system is unable to meet its complexity.
publishDate 2005
dc.date.none.fl_str_mv 2005-08-01
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/31913
10.1590/S0034-89102005000400016
url https://www.revistas.usp.br/rsp/article/view/31913
identifier_str_mv 10.1590/S0034-89102005000400016
dc.language.iso.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/31913/33896
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
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. 39 No. 4 (2005); 619-626
Revista de Saúde Pública; Vol. 39 Núm. 4 (2005); 619-626
Revista de Saúde Pública; v. 39 n. 4 (2005); 619-626
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_ 1800221783706566656

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