Miranda Lilian, Onocko-Campos Rosana T
Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, Brasil.
Cad Saude Publica. 2010 Jun;26(6):1153-62. doi: 10.1590/s0102-311x2010000600009.
The study used a qualitative, evaluative, and participant methodology based on Gadamer's hermeneutics and the constructivist paradigm. The aim was to analyze the arrangement called "patient care teams" for treatment of psychotic patients in the context of Community Mental Health Services (CMHS). Data were collected in two cycles of 18 focus groups including health professionals, users, and family members at six CMHS III, including eight in-depth interviews with users of these services and two workshops aimed at developing a guide to evaluate CMHS practices. The arrangement's functions were described, emphasizing that the referral teams serve as clinical management levels, fostering follow-up of patients' unique needs in the field, through interdisciplinary work. This requires sustaining an ethical stance based on respect for otherness and clinical case work-up.
该研究采用了基于伽达默尔诠释学和建构主义范式的定性、评估性和参与性方法。目的是分析社区精神卫生服务（CMHS）背景下用于治疗精神病患者的“患者护理团队”安排。数据收集分两个阶段进行，共18个焦点小组，参与者包括六个CMHS III的卫生专业人员、服务使用者和家庭成员，其中包括对这些服务使用者的八次深度访谈，以及两次旨在制定CMHS实践评估指南的研讨会。描述了该安排的功能，强调转诊团队作为临床管理层面，通过跨学科工作促进对该领域患者独特需求的跟踪。这需要维持基于尊重他者和临床病例检查的道德立场。
