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巴西的心理健康服务评估:系统文献综述

Mental health services assessment in Brazil: systematic literature review.

作者信息

da Costa Pedro Henrique Antunes, Colugnati Fernando Antonio Basile, Ronzani Telmo Mota

机构信息

Intervenção e Avaliação em Álcool e outras Drogas, Centro de Referência em Pesquisa, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil,

出版信息

Cien Saude Colet. 2015 Oct;20(10):3243-53. doi: 10.1590/1413-812320152010.14612014.

DOI:10.1590/1413-812320152010.14612014
PMID:26465864
Abstract

Assessment in the mental health area is a mechanism able to generate information that positively helps decision-making. Therefore, it is necessary to appropriate on the existing discussions, reasoning the challenges and possibilities linked to knowledge production within this scientific filed. A systematic review of publications about the Brazilian scientific production on mental health service assessment was performed, identifying and discussing methods, assessment perspectives and results. The search for articles was done in IBECS, Lilacs and Scielo databases, considering the publication of Federal Law 10.216. Thirty-five articles were selected based on the used terms and on the inclusion and exclusion criteria. Scientific production in this field is concentrated in the South and Southwest regions and holds different scopes and participants. Such wide range of possibilities is adopted as a way to help improving services and decision-making processes in mental health care. Advances in humanized, participative and community care are highlighted, but requiring more investments, professional qualification and organizational improvements. It is postulated greater integration among research, with evaluations going beyond structural aspects and the comparison with hospitalocentric models.

摘要

心理健康领域的评估是一种能够生成有助于积极决策的信息的机制。因此,有必要借鉴现有讨论,思考与该科学领域知识生产相关的挑战和可能性。对巴西关于心理健康服务评估的科学成果的出版物进行了系统综述,识别并讨论了方法、评估视角和结果。在IBECS、Lilacs和Scielo数据库中检索文章,考虑到联邦法律10.216的发布情况。根据使用的术语以及纳入和排除标准,挑选出35篇文章。该领域的科学成果集中在南部和西南部地区,涵盖不同范围和参与者。采用如此广泛的可能性作为帮助改善心理健康护理服务和决策过程的一种方式。强调了人性化、参与式和社区护理方面的进展,但需要更多投资、专业资质提升和组织改进。假设研究之间有更大的整合,评估超越结构方面,并与以医院为中心的模式进行比较。

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