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[大城市心理健康网络实施情况分析]

[Analysis of the implementation of a Mental Health network in a major city].

作者信息

Almeida Isabella Silva de, Campos Gastão Wagner de Sousa

机构信息

Faculdade de Saúde Pública, Universidade de São Paulo. Av. Dr. Arnaldo 715, Cerqueira César. 01246-904 São Paulo SP Brasil.

Faculdade de Ciências Médicas, Universidade Estadual de Campinas. Campinas SP Brasil.

出版信息

Cien Saude Colet. 2019 Jul 22;24(7):2715-2726. doi: 10.1590/1413-81232018247.20122017.

Abstract

This article set out to reflect on the setting up of psychosocial care networks based on the trajectory of a city in the greater São Paulo area. With that objective in mind, an exploratory study of the Unified Health System (SUS) and Mental Health in São Paulo between 1980 and 2013 was conducted. Official documents and articles, dissertations, theses and books concerning the implementation of the SUS in the city of São Paulo, with an emphasis on the mental health network, were analyzed. Open interviews with actors who lived through this moment in history were also conducted. In this manner, it was possible to highlight six important landmarks in this trajectory: the asylum-care model; the 1980s - advances and setbacks; 1989 to 1992 - the comprehensive care model for mental health; 1993 to 2000 - political setbacks and resistance; the 'Qualis II' Project; the municipalization of healthcare. Based on the analytical literature, the importance of historical events to understand the political proposals and the consolidation of public policies related to the SUS in São Paulo was revealed.

摘要

本文旨在基于大圣保罗地区一个城市的发展轨迹,对社会心理护理网络的建立进行反思。出于这一目的,对1980年至2013年间圣保罗市统一卫生系统(SUS)和心理健康情况进行了一项探索性研究。分析了与圣保罗市SUS实施情况相关的官方文件、文章、学位论文、学术论文和书籍,重点关注心理健康网络。还对经历过这段历史时期的相关人员进行了开放式访谈。通过这种方式,有可能突出这一发展轨迹中的六个重要里程碑:收容护理模式;20世纪80年代——进步与挫折;1989年至1992年——心理健康综合护理模式;1993年至2000年——政治挫折与阻力;“Qualis II”项目;医疗保健的市政化。基于分析文献,揭示了历史事件对于理解与圣保罗市SUS相关的政治提议和公共政策巩固的重要性。

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