Departamento de Medicina de Família, Saúde Mental e Coletiva, Escola de Medicina, Universidade Federal de Ouro Preto (UFOP). R. Dois, Campus Morro do Cruzeiro. 35400-000 Ouro Preto MG Brasil.
Universidade Federal de São João Del Rei, Campus Centro Oeste. Divinópolis MG Brasil.
Cien Saude Colet. 2022 May;27(5):1895-1909. doi: 10.1590/1413-81232022275.11212021. Epub 2021 Jul 1.
The present study aims at analyzing the regionalization of the services carried out by the Psychosocial Care Network (RAPS in Portuguese) in the state of Minas Gerais (MG) in Brazil, yielding indicators that may enhance the SUS strategic management towards the strengthening of the psychosocial care provided by the state. It is a cross-sectional study, based on the data collected in May 2019 from government websites, considering the state's Macro-Regions and Health Regions as units of analysis. Indicators of service coverage in relation to the population in accordance to normative parameters determined by the Ministry of Health for a better understanding of the effective coverage were produced, and a general indicator (iRAPS) of the supply of services in this network in Minas Gerais state was validated. The outcomes allow a detailed analysis of the structural aspect of the RAPS in MG and unveil the development of a robust network. However, important regional heterogeneities were noticed and also a lack of services aiming at specific populations providing assistance 24 hours a day, which weakens the proper access to RAPS in several parts of the state. Higher values of iRAPS were found in health regions with low socioeconomic development and low general offer of health services, a fact that differs from the national scenario, which may imply state policy investments aiming at offering RAPS within the state hinterland areas.
本研究旨在分析巴西米纳斯吉拉斯州（MG）心理社会保健网络（RAPS）所开展的服务的区域化情况，生成可能增强 SUS 战略管理以加强该州提供的心理社会保健的指标。这是一项基于 2019 年 5 月从政府网站收集的数据的横断面研究，将该州的大区域和卫生区域作为分析单位。根据卫生部确定的规范性参数，生成了与人口相关的服务覆盖范围的指标，以更好地了解有效覆盖范围，并验证了该州 RAPS 服务供应的综合指标（iRAPS）。研究结果允许对 MG 的 RAPS 的结构方面进行详细分析，并揭示出一个强大网络的发展。然而，注意到了重要的区域异质性，并且也缺乏针对特定人群提供 24 小时服务的服务，这削弱了该州许多地区对 RAPS 的适当获取。在社会经济发展水平较低且一般卫生服务提供水平较低的卫生区域中，发现 iRAPS 的数值较高，这与全国情况不同，这可能意味着州政策投资旨在在州内陆地区提供 RAPS。
