Instituto de Investigaciones, Facultad de Psicología, Universidad de Buenos Aires, Argentina.
Instituto de Investigaciones, Facultad de Psicología, Universidad de Buenos Aires, Argentina.
Rev Colomb Psiquiatr (Engl Ed). 2023 Jan-Mar;52(1):58-64. doi: 10.1016/j.rcpeng.2021.05.005. Epub 2023 Mar 24.
To characterise the impact of the COVID-19 pandemic on psychiatric hospitalisations in the Latin American and Caribbean (LAC) region.
Descriptive study. 85 semi-structured interviews were conducted with health workers involved with psychiatric hospitalisations in general hospitals (GHs) and specialised psychiatric hospitals (SHs) from 18 LAC countries. The interviews were done between 8 May and 30 June 2020. The data were analysed quantitatively and qualitatively.
An initial decrease in the demand for hospitalisation is reported, attributed to the population's fear of approaching health services as well as restrictions on mobility. Stricter criteria for hospitalisation were reported with a double focus on the acute within the acute. The length of hospitalisations were mixed, with both increases and decreases in GHs and SHs. The therapeutic offer was drastically reduced, and interaction between hospitalised people and their support networks was restricted.
In the COVID-19 context, hospitalisation seems to be not the last but the only alternative for psychiatric treatment. The decrease in the number of beds in SHs could be a positive aspect for the reform of psychiatric care, but it is questioned since this reduction also occurs in GHs.
描述 COVID-19 大流行对拉丁美洲和加勒比（LAC）地区精神病住院治疗的影响。
描述性研究。在 2020 年 5 月 8 日至 6 月 30 日期间，对来自 18 个 LAC 国家的参与综合医院（GH）和专门精神病医院（SH）精神病住院治疗的卫生工作者进行了 85 次半结构化访谈。访谈是定量和定性分析的。
据报道，最初住院需求下降，这归因于人们对接近卫生服务的恐惧以及对流动性的限制。报告了更严格的住院标准，急性内的双重重点是急性。住院时间长短不一，GH 和 SH 的住院时间都有所增加和减少。治疗方案大大减少，住院患者及其支持网络之间的互动受到限制。
在 COVID-19 背景下，住院治疗似乎不是最后但唯一的精神科治疗选择。SH 中床位数量的减少可能是精神科护理改革的一个积极方面，但由于 GH 中也发生了这种减少，因此对此提出了质疑。
