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Published on: February 16, 2011
Resources, objectives and guidelines in a Psychosocial Care Network structure.
Maria do Perpétuo Socorro de Sousa Nóbrega1, Gabriela Dos Santos Mantovani1, Alessandra Matheus Domingos1
1Universidade de São Paulo, São Paulo, São Paulo, Brazil.
This study found that the Psychosocial Care Network in São Paulo faces resource shortages impacting care. While psychosocial care aligns best with guidelines, overall resource compromise hinders network objectives.
Area of Science:
- Public Health
- Healthcare Management
- Mental Health Services Research
Background:
- The Psychosocial Care Network (Ordinance 3,088/2011) aims to integrate mental health services.
- Evaluating resource availability and alignment with objectives is crucial for effective healthcare delivery.
Purpose of the Study:
- To analyze the Psychosocial Care Network's structure in São Paulo.
- To assess resource compromise (physical, technological, human, financial) within the network.
- To evaluate adherence to national objectives and guidelines for psychosocial care.
Main Methods:
- Quantitative, empirical study involving 123 primary care, psychosocial, and emergency care professionals.
- Data collected via questionnaires.
- Statistical analysis using Fisher's exact test (p < 0.05).
Main Results:
- Significant compromise in physical resources (lack of mental health beds, p=0.047) and technological resources (lack of discussion forums, p=0.036).
- Human and financial resources showed less significant compromise (p=0.258 and p=0.159, respectively).
- Psychosocial care services demonstrated the highest alignment with established objectives and guidelines.
Conclusions:
- The Psychosocial Care Network experiences insufficient physical, technological, human, and financial resources.
- Heterogeneity exists across care modalities in meeting network objectives.
- Resource limitations impede articulated work across primary, psychosocial, and emergency care settings.
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