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Child psychiatric hospitalizations in the Brazilian public health system: an exploratory study

Maximiliano Loiola Ponte de Souza1, Rossano Cabral Lima2

  • 1Grupo Temático de Saúde da Família, Escritório Técnico da Fundação Oswaldo Cruz (FIOCRUZ) no Ceará, Eusébio, CE, Brazil.

Trends in Psychiatry and Psychotherapy
|October 21, 2020
PubMed

Insights

Child psychiatric hospitalizations in Brazil

Area of Science:

  • Child and Adolescent Psychiatry
  • Public Health Systems
  • Healthcare Epidemiology

Background:

  • Child psychiatric hospitalizations are a critical indicator of mental health service needs.
  • Understanding regional variations is essential for equitable resource allocation in Brazil's public health system.

Purpose of the Study:

  • To characterize child psychiatric hospitalizations within Brazil's public health system.
  • To analyze the rates and geographical distribution of these hospitalizations across Brazil's macro-regions.

Main Methods:

  • A descriptive study utilizing data from the Brazilian Ministry of Health's hospital information system for 2017.
  • Analysis included hospitalizations for individuals under 13 with diagnoses from Chapter V of the International Classification of Diseases, 10th edition (ICD-10).

Main Results:

  • The most common diagnostic group was F10-F19 (substance use disorders).
  • Most hospitalizations (93.1%) occurred in non-psychiatric facilities and lasted up to one week (75.5%).
  • National hospitalization rate was 4.3/100,000, with significant regional disparities (South: 10.9/100,000; Northeast: 1.9/100,000).

Conclusions:

  • Child psychiatric hospitalizations exhibit unique characteristics in Brazil.
  • Significant regional variations in hospitalization rates highlight disparities in mental healthcare access and delivery.
Abstract

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