Inclusão da diferença e reinternação psiquiátrica: estudo através de um “caso traçador”

Abstract

Tendo como referencial a Reforma Psiquiátrica Brasileira procurou-se investigar de que forma os vínculos de um usuário com seu território podem influenciar suas reinternações psiquiátricas. Com este objetivo, utilizamos a ferramenta metodológica do usuário-guia e a noção de “caso traçador do cuidado”, para posterior análise de conteúdo do material. Concluímos que um fator protetor, o qual merece mais investigação, está relacionado à diversidade de tipos de vínculo construídos com o usuário. Formulamos a hipótese de que os dispositivos de saúde podem favorecer essa diversidade caso sejam capazes de se organizarem em equipes heterogêneas.

Método Tracer e a qualidade do cuidado na enfermagem: revisão integrativa da literatura

“…Bookbinde et al (7) 2018 USA Journal of Pain and Symptom Management CINAHL Ross et al (8) 2017 USA Military Medicine CINAHL Smith (9) 2014 USA Social Science & Medicine CINAHL Meade et al (10) 2015 USA Journal of Community Hospital Internal Medicine Perspectives Medline/PubMed Oliveira, Guljor, Verztman (11) 2015 Brazil Revista Latinoamericana de Psicopatologia Fundamental LILACS Chaves et al (12) 2015 Brazil Saúde & Sociedade LILACS Durán-Arenas et al (13) 2012 Mexico Salud Pública de México LILACS Pacheco-Domínguez et al (14) 2011 Mexico Salud Pública de México LILACS Bottari et al (15) 2008 Brazil Cadernos de Saúde Pública LILACS Silva et al (16) 2010 Brazil Revista de Saúde Pública SciELO…”

“…Regarding the 22 articles analyzed in this study: seven use a quantitative approach (7,9,(12)(13)(14)16,19), seven use a mixed method (quanti-qualitative) (8,15,(17)(18)(20)(21)27) , five have a qualitative approach (3,(10)(11)22,24) and three are reports of experiences (23,(25)(26) .…”

“…Most studies relied on multiple sources of evidence. In addition to these techniques, there were three case studies with patients (11,14,17) and two reports of experience (23,(25)(26) .…”

“…All articles published in Brazil used health problems to trace healthcare (11)(12)(15)(16)(17) , as well as two published in Mexico (13)(14) , one in Canada (19) , one in Italy (27) and two in the United States (20)(21) . The articles included in this study used the following tracer conditions: users of psychiatric services (11) , cardiovascular disease (12) , quality of pediatric services provided at the three healthcare levels (13) .…”

“…All articles published in Brazil used health problems to trace healthcare (11)(12)(15)(16)(17) , as well as two published in Mexico (13)(14) , one in Canada (19) , one in Italy (27) and two in the United States (20)(21) . The articles included in this study used the following tracer conditions: users of psychiatric services (11) , cardiovascular disease (12) , quality of pediatric services provided at the three healthcare levels (13) . In primary care, the tracer conditions were anemia and child growth; in secondary care, tracer conditions were low weight and congenital hypothyroidism, and in tertiary care, the tracer conditions were respiratory distress syndrome, anemia (20) , chronic kidney disease (14) , cervical cancer (17) , home care and its coordination in the local system (16) through users' election of two cases of success and three cases of difficult solution, use of the healthcare network in an efficient and effective manner (21) and use of drugs to evaluate the prevalence of Parkinson's disease (19,27) .…”