Apoio matricial como dispositivo do cuidado em saúde mental na atenção primária: olhares múltiplos e dispositivos para resolubilidade

Pinto, Antonio; Jorge, Maria Sálete Bessa; Vasconcelos, Mardênia Gomes Ferreira; Sampaio, José Jackson Coelho; Lima, Gláucia Posso; Bastos, Valéria Carneiro; Sampaio, Helena Alves de Carvalho

doi:10.1590/s1413-81232012000300011

Cited by 54 publications

(86 citation statements)

References 10 publications

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“…Such activities mobilize the team to an intersubjective approach, noting issues and conditions of the psychosocial dimension, both in socioeconomic aspects, as in the clinical condition, facilitating the access and making effective the resolution of complaints and needs (3) .…”

Section: Discussionmentioning

confidence: 99%

“…From it, the objective is to provide a better understanding of mental health for primary care professionals, enabling them to act as facilitators in the therapeutic process, share territorial information, clinical and procedures demands, as well as broaden their resolving potential towards the clinical cases of mental health (3,21) .…”

Section: Discussionmentioning

confidence: 99%

“…In an innovative process, the clinical approaches become horizontal in the uniqueness of each user, recognizing their existential, subjective and especially social place (3) .…”

Section: Discussionmentioning

confidence: 99%

“…Based on the foregoing, emerged the objective of delimitating the concept of solvability with origin in the theoretical dialogue with several authors (2)(3)(4)(5)(6)(7)(8) , by analyzing it based on elements such as access, service network and the production of comprehensive care. This delineation will assist in the knowledge of mental health services in primary care that are put into practice in coordination with the Family Health Strategy (FHS), from the problematization of the solvability of practices.…”

Section: Introductionmentioning

confidence: 99%

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Solvability of mental health care in the Family Health Strategy: social representation of professionals and users

Jorge

Vasconcelos

Castro

et al. 2014

Rev. esc. enferm. USP

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Solvability of mental health care in the family health strategy: social representation of professionals and users RESUMENObjetivo: Asimilar las representaciones sociales acerca de la resolubilidad del cuidado en salud mental en la Estrategia Salud de la Familia de usuarios y profesionales de equipos de salud de la familia y Centro de Atención Psicosocial. Método: Estudio cualitativo con empleo de entrevista semiestructurada para recolección de las informaciones y el software Alceste para análisis. Este software utiliza la Clasificación Jerár-quica Descendente con base en el examen de las raíces lexicales, considerando la palabra como unidad y proporciona la contextualización en el corpus. Resultados: Las representaciones emergen en dos polos antagónicos: usuarios relatan satisfacción con la atención y profesionales advierten la necesidad de mejoría de las acciones de salud. Se desarrollan el matriciamiento en salud mental y la visita domiciliaria, pero persisten los óbices relacionados con la inversión en salud, la educación permanente y la organización de la asistencia. Conclusión: Las diferentes representaciones proporcionan mejoría de la atención, resolubilidad del cuidado y congregan saberes y prácticas en la perspectiva ampliada de las necesidades de salud en el contexto familiar, social y terapéutico. DESCRIPTORES ABSTRACTObjective: To aprehend the social representations about the solvability in mental health care with users of the Family Health Strategy and professionals of family health teams and of the Center for Psychosocial Care. Method: A qualitative study using semi-structured interviews for data collection, and the Alceste software for analysis. This software uses the Hierarchical Descending Classification based on the examination of lexical roots, considering the words as units and providing context in the corpus. Results: The representations emerge in two opposing poles: the users require satisfaction with care and the professionals realize the need for improvement of health actions. Although the matricial support in mental health and the home visits are developed, the barriers related to investment in health, continuing education and organization of care persist. Conclusion: The different representations enable improvements in customer service, solvability of care and aggregate knowledge and practices in the expanded perspective of health needs in the family, social and therapeutic context. DESCRIPTORS Integrality in health INTRODUCTIONThe search for solvability in mental health care requires the organization of a network of services and deepening of the subjective relationships among professionals, users and families. The key points in this search are to ensure access to quality services, in addition to establishing relationships that produce bonds and user embracement. Indeed, a resolute service should be able to address and solve the problem up to the limit of its performance (1) .Solvability is considered a dependent variable when analyzing the health care system in elements like access, u...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…In an innovative process, the clinical approaches become horizontal in the uniqueness of each user, recognizing their existential, subjective and especially social place (3) .…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Solvability of mental health care in the Family Health Strategy: social representation of professionals and users

Jorge

Vasconcelos

Castro

et al. 2014

Rev. esc. enferm. USP

Self Cite

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“…Práticas de assunção do cuidado especializado (assumir ser referência especializada) pelos profissionais do matriciamento em saúde mental (em corresponsabilização e cuidado compartilhado com os profissionais generalistas da APS) são mencionadas em vários trabalhos e experiências municipais em todo o país [42][43][44][45][46][47][48][49] e provavelmente são as mais avançadas experiências de provisão de cuidado especializado via matriciamento no SUS.…”

Section: Atenção Especializada Em Saúde Mental Via Matriciamento Em Funclassified

Atenção especializada ambulatorial no Sistema Único de Saúde: para superar um vazio

Tesser

Neto

2017

Ciênc. saúde coletiva

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Implementation of ‘matrix support’ (collaborative care) to reduce asthma and COPD referrals and improve primary care management in Brazil: a pilot observational study

Martins

Salibe-Filho

Tonioli³

et al. 2016

npj Prim Care Resp Med

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Asthma and chronic obstructive pulmonary disease (COPD) are leading causes of hospitalisation and death in the city of Sao Bernardo do Campo. The municipality had difficulties in sustaining a pulmonology specialist team. Local policy has strengthened the knowledge of the primary care teams to improve the management of these diseases. Our aim is to pilot the implementation of an educational intervention based on collaborative care focused on reducing respiratory-related referrals. We implemented ‘matrix support’: a Brazilian collaborative educational intervention promoting specialist training and support for primary care physicians in three health territories with the highest number of referrals. Clinicians and nurses from primary care attended an 8-h workshop. The backlog of respiratory referrals was prioritised, where Asthma and COPD represented 70% of referral reasons. Initially, pulmonologists held joint consultations with physicians and nurses; as confidence grew, these were replaced by round-table note-based case discussions. The primary outcome was the number of asthma and COPD referrals. Almost all primary healthcare professionals in the three areas (132 of 157–87%) were trained; 360 patients were discussed, including 220 joint consultations. The number of respiratory referrals dropped from 290 (the year before matrix support) to 134 (the year after) (P<0.05). Referrals for asthma/COPD decreased from 13.4 to 5.4 cases per month (P=0.09) and for other lung diseases from 10.8 to 5.3 cases per month (P<0.05). Knowledge scores showed a significant improvement (P<0.001). Matrix-support collaborative care was well-accepted by primary care professionals associated with improved knowledge and reduced respiratory referrals. The initiative attracted specialists to the region overcoming historical recruitment problems.

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Apoio matricial como dispositivo do cuidado em saúde mental na atenção primária: olhares múltiplos e dispositivos para resolubilidade

Cited by 54 publications

References 10 publications

Solvability of mental health care in the Family Health Strategy: social representation of professionals and users

Solvability of mental health care in the Family Health Strategy: social representation of professionals and users

Atenção especializada ambulatorial no Sistema Único de Saúde: para superar um vazio

Implementation of ‘matrix support’ (collaborative care) to reduce asthma and COPD referrals and improve primary care management in Brazil: a pilot observational study

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