Psychiatric outpatient clinic: 30,151 cases

Authors

  • Ariella Hasegawa Galvão dos Santos Diretora técnica, Ambulatório Médico de Especialidades de Psiquiatria Dra. Jandira Masur, São Paulo, SP.
  • Cassandra Borges Bortolon Diretora técnica, Ambulatório Médico de Especialidades de Psiquiatria Dra. Jandira Masur, São Paulo, SP. https://orcid.org/0000-0001-5853-8805
  • Denise Amino Gerente médica, Ambulatório Médico de Especialidades de Psiquiatria Dra. Jandira Masur, São Paulo, SP.
  • Ronaldo Laranjeira Professor titular, UNIFESP, São Paulo, SP; Presidente, Associação Paulista para o Desenvolvimento da Medicina (SPDM), São Paulo, SP.

DOI:

https://doi.org/10.25118/2763-9037.2020.v10.25

Keywords:

Outpatient care, biological psychiatry, mental health

Abstract

Objective: To describe the characteristics of the service and the profile of users of the Dr. Jandira Masur psychiatric outpatient clinic, in São Paulo. Methods: A cross-sectional study was carried out with a convenience sample including all patients seen at the service from the beginning of operations, in August 2010, to December 2019. Results: This study is the largest outpatient study so far conducted in Brazil, consisting of 30,151 patients, mostly women (62%). The most prevalent diagnoses were mood and anxiety disorders (36.5%), followed by neurotic disorders, stress-related and somatoform disorders (29%). Also, we observed that the number of new patients increased over time and that the outpatient clinic enabled the opening of around 74 thousand vacancies during the study period. Conclusion: The psychiatric outpatient clinic assessed proved to be a reference as care management model in the field of mental health in the Brazilian Unified Health System in the city of São Paulo.

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References

United Nations (UN). Transforming our world: the 2030 agenda for sustainable development. 2015 [Internet]. [cited 2020 Mar 05]. sustainabledevelopment.un.org/content/documents/21252030%20Agenda%20for%20Sustainable%20Development%20web.pdf

Organização Pan-Americana da Saúde (OPAS), Organização Mundial da Saúde (OMS). Relatório 30 anos de SUS, que SUS para 2030? [Internet]. 2018 [cited 2020 Aug 6]. iris.paho.org/handle/10665.2/49663

World Health Organization (WHO). People with mental disabilities cannot be forgotten [Intenet]. 2010 [cited 2020 Fer 10]. www.who.int/mediacentre/news/releases/2010/mental_disabilities_20100916/en/

World Health Organization (WHO). Depression and other common mental disorders: global health estimates. Geneva: WHO; 2017.

Brasil, Projeto de Lei n° 74/2014. Altera o Decreto-Lei nº 2.848/1940 – Código Penal – para tipificar o crime contra as pessoas com deficiência ou transtorno mental. legis.senado.leg.br/sdleggetter/documento?dm=4470721&ts=1567529344036&disposition=inline

Brasil, Ministério da Saúde. Saúde mental em dados 12 [Internet]. 2015 [cited 2020 Fev 05]. www.mhinnovation.net/sites/default/files/downloads/innovation/reports/Report_12-edicao-do-Saude-Mental-em-Dados.pdf

Brasil, Lei no 10.216, de 6 de abril de 2001. Dispõe sobre a proteção e os direitos das pessoas portadoras de transtornos mentais e redireciona o modelo assistencial em saúde mental. hpm.org.br/wp-content/uploads/2014/09/lei-no-10.216-de-6-de-abril-de-2001.pdf

Geraldini A, Liberal M De, Novais M, Zucchi P. Ambulatório médico de especialidades-psiquiatria Vila Maria: balanço dos dois anos iniciais. Psic Saude Doenças. 2017;18:503-11. DOI: https://doi.org/10.15309/17psd180218

Brasil, Ministério da Saúde. Portaria nº 3.088, de 30 de dezembro de 2011. bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt3088_23_12_2011_rep.html

Casarin SNA, Villa TCS, Cardozo-Gonzales RI, Caliri MHL, Freitas MC de. Gerenciamento de caso: análise de conceito. Invest Educ Enferm. 2003;21:26-36.

Silveira AS, Siqueira AC, Oliveira FM, Nishio EA, Nóbrega MPSS. Gerenciamento de caso em ambulatório de psiquiatria, competências e prática da enfermeira. Enferm Foco. 2013;4:29-32. DOI: https://doi.org/10.21675/2357-707X.2013.v4.n1.498

Silveira ASA, de Oliveira CBF, Lessa F. Prontuário eletrônico e gerenciamento de caso em ambulatório de psiquiatria. J Health Inform. 2016;8:83-6.

Instituto Brasileiro de Geografia e Estatística (IBGE). Projeção da população do Brasil e das unidades da federação [Internet]. [cited 2020 Apr 01]. www.ibge.gov.br/apps/populacao/projecao/index.html?utm_source=portal&utm_medium=popclock

Araújo Filho GM, Amino D, Yamaguch LM, Silveira ASA, Laranjeira R, Tamai S. AME Psiquiatria: um ano de funcionamento. Debates Psiquiatr. 2012;2:44-9.

Organização Mundial da Saúde (OMS). Classificação estatística internacional de doenças e problemas relacionados com a saúde. 10ª revisão código internacional de doenças – CID [Internet]. [cited 2020 Aug 6]. pesquisa.bvsalud.org/portal/resource/pt/lis-LISBR1.1-11931

Melo APS, Guimarães MDC. Factors associated with psychiatric treatment dropout in a mental health reference center, Belo Horizonte. Braz J Psychiatry. 2005;27:113-8. DOI: https://doi.org/10.1590/S1516-44462005000200008

Belkin GS, Unitzer J, Kessler RC, Verdeli H, Raviota GV, Sachs K, et al. Scaling up for the “bottom billion”: “5x5” implementation of community mental health care in low-income regions. Psychiatr Serv. 2011;62:1494-502. DOI: https://doi.org/10.1176/appi.ps.000012011

Organization for Economic Co-operation and Development (OECD). Economic surveys: Brazil: overview [Internet]. 2018 Feb [cited 2020 abr 5]. www.oecd.org/economy/surveys/Brazil-2018-OECD-economic-survey-overview.pdf

Erdmann AL, Andrade SR, Mello ALSF, Drago LC. A atenção secundária em saúde: melhores práticas na rede de serviços. Rev Lat Am Enfermagem. 2013;21:131-9. DOI: https://doi.org/10.1590/S0104-11692013000700017

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Published

2020-09-30

How to Cite

1.
Santos AHG dos, Bortolon CB, Amino D, Laranjeira R. Psychiatric outpatient clinic: 30,151 cases. Debates em Psiquiatria [Internet]. 2020 Sep. 30 [cited 2024 Dec. 19];10(3):16-22. Available from: https://revistardp.org.br/revista/article/view/25

Conference Proceedings Volume

Vol. 10 No. 3 (2020)

Section

Original Articles

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