Políticas de saúde mental para efetivação de um cuidado integral na atenção básica
Ano de defesa: | 2018 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal da Paraíba
Brasil Ciências Exatas e da Saúde Programa de Pós-Graduação em Modelos de Decisão e Saúde UFPB |
Programa de Pós-Graduação: |
Não Informado pela instituição
|
Departamento: |
Não Informado pela instituição
|
País: |
Não Informado pela instituição
|
Palavras-chave em Português: | |
Link de acesso: | https://repositorio.ufpb.br/jspui/handle/123456789/13026 |
Resumo: | In the context of the Sanitary Reform that resulted in the Unified Health System, the society also began to reflect on the Psychiatric Reform, which deals with the care provided to people with mental disorders and on the understanding of the relative issues to crazy and madness, in the search for a model of care that would guarantee the integrality of the actions, their universal access and ensure the protection of human rights. The Psychiatric Reform movement proposes transformations of practices, knowledge, cultural and social values, arguing that only in this way will it be possible to overcome the traditional psychiatric model. The proposals of the reform guide the care directed towards the subject in his suffering, for his territory and his community, considering the historical context and the health needs. Therefore, the Basic Attention, although it is configured as strategic for objectifying the assumptions of Psychiatric Reform, currently still has the challenge of aligning mental health care with general health. In this sense, the present study aims to investigate the contents of the Mental Health Policy - theory and practice - that characterize Mental Health care in Primary Care, aiming to subsidize the elaboration of a decision model for the evaluation of Health Districts from the municipality of João Pessoa. From this perspective, two methodological approaches were adopted: qualitative and quantitative. The qualitative approach was carried out to identify the qualifying themes and the consequent alignment to the categories taken a priori, which are the two health models existing in society today: the Traditional Health Model and the Expanded Health Model. Subsequently, weights were assigned for each variable of the instrument used in the quantitative approach research. The latter was developed with professionals from 80 family health units that, in responding to the instrument on mental health actions, in Primary Care allowed the evaluation and characterization of the health units of the family of health districts in: Linked to the Model Traditional, Next to the Traditional Model, In Transition, Next to the Expanded Model and Linked to the Expanded Model. The decision model used in the study was based on the Classical Theory of Tests (CTT), which allowed the verification that the "In Transition" and "Next to the Expanded Model" decisions were the most frequent for all districts. In this sense, it was possible to highlight the potential of the decision model developed, in the present study, as an evaluation tool, in the context of Basic Attention. The information obtained through the decision model is useful for a better understanding of the work process of the teams and for making better decisions for the problem cut out. |
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Políticas de saúde mental para efetivação de um cuidado integral na atenção básicaAtenção primária à saúdeReforma dos serviços de saúdeSaúde mentalServiços de saúdeTomada de decisõesPrimary health careHealth care reformMental healthHealth servicesDecision makingCNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVAIn the context of the Sanitary Reform that resulted in the Unified Health System, the society also began to reflect on the Psychiatric Reform, which deals with the care provided to people with mental disorders and on the understanding of the relative issues to crazy and madness, in the search for a model of care that would guarantee the integrality of the actions, their universal access and ensure the protection of human rights. The Psychiatric Reform movement proposes transformations of practices, knowledge, cultural and social values, arguing that only in this way will it be possible to overcome the traditional psychiatric model. The proposals of the reform guide the care directed towards the subject in his suffering, for his territory and his community, considering the historical context and the health needs. Therefore, the Basic Attention, although it is configured as strategic for objectifying the assumptions of Psychiatric Reform, currently still has the challenge of aligning mental health care with general health. In this sense, the present study aims to investigate the contents of the Mental Health Policy - theory and practice - that characterize Mental Health care in Primary Care, aiming to subsidize the elaboration of a decision model for the evaluation of Health Districts from the municipality of João Pessoa. From this perspective, two methodological approaches were adopted: qualitative and quantitative. The qualitative approach was carried out to identify the qualifying themes and the consequent alignment to the categories taken a priori, which are the two health models existing in society today: the Traditional Health Model and the Expanded Health Model. Subsequently, weights were assigned for each variable of the instrument used in the quantitative approach research. The latter was developed with professionals from 80 family health units that, in responding to the instrument on mental health actions, in Primary Care allowed the evaluation and characterization of the health units of the family of health districts in: Linked to the Model Traditional, Next to the Traditional Model, In Transition, Next to the Expanded Model and Linked to the Expanded Model. The decision model used in the study was based on the Classical Theory of Tests (CTT), which allowed the verification that the "In Transition" and "Next to the Expanded Model" decisions were the most frequent for all districts. In this sense, it was possible to highlight the potential of the decision model developed, in the present study, as an evaluation tool, in the context of Basic Attention. The information obtained through the decision model is useful for a better understanding of the work process of the teams and for making better decisions for the problem cut out.NenhumaNo contexto da Reforma Sanitária, que resultou no Sistema Único de Saúde, a sociedade passou a refletir também sobre a Reforma Psiquiátrica, que trata da assistência prestada às pessoas com transtornos mentais e sobre a compreensão das questões relativas ao louco e à loucura, na busca por um modelo de cuidado que garantisse a integralidade das ações, seu acesso universal e assegurasse a proteção aos direitos humanos. O movimento pela Reforma Psiquiátrica propõe transformações de práticas, saberes, valores culturais e sociais, defendendo que só assim será possível a superação do Modelo Psiquiátrico Tradicional. As propostas da reforma pautam o cuidado voltado para o sujeito em seu sofrimento, para o seu território e sua comunidade, considerando o contexto histórico e as necessidades de saúde. Portanto, a Atenção Básica, apesar de se configurar como estratégica para a objetivação dos pressupostos da Reforma Psiquiátrica, atualmente, ainda tem como desafio alinhar o cuidado de saúde mental à saúde geral. Nesse sentido, o presente estudo tem como objetivo investigar os conteúdos da Política de Saúde Mental – teoria e prática – que caracterizam o cuidado de saúde mental, na Atenção Básica, visando subsidiar a elaboração de um modelo de decisão para avaliação dos Distritos de Saúde do município de João Pessoa. Nessa perspectiva, foram adotadas duas abordagens metodológicas: a qualitativa e a quantitativa. A abordagem qualitativa foi realizada para identificação dos temas qualificadores e consequente alinhamento às categorias tomadas a priori, que são os dois modelos de saúde existentes na sociedade atualmente: o Modelo Tradicional de Saúde e o Modelo Ampliado de Saúde. Posteriormente foram atribuídos pesos para cada variável do instrumento utilizado na pesquisa de abordagem quantitativa. Esta última foi desenvolvida com os profissionais de 80 unidades de saúde da família que, ao responder ao instrumento sobre as ações de saúde mental, na Atenção Básica, permitiu a avaliação e caracterização das unidades de saúde da família dos distritos sanitários em: Vinculada ao Modelo Tradicional, Próxima do Modelo Tradicional, Em Transição, Próxima do Modelo Ampliado e Vinculada ao Modelo Ampliado. O modelo de decisão utilizado, no estudo, foi baseado na Teoria Clássica dos Testes que permitiu a verificação de que as decisões “Em transição” e “Próxima do Modelo Ampliado” foram as mais frequentes para todos os distritos. Nesse sentido, foi possível evidenciar o potencial do modelo de decisão desenvolvido, no presente estudo, enquanto ferramenta de avaliação, no contexto da Atenção Básica. As informações obtidas através do modelo de decisão mostram-se úteis para um melhor entendimento do processo de trabalho das equipes e por permitir a tomada de decisões mais acertadas para o problema recortado.Universidade Federal da ParaíbaBrasilCiências Exatas e da SaúdePrograma de Pós-Graduação em Modelos de Decisão e SaúdeUFPBSilva, Ana Tereza Medeiros Cavalcanti dahttp://lattes.cnpq.br/9931973391211710Moraes, Ronei Marcos dehttp://lattes.cnpq.br/7925449690046513Silva Filho, Luciano Belas e2019-01-21T19:58:07Z2019-01-212019-01-21T19:58:07Z2018-06-08info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesishttps://repositorio.ufpb.br/jspui/handle/123456789/13026porAttribution-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nd/3.0/br/info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UFPBinstname:Universidade Federal da Paraíba (UFPB)instacron:UFPB2019-01-21T19:58:07Zoai:repositorio.ufpb.br:123456789/13026Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufpb.br/PUBhttp://tede.biblioteca.ufpb.br:8080/oai/requestdiretoria@ufpb.br|| diretoria@ufpb.bropendoar:2019-01-21T19:58:07Biblioteca Digital de Teses e Dissertações da UFPB - Universidade Federal da Paraíba (UFPB)false |
dc.title.none.fl_str_mv |
Políticas de saúde mental para efetivação de um cuidado integral na atenção básica |
title |
Políticas de saúde mental para efetivação de um cuidado integral na atenção básica |
spellingShingle |
Políticas de saúde mental para efetivação de um cuidado integral na atenção básica Silva Filho, Luciano Belas e Atenção primária à saúde Reforma dos serviços de saúde Saúde mental Serviços de saúde Tomada de decisões Primary health care Health care reform Mental health Health services Decision making CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA |
title_short |
Políticas de saúde mental para efetivação de um cuidado integral na atenção básica |
title_full |
Políticas de saúde mental para efetivação de um cuidado integral na atenção básica |
title_fullStr |
Políticas de saúde mental para efetivação de um cuidado integral na atenção básica |
title_full_unstemmed |
Políticas de saúde mental para efetivação de um cuidado integral na atenção básica |
title_sort |
Políticas de saúde mental para efetivação de um cuidado integral na atenção básica |
author |
Silva Filho, Luciano Belas e |
author_facet |
Silva Filho, Luciano Belas e |
author_role |
author |
dc.contributor.none.fl_str_mv |
Silva, Ana Tereza Medeiros Cavalcanti da http://lattes.cnpq.br/9931973391211710 Moraes, Ronei Marcos de http://lattes.cnpq.br/7925449690046513 |
dc.contributor.author.fl_str_mv |
Silva Filho, Luciano Belas e |
dc.subject.por.fl_str_mv |
Atenção primária à saúde Reforma dos serviços de saúde Saúde mental Serviços de saúde Tomada de decisões Primary health care Health care reform Mental health Health services Decision making CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA |
topic |
Atenção primária à saúde Reforma dos serviços de saúde Saúde mental Serviços de saúde Tomada de decisões Primary health care Health care reform Mental health Health services Decision making CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA |
description |
In the context of the Sanitary Reform that resulted in the Unified Health System, the society also began to reflect on the Psychiatric Reform, which deals with the care provided to people with mental disorders and on the understanding of the relative issues to crazy and madness, in the search for a model of care that would guarantee the integrality of the actions, their universal access and ensure the protection of human rights. The Psychiatric Reform movement proposes transformations of practices, knowledge, cultural and social values, arguing that only in this way will it be possible to overcome the traditional psychiatric model. The proposals of the reform guide the care directed towards the subject in his suffering, for his territory and his community, considering the historical context and the health needs. Therefore, the Basic Attention, although it is configured as strategic for objectifying the assumptions of Psychiatric Reform, currently still has the challenge of aligning mental health care with general health. In this sense, the present study aims to investigate the contents of the Mental Health Policy - theory and practice - that characterize Mental Health care in Primary Care, aiming to subsidize the elaboration of a decision model for the evaluation of Health Districts from the municipality of João Pessoa. From this perspective, two methodological approaches were adopted: qualitative and quantitative. The qualitative approach was carried out to identify the qualifying themes and the consequent alignment to the categories taken a priori, which are the two health models existing in society today: the Traditional Health Model and the Expanded Health Model. Subsequently, weights were assigned for each variable of the instrument used in the quantitative approach research. The latter was developed with professionals from 80 family health units that, in responding to the instrument on mental health actions, in Primary Care allowed the evaluation and characterization of the health units of the family of health districts in: Linked to the Model Traditional, Next to the Traditional Model, In Transition, Next to the Expanded Model and Linked to the Expanded Model. The decision model used in the study was based on the Classical Theory of Tests (CTT), which allowed the verification that the "In Transition" and "Next to the Expanded Model" decisions were the most frequent for all districts. In this sense, it was possible to highlight the potential of the decision model developed, in the present study, as an evaluation tool, in the context of Basic Attention. The information obtained through the decision model is useful for a better understanding of the work process of the teams and for making better decisions for the problem cut out. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-06-08 2019-01-21T19:58:07Z 2019-01-21 2019-01-21T19:58:07Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufpb.br/jspui/handle/123456789/13026 |
url |
https://repositorio.ufpb.br/jspui/handle/123456789/13026 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
Attribution-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nd/3.0/br/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nd/3.0/br/ |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal da Paraíba Brasil Ciências Exatas e da Saúde Programa de Pós-Graduação em Modelos de Decisão e Saúde UFPB |
publisher.none.fl_str_mv |
Universidade Federal da Paraíba Brasil Ciências Exatas e da Saúde Programa de Pós-Graduação em Modelos de Decisão e Saúde UFPB |
dc.source.none.fl_str_mv |
reponame:Biblioteca Digital de Teses e Dissertações da UFPB instname:Universidade Federal da Paraíba (UFPB) instacron:UFPB |
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Universidade Federal da Paraíba (UFPB) |
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UFPB |
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UFPB |
reponame_str |
Biblioteca Digital de Teses e Dissertações da UFPB |
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Biblioteca Digital de Teses e Dissertações da UFPB |
repository.name.fl_str_mv |
Biblioteca Digital de Teses e Dissertações da UFPB - Universidade Federal da Paraíba (UFPB) |
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diretoria@ufpb.br|| diretoria@ufpb.br |
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