Work-related mental disorders and their inclusion in health policies in the Brazilian Unified Health System (Sistema Único de Saúde)

2016 ◽  
Vol 21 (3) ◽  
pp. 390-399
Author(s):  
Rafaela A Cocchiola-Silva
Keyword(s):  
Mental Disorders ◽  
Health System ◽  
Health Policies ◽  
Work Related ◽  
Unified Health System

scholarly journals A closer look at the epidemiology of schizophrenia and common mental disorders in Brazil

2020 ◽  
Vol 14 (3) ◽  
pp. 283-289
Author(s):  
Randhall Bruce Carteri ◽  
Jean Pierre Oses ◽  
Taiane de Azevedo Cardoso ◽  
Fernanda Pedrotti Moreira ◽  
Karen Jansen ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Health System ◽  
Hospital Admissions ◽  
Common Mental Disorders ◽  
Age Groups ◽  
Epidemiologic Studies ◽  
Emerging Countries ◽  
Unified Health System ◽  
Hospital Expenses ◽  
The Impact

ABSTRACT. Schizophrenia and common mental disorders are noteworthy social and economic concern worldwide. Epidemiologic studies on the impact of specific mental disorders in emerging countries are scarce. Objectives: We aimed to characterize the demographic, social, and economic burden of schizophrenia and common mental disorders patients in the health system in Brazil. Methods: Data on these conditions in Brazil between 2008 and 2019 were collected through the website of the Departamento de Informática do Sistema Único de Saúde (Information Technology Department of the Unified Health System - DATASUS) maintained by the Brazilian Ministry of Health. Mean annual hospital admissions were 154,009.67, and cumulative incidence of 77.44 admissions per 100,000 inhabitants. Results: Average annual hospital expenses were US$ 67,216,056.04, with an average admission cost of US$ 432.58. The most affected age groups were older adults albeit younger individuals showed a trend towards increase of occurrences in recent years. There were a higher number of admissions in men compared to women. Conclusions: We consider the results obtained important to assist in evaluating and guiding public policies regarding the prevention and treatment in health systems.

scholarly journals SISTEMA ÚNICO DE SAÚDE (SUS): POLÍTICA DE SAÚDE COLETIVA

2017 ◽  
Vol 3 (2) ◽  
pp. 35
Author(s):  
Eneida Orbage de Britto Taquary ◽  
Isadora Orbage de Britto Taquary
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Health System ◽  
Economic Resources ◽  
Health Policies ◽  
Public Health Policies ◽  
Social Law ◽  
Unified Health System ◽  
De Se ◽  
Constitutional Jurisprudence

A problemática se refere à necessidade de se conhecer os critérios para otimizar os protocolos na saúde pública, de forma a obedecer os princípios do Sistema Único de Saúde (SUS). A hipótese levantada se refere à otimização dos recursos econômicos no SUS e os critérios utilizados para observância de um protocolo. Objetiva identificar as características e princípios do SUS e conhecer a política de saúde baseada em evidências. A metodologia será baseada em revisão bibliográfica e na jurisprudência constitucional, de forma a alcançar como resultado a identificação da saúde como direito coletivo e social.  The problem refers to the need to know the criteria to optimize protocols in public health, in order to obey the principles of the Unified Health System (SUS). The hypothesis raised refers to the optimization of the economic resources in the SUS and the criteria used to observe a protocol. It aims to identify the characteristics and principles of SUS and to know the health policy based on evidence. The methodology will be based on literature review and constitutional jurisprudence, in order to achieve as a result the identification of health as a collective and social right.  Unified Health System. Health Unic System; Public health policies in Brazil; Collective and social law

scholarly journals Eficiência e financiamento nas ações em média e alta complexidade

2019 ◽  
Vol 13 (2) ◽  
pp. 464
Author(s):  
Diego Augusto Lopes Oliveira ◽  
Tarciany Roberta Campos Melo ◽  
Oberto César dos Santos ◽  
Mônica Josefa da Silva ◽  
Wyllaneyde Wellem dos Santos Silva ◽  
...  
Keyword(s):  
Health System ◽  
Health Policies ◽  
Hospital Services ◽  
High Complexity ◽  
Positive Health ◽  
Unified Health System ◽  
Health Care Funding ◽  
Distribution Of Resources ◽  
Positive Health Outcomes ◽  
Funding Resource

RESUMOObjetivo: elucidar a relevância do financiamento do Sistema Único de Saúde sobre a eficiência das ações na média e alta complexidades nos serviços. Método: trata-se de um estudo bibliográfico, tipo revisão integrativa da literatura. Selecionaram-se os artigos no período de 2007 a 2016, nas bases de dados a LILACS, MEDLINE e ColecionaSUS, no idioma português. Estruturou-se a pesquisa em seis etapas metodológicas. Após a leitura sistematizada dos artigos os estudos foram analisados e apresentados em forma de figuras. Resultados: selecionaram-se três estudos que revelam que a produção científica apresentada é bastante reduzida e necessita de maior aprofundamento em relação à investigação e às inferências de contribuição para a melhoria dos processos em nível da média e alta complexidades, sobretudo nas consequências que os entraves causam aos serviços hospitalares. Conclusão: necessita-se de maior aprofundamento no tocante às lacunas existentes na atual metodologia de financiamento dos serviços para que sejam fomentadas ferramentas que possibilitem a melhoria contínua dos processos e garantam a real eficiência da distribuição de recursos para um sistema que gere resultados positivos em saúde. Descritores: Financiamento da Assistência à Saúde; Alocação de Recursos; Políticas de Saúde; Serviços de Saúde; Sistema Único de Saúde; Enfermagem.ABSTRACT Objective: to elucidate the relevance of the funding of the Unified Health System on the efficiency of medium and high complexity actions in the services. Method: it is a bibliographical study, of integrative review of the literature type. The articles were selected from 2007 to 2016, in the databases LILACS, MEDLINE and ColecionaSUS, in the Portuguese language. The research was structured in six methodological stages. After the systematized reading of the articles, the studies were analyzed and presented in the form of figures. Results: three studies were selected that show that the scientific production presented is very small and needs to be deepened in relation to the research and the inferences of contribution to the improvement of the processes in the medium and high complexity levels, especially in the consequences that the obstacles to hospital services. Conclusion: there is a need to deepen the existing gaps in the current methodology for financing services so that tools can be fostered that enable continuous improvement of processes and ensure the real efficiency of the distribution of resources to a system that generates positive health outcomes. Descriptors: Health Care Funding; Resource allocation; Health policies; Health services; Unified Health System; Nursing.RESUMEN Objetivo: elucidar la relevancia del financiamiento del Sistema Único de Salud sobre la eficiencia de las acciones en la media y alta complejidad en los servicios. Método: se trata de un estudio bibliográfico, tipo revisión integrativa de la literatura. Se seleccionaron los artículos 2007 a 2016, en las bases de datos LILACS, MEDLINE y ColecionaSUS, en el idioma portugués. Se estructuró la investigación en seis etapas metodológicas. Después de la lectura sistematizada de los artículos los estudios fueron analizados y presentados en forma de figuras. Resultados: se seleccionaron tres estudios que revelan que la producción científica presentada es bastante reducida y necesita una mayor profundización en relación a la investigación y las inferencias de contribución para la mejora de los procesos a nivel de la media y alta complejidades, sobre todo en las consecuencias que los obstáculos causan a los servicios hospitalarios. Conclusión: se necesita mayor profundización en cuanto a las lagunas existentes en la actual metodología de financiamiento de los servicios para que se fomenten herramientas que posibiliten la mejora continua de los procesos y garanticen la real eficiencia de la distribución de recursos para un sistema que genere resultados positivos en salud Descritores: Financiación de la Atención de la Salud; Asignación de Recursos; Política de Salud; Servicios de Salud; Sistema Único de Salud; Enfermería.

scholarly journals Brazilian Unified Health System and democracy: nursing in the context of crisis

2018 ◽  
Vol 71 (4) ◽  
pp. 2066-2071 ◽  
Author(s):  
Janieiry Lima de Araújo ◽  
Rodrigo Jácob Moreira de Freitas ◽  
Maria Vilani Cavalcanti Guedes ◽  
Maria Célia de Freitas ◽  
Ana Ruth Macedo Monteiro ◽  
...  
Keyword(s):  
Public Health ◽  
Health System ◽  
Political Action ◽  
Right To Health ◽  
Health Policies ◽  
Public Health Policies ◽  
Unified Health System ◽  
Neoliberal Reforms ◽  
Democratic Stability ◽  
The Right

ABSTRACT Objective: to discuss, taking for reference the crisis in Brazil and its impact on public health policies, the insertion of Brazilian nursing in that context and its ways of practicing the profession, based on the study about the politicality of care. Method: the reflection is divided into two topics, the first is about public policies, the Brazilian Unified Health System and the deconstruction of the right to health with neoliberal offensive; and the second is about the nursing political action in the fight for the right to health and for democracy. Final considerations: we emphasize that nursing must assume its sociopolitical role to contribute to the construction of a better and fairer Brazil, saying no to neoliberal reforms, as well as fighting for rights already acquired and for the resumption of the democratic stability in the country.

scholarly journals Hospital morbidity due to mental and behavioral disorders in the Unified Health System in Sergipe-Brazil in 2018

2020 ◽  
Vol 13 (9) ◽  
pp. 99
Author(s):  
K. M. H. Cavalcante
Keyword(s):  
Mental Disorders ◽  
Health System ◽  
Behavioral Disorders ◽  
Hospital Admissions ◽  
Epidemiological Studies ◽  
Unified Health System ◽  
Psychiatric Hospitalizations ◽  
Male Patients ◽  
Hospital Morbidity ◽  
Mental And Behavioral Disorders

In Brazil, despite the increasing use of information systems in research on morbidity in hospitalization authorizations, there are few epidemiological studies on hospitalizations for mental and behavioral disorders, although it is known that they imply a high financial cost for assistance in hospitalization. health and disability of the affected. The objective of this study was to describe the frequency of hospital morbidity due to mental and behavioral disorders in the Unified Health System (UHS) in Sergipe in 2018. This is a documentary research based on UHS hospital admissions records provided by the Department of Informatics of the UHS. In Sergipe, the largest number of hospitalizations in 2018 occurred in male patients, aged 30 to 39 years, and its higher frequency was due to schizophrenia, schizotypic and delusional disorders. There was a difference in the second cause of psychiatric hospitalizations in relation to sex. For men, the second most frequent diagnosis in hospitalizations for mental disorders was related to the use of other psychoactive substances, while for women were those of mood. These hospitalizations motivated by mental and behavioral disorders in 2018 occurred mainly in the capital Aracaju (95.5%). Knowing the profile of hospitalizations for mental disorders by the Hospital Information System can be useful not only for the epidemiological knowledge of these disorders and the planning of public health actions, but also for evaluating the effectiveness of public policies implemented in the mental health area. 

scholarly journals Living, collective and political organisms for construction of the attributes of the National Oral Health Policy

2021 ◽  
Vol 69 ◽  
Author(s):  
Alexandre Fávero BULGARELLI
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Oral Health ◽  
Social Policy ◽  
Health System ◽  
Health Professionals ◽  
Health Policies ◽  
Public Health Policies ◽  
Unified Health System ◽  
Oral Health Policy

ABSTRACT The last few decades have witnessed a growth in the value of dentists as health professionals as they act as protagonists in the construction of public health policies. This change comes from powerful and representative dentists in the Unified Health System (acronym in Portuguese is SUS). This short theoretical essay aims to bring the reader closer to the attributes necessary for the building of a social policy and draws a parallel with the National Oral Health Policy (acronym in Portuguese is PNSB). Issues such as context-oriented health policy and the National Oral Health Policy associated with the attributes of a social policy are presented in a narrative and reflective manner. In this process, the exercise of citizenship is demonstrated, emphasizing the importance of the collective role and policy of dentist surgeons in the stages of health policies in Brazil

scholarly journals Our psychiatric future and the (bio)politics of Mental Health: dialogues with Nikolas Rose

2020 ◽  
Vol 24 ◽  
Author(s):  
Sérgio Resende Carvalho ◽  
Henrique Sater de Andrade ◽  
Luana Marçon ◽  
Fabrício Donizete da Costa ◽  
Silvio Yasui
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Health System ◽  
Public Health System ◽  
Developed Countries ◽  
Health Policies ◽  
Psychiatric Drugs ◽  
Mental Health Policies

Here we present the last of a series of four interviews with English sociologist Nikolas Rose. We explore central aspects of the recently published work entitled “Our Psychiatric Future: politics of Mental Health policies”, which has as background issues and problems that we consider absolutely relevant for facing the complex and difficult challenges posed to the implementation of Brazilian Public Health system and to the reform of Mental Health in our country. In this interview, we seek to discuss with the author: psychiatry as a (bio)politics; the ‘epidemics’ of mental disorders’; the role and consequences of psychiatric diagnostic practice in defining what is defined as mental disorder or illness; the use and abuse of psychiatric drugs in the contemporary; strengths and weaknesses of discursive psychiatric practices in ‘developed’ countries; limits and possibilities of users’ participation in Mental Health.

scholarly journals Retrospective study of the distribution of doctors in municipalities of extreme poverty in Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B L O Luizeti ◽  
E M M Massuda ◽  
L F G Garcia
Keyword(s):  
Public Health ◽  
Health System ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Extreme Poverty ◽  
The Public ◽  
The North ◽  
Unified Health System ◽  
Shortage Of Doctors ◽  
Demographic Distribution

Abstract In view of the national scenario of scarcity of material and human resources in public health in Brazil, the survey verified the demographics of doctors who attend the Unified Health System (SUS) in municipalities of extreme poverty. An observational, analytical and cross-sectional study was carried out, based on secondary quantitative data from the Department of Informatics of the SUS using the TABNET of December 2019. The care networks variable was restricted to infer the number of physicians who attend the SUS in extreme poverty municipalities in Brazil. Municipalities of extreme poverty are those that at least 20% of the population have a household income of up to 145 reais per capita monthly. In Brazil, there are 1526 municipalities in extreme poverty, 27.4% of the country's total municipalities. 14,907 doctors linked to SUS work in this condition, 3.19% of the total of these professionals in Brazil. There is still disproportion between regions: North concentrates 11.2% of the municipalities in extreme poverty and 8.61% of the total number of doctors; Northeast, with 61.33% of these municipalities, for 61.5% of doctors; Southeast, with 15.46% of the municipalities in this condition, has 20.6% of doctors; South concentrates 10.87% of the municipalities under discussion with 5.61% of doctors and the Midwest, with 4.87% of these municipalities, has 3.54% of doctors. Between 2009 and 2018, there was a 39% increase in the number of doctors in these locations, however, for 2019, there was a decrease of 3.89%. The medical demographic distribution in Brazil is uneven, especially in the North. There is also the vulnerability of this population in view of the observed reduction in the number of professionals between 2018 and 2019 in municipalities of extreme poverty, for political reasons. It is evident the need to restructure the health system to guarantee access to health for this population, through the attraction and fixation of doctors in needy regions in Brazil. Key messages Shortage of doctors in extreme poverty municipalities reinforces the health vulnerability of the population in Brazil. The uneven medical demography in Brazil requires restructuring in the public health system.

scholarly journals The Quest to Extend Health Services to Vulnerable Substance Users in Rio de Janeiro, Brazil in the Context of an Unfolding Economic Crisis

2016 ◽  
Vol 47 (3) ◽  
pp. 477-488 ◽  
Author(s):  
Noa Krawczyk ◽  
Deanna Kerrigan ◽  
Francisco Inácio Bastos
Keyword(s):  
Health Services ◽  
Health System ◽  
Economic Crisis ◽  
Rio De Janeiro ◽  
Crack Cocaine ◽  
Access To Health Services ◽  
Government Programs ◽  
Substance Users ◽  
Unified Health System ◽  
Harsh Criticism

Calls to address crack-cocaine use in Brazil among homeless and street-frequenting populations who are in urgent need of health services have questioned the capacity of the Brazilian Unified Health System to attend to the nation’s most marginalized citizens. In recent years, Brazil has launched several actions to escalate care for substance users, yet many obstacles hindering accessibility and effectiveness of services remain. Paradoxically, these actions have been implemented in the context of a growing economic crisis, and expanding services for a population of poor and stigmatized substance users while cutting other government programs tends to elicit harsh criticism from citizens. In consequence of such prospects, this commentary aims to discuss barriers marginalized substance users face in accessing health services that are at risk of worsening with government cutbacks. Using Rio de Janeiro as an example, we explore two primary issues: the resource-strained, under-staffed and decentralized nature of the Brazilian Unified Health System and the pervading stigma that bars vulnerable citizens from official structures and services. Abandoning initiated government efforts to increase access to health services would risk maintaining vulnerable citizens at the margins of public structures, inhibiting the opportunity to offer this population humane and urgently needed treatment and care.

scholarly journals Changes in contraception use among Brazilian women after childbirth, 2006-2013

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Felisbino-Mendes ◽  
B Barrozo Siqueira
Keyword(s):  
Health System ◽  
Secondary Data ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Regional Inequalities ◽  
Unified Health System ◽  
Contraception Use ◽  
High Prevalence ◽  
Modern Methods ◽  
Low Prevalence

Abstract Introduction There are gaps in knowledge regarding the neglected and vulnerable subgroups of FP actions in Brazil, such as postpartum women and women in general, regardless of their marital status. Objective To assess changes in the prevalence of use and in the contraceptive pattern of Brazilian women up to two years after pregnancy, between 2006 and 2013. Methods Cross-sectional, descriptive and analytical study which used secondary data from national surveys. We studied Brazilian women with up to 2 years postpartum, of reproductive age, sexually active, non-pregnant and menstruating, and compared them with all the other women. We estimated the prevalence of use, contraception pattern of contraception and ranking of modern methods. Percentual change in indicators between the years was evaluated by calculating the difference between estimates. Results 85% of Brazilian women used CM, remaining stable in 2006 and 2013, with a high prevalence of modern methods use. An increase in the use of CM was observed among those with up to six months postpartum (71.0% to 89.0%). Pills and condoms accounted for about 60% of modern methods used in the postpartum period in both surveys. There was an increase in dual protection (2.9% to 10.1%) and contraceptive insecurity (1.6% to 5.7%) and a reduction in sterilization (16.2% to 13.4%) and traditional methods (2.1% to 1.4%). Conclusions Even with the maintenance of a high prevalence of use of CM and with the increase in contraception among women with up to six months postpartum, regional inequalities in access to CM and low prevalence of the use of other methods made available by the Unified Health System (SUS) persist, pointing out the maintenance of the insufficient care, failures in the means to regulate fertility and that public policies still hinder to guarantee the sexual and reproductive rights of the most vulnerable population. Key messages Regional inequalities in access to contraceptive methods and low prevalence of other methods made available by the Unified Health System (SUS) persist. There was an increase in contraception use among women with up to six months postpartum in Brazil.

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