Percorrer por autor "Furegato, Antonia Regina Ferreira"
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- Mental health indicators in the hospitalization process in a Brazilian psychosocial care networkPublication . Lima, Inacia Bezerra de; Alves, Domingos; Vinci, Andre Luiz Teixeira; Rijo, Rui Pedro Charters Lopes; Martinho, Ricardo; Yamada, Diego Bettiol; Bernardi, Filipe Andrade; Furegato, Antonia Regina FerreiraWe aim to present the use and viability of mental health indicators at a Brazilian reference psychiatric hospital. We elaborated a Business Process Model and Notation based model of the patients' hospitalization process based on semi-structured interviews with managers and professionals of the hospital. We analyzed the model and selected a set of 6 mental health indicators, based on evidence-based practice from other countries, using information from several Health Information Systems regarding hospitalizations from 2013 to 2017. In Brazil, there is a lack of methods for the manager to measure the actions carried out in mental health. Thus, the method proposed in this article can be used as metrics to assess the impact of public policy implementation and to assist planning and decision-making based on evidence in mental health.
- Proposal for selection of mental health indicators in the management of health networks: from heuristic to process modelingPublication . Lima, Inacia Bezerra de; Yamada, Diego Bettiol; Yoshiura, Vinicius Tohoru; Lance, Rogério Cortecioni; Rodrigues, Lidia Maria Lourençön; Vinci, Andre Luiz Teixeira; Martinho, Ricardo; Pádua, Silvia Dallavalle de; Rijo, Rui Pedro Charters Lopes; Rijo, Rui Pedro Charters Lopes; Furegato, Antonia Regina Ferreira; Alves, DomingosIn 2011, Brazil instituted the Psychosocial Care Network (RAPS) for people suffering from mental disorders and needs arising from the use of alcohol and other drugs within the Unified Health System an electronic information system that supports the planning, regulation, control and evaluation of mental health actions. Several studies have been done to select a complete set of indicators for mental health in Brazil; however, these studies do not describe how these principles are transposed into indicators. In this work we will use Business Process Management Notation (BPMN) to analyze the process of patient care in a mental health unit and to search through this analysis to select and map those that apply to the specific RAPS institutions. We propose a method, using process modeling along the Thornicroft and Tansella matrix, to select the relevant indicators and their mapping along the network. The method was effective allowing the application of indicators to the concrete reality of a psychiatric hospital in Brazil.
- The use of indicators for the management of Mental Health ServicesPublication . Lima, Inacia Bezerra de; Bernadi, Filipe Andrade; Yamada, Diego Bettiol; Vinci, Andre Luiz Teixeira; Rijo, Rui Pedro Charters Lopes; Alves, Domingos; Furegato, Antonia Regina FerreiraObjective: To identify indicators that can be used in the management of Mental Health Services. Method: An integrative review in which we adopted the Population, Concept, and Context strategy to formulate the following Guiding Question: “Which indicators can be used for the management of mental health services?”. Results: A total of 22 articles were included and divided into two main groups: countries with initial high income (54%) as well as low- and middle-income countries (46%). We identified 5 studies that had experienced the use of indicators, 5 studies that had reported partial implementation, 9 studies that did not report use or implementation, 1 study on the indicator selection process, 1 as an implementation pilot, and a final study with a discussion for implementation. High-income countries also find it difficult to implement mental health indicators. The main difficulties in adopting the use of indicators are lack of basic mental health services, financial resources, legislation, political interest, and guidelines for its management. Conclusion: It is unusual to find a descriptive comparison of quality monitoring programs at the system level in the technical-scientific literature related to mental health indicators.
- A web-based information system for a regional public mental healthcare service network in BrazilPublication . Yoshiura, Vinicius Tohoru; Azevedo-Marques, João Mazzoncini de; Rzewuska, Magdalena; Vinci, André Luiz Teixeira; Sasso, Ariane Morassi; Miyoshi, Newton Shydeo Brandão; Furegato, Antonia Regina Ferreira; Rijo, Rui Pedro Charters Lopes; Del-Ben, Cristina Marta; Alves, DomingosBackground: Regional networking between services that provide mental health care in Brazil’s decentralized public health system is challenging, partly due to the simultaneous existence of services managed by municipal and state authorities and a lack of efficient and transparent mechanisms for continuous and updated communication between them. Since 2011, the Ribeirao Preto Medical School and the XIII Regional Health Department of the Sao Paulo state, Brazil, have been developing and implementing a web-based information system to facilitate an integrated care throughout a public regional mental health care network. Case presentation: After a profound on-site analysis, the structure of the network was identified and a web-based information system for psychiatric admissions and discharges was developed and implemented using a socio-technical approach. An information technology team liaised with mental health professionals, health-service managers, municipal and state health secretariats and judicial authorities. Primary care, specialized community services, general emergency and psychiatric wards services, that comprise the regional mental healthcare network, were identified and the system flow was delineated. The web-based system overcame the fragmentation of the healthcare system and addressed service specific needs, enabling: detailed patient information sharing; active coordination of the processes of psychiatric admissions and discharges; real-time monitoring; the patients’ status reports; the evaluation of the performance of each service and the whole network. During a 2-year period of operation, it registered 137 services, 480 health care professionals and 4271 patients, with a mean number of 2835 accesses per month. To date the system is successfully operating and further expanding. Conclusion: We have successfully developed and implemented an acceptable, useful and transparent web-based information system for a regional mental healthcare service network in a medium-income country with a decentralized public health system. Systematic collaboration between an information technology team and a wide range of stakeholders is essential for the system development and implementation.