0327/2018 - Componentes do apoio matricial e cuidados colaborativos em saúde mental: Uma revisão narrativa. Components of matrix support and collaborative mental health care: A narrative review.
INTRODUÇÃO: Cuidados colaborativos entre saúde mental e atenção primária são efetivos em melhorar desfechos de saúde. O apoio matricial tem semelhanças com cuidados colaborativos pouco exploradas na literatura. Este artigo compara os dois modelos e analisa o apoio matricial a partir de evidências sobre cuidados colaborativos. MÉTODOS: Revisão narrativa. Componentes de cada modelo (atividades e dimensões) foram identificados e comparados. Evidências sobre cuidados colaborativos informaram análise de componentes semelhantes do apoio matricial. RESULTADOS E DISCUSSÃO: Foram identificadas dimensões do apoio matricial – suporte educacional, cuidado especializado, regulação, cogestão – e dos cuidados colaborativos - cuidado multiprofissional, comunicação sistemática, cuidado estruturado, suporte organizacional. A principal semelhança entre os modelos está nas atividades colaborativas diretas em torno de problemas clínicos, relacionadas a efetividade em estudos sobre cuidados colaborativos. CONCLUSÃO: Atividades colaborativas diretas são ponto positivo do apoio matricial. Cuidado estruturado e suporte em nível organizacional devem ser encorajados. Futuros estudos devem refinar as categorias propostas e explorar seu uso para desenvolvimento do apoio matricial.
Palavras-chave:
Atenção primária à saúde; Serviços de saúde mental; Revisão; Cuidados colaborativos; Apoio matricial
Abstract:
INTRODUCTION: Collaborative care between mental health and primary care is effective in improving health outcomes. The matrix support has similarities with collaborative care little explored in the literature. This article compares the two models and analyzes the matrix supportevidence on collaborative care. METHODS: Narrative review. Components of each model (activities and dimensions) were identified and compared. Evidence on collaborative care informed analysis of similar components of matrix support. RESULTS AND DISCUSSION: The dimensions of the matrix support - educational support, specialized care, regulation, co-management - and collaborative care - multiprofessional care, systematic communication, structured care, organizational support - were identified. The main similarity between the models lies in the direct collaborative activities around clinical problems which is related to effectiveness in collaborative care studies. CONCLUSION: Direct collaborative activities are a positive aspect of matrix support. Structured care and support at the organizational level should be encouraged. Future studies should refine the proposed categories and explore their use for the development of matrix support
Keywords:
Primary health care; Mental health services; Review; Collaborative care; Matrix support
Components of matrix support and collaborative mental health care: A narrative review.
Resumo (abstract):
INTRODUCTION: Collaborative care between mental health and primary care is effective in improving health outcomes. The matrix support has similarities with collaborative care little explored in the literature. This article compares the two models and analyzes the matrix supportevidence on collaborative care. METHODS: Narrative review. Components of each model (activities and dimensions) were identified and compared. Evidence on collaborative care informed analysis of similar components of matrix support. RESULTS AND DISCUSSION: The dimensions of the matrix support - educational support, specialized care, regulation, co-management - and collaborative care - multiprofessional care, systematic communication, structured care, organizational support - were identified. The main similarity between the models lies in the direct collaborative activities around clinical problems which is related to effectiveness in collaborative care studies. CONCLUSION: Direct collaborative activities are a positive aspect of matrix support. Structured care and support at the organizational level should be encouraged. Future studies should refine the proposed categories and explore their use for the development of matrix support
Palavras-chave (keywords):
Primary health care; Mental health services; Review; Collaborative care; Matrix support
Saraiva, S.A.L, Zepeda, J, Liria, A.F. Componentes do apoio matricial e cuidados colaborativos em saúde mental: Uma revisão narrativa.. Cien Saude Colet [periódico na internet] (2018/jul). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/componentes-do-apoio-matricial-e-cuidados-colaborativos-em-saude-mental-uma-revisao-narrativa/16860?id=16860
