0611/2016 - Saúde Mental em Medicina Geral Familiar – Obstáculos e Expectativas percecionados pelos Médicos de Família. Mental Health in Family Medicine – Obstacles and expectations perceived by Family Physicians.
• José Manuel Mendes Nunes - Mendes Nunes, José Manuel - Universidade Nova de Lisboa Faculdade de Ciencias Medicas, Medicina Geral e Familiar - <josemendesnunes@gmail.com>
. Pretende-se conhecer as dificuldades sentidas pelos médicos de família (MF) na abordagem dos doentes com transtornos mentais (TM) e conhecer as suas propostas para melhorar os cuidados os cuidados de saúde mental (CSM). Estudo qualitativo. Realizaram-se entrevistas semiestruturadas e audio-gravadas a 10 MF. Com análise de conteúdo identificaram-se oito categorias temáticas: condições de trabalho percecionadas; formação em saúde; terapêuticas usadas para tratamento dos TM; instrumentos de saúde mental usados na consulta; TM abordados na atenção primária (AP) e referenciadas a cuidados hospitalares; reação do doente à referenciação; articulação da atenção primária com a psiquiatria; propostas para melhorar os CSM na AP. A articulação com os serviços de saúde mental é deficiente pela falta de acessibilidade, comunicação unidirecional e atraso na resposta. Para melhorar os MF propõem criação de consultorias; equipas multidisciplinares; plataformas que permitam a comunicação bidirecional; aprendizagem contínua com a discussão de casos. O MF presta CSM, o que exige trabalho em equipa, com elementos da comunidade e dos hospitais. Os serviços devem organizar-se como sistemas aprendentes que permitam a progressiva melhoria dos profissionais e o aperfeiçoamento das interfaces entre os mesmos.
Palavras-chave:
Saúde MentalCuidados de Saúde PrimáriosFormação Médica Contínua
Abstract:
. This study seeks to understand the difficulties experienced by family physicians (FP) in the management of Mental Disorders (MD) and their proposals to improve the quality of care. A qualitative study with semi-structured interviews to ten family physicians. These were audio recorded, transcribed and its contents analyzed. Eight thematic categories were identified: working conditions perceived and available resources; perceived level of training in mental health; therapies used for treatment of MD; mental health instruments used in consultation; MD addressed in Primary Health Care (PHC) and referenced to hospitals; patient‘s reaction to referral; articulation of PHC with hospitals; proposals to improve mental health care in PHC. Articulation with the Mental Health Services sufferlack of accessibility, one-way communication and delayed response. The FP propose creation of consultancies; multidisciplinary teams in the community; creating a two-way communication platform; continuous learning through discussion of cases. The FP have responsibilities in providing MHC. This requires working in a multidisciplinary team. Services should be organized to function as a learning system that allows the progressive improvement of the professionals and the improvement of the interfaces between them.
Keywords:
Mental HealthPrimary Health CareMedical Continuing Education
Mental Health in Family Medicine – Obstacles and expectations perceived by Family Physicians.
Resumo (abstract):
. This study seeks to understand the difficulties experienced by family physicians (FP) in the management of Mental Disorders (MD) and their proposals to improve the quality of care. A qualitative study with semi-structured interviews to ten family physicians. These were audio recorded, transcribed and its contents analyzed. Eight thematic categories were identified: working conditions perceived and available resources; perceived level of training in mental health; therapies used for treatment of MD; mental health instruments used in consultation; MD addressed in Primary Health Care (PHC) and referenced to hospitals; patient‘s reaction to referral; articulation of PHC with hospitals; proposals to improve mental health care in PHC. Articulation with the Mental Health Services sufferlack of accessibility, one-way communication and delayed response. The FP propose creation of consultancies; multidisciplinary teams in the community; creating a two-way communication platform; continuous learning through discussion of cases. The FP have responsibilities in providing MHC. This requires working in a multidisciplinary team. Services should be organized to function as a learning system that allows the progressive improvement of the professionals and the improvement of the interfaces between them.
Palavras-chave (keywords):
Mental HealthPrimary Health CareMedical Continuing Education
Fernandes, Liliana, Mendes Nunes, José Manuel, Basílio, Nuno, Figueira, Sofia. Saúde Mental em Medicina Geral Familiar – Obstáculos e Expectativas percecionados pelos Médicos de Família.. Cien Saude Colet [periódico na internet] (2016/Dez). [Citado em 28/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/saude-mental-em-medicina-geral-familiar-obstaculos-e-expectativas-percecionados-pelos-medicos-de-familia/16037
