L. Baldaçara, Flávia Ismael, Daniel Kawakami, Gislene Alves da Rocha, E. Calfat, Deisy M Porto, Beatriz Ferroli Cavalcante, B. Zaramella, Flávio Veloso Ribeiro, Roberto M Dos Santos, Roberta R Grudtner, Teng C Tung, Antônio Geraldo da Silva
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引用次数: 0
摘要
简介作为巴西公共卫生系统不可或缺的一部分,精神科急诊服务(PES)在提高精神障碍危机情况下的合格支持、公平性、普及性和人性化方面发挥了重要作用。本文旨在对巴西两种环境下精神科急救服务的物理区域和设施以及理想的合格团队进行系统回顾并达成共识。方法作者使用 MEDLINE (PubMed)、Scielo、Cochrane 数据库等电子数据库以及世界卫生组织、巴西卫生部和其他专家认为相关的文件进行了文献检索。共找到 6839 篇手稿,但只有 46 篇被选中。文章内容分析采用德尔菲法和一系列互动版本对共识声明进行了总结,并提供了最终报告。结果考虑到各种经验和模式,对 PES 的变化进行了评估。作者强调,急诊网络(ECN)必须与合格的管理层协调,有效实施所有医疗设备和单位的整合。公共卫生服务系统必须具备充足的基础设施、合格的工作人员(包括一名精神病医生)、足够的咨询和观察空间、用于鉴别诊断的工具和资源、对所有工作人员的培训以及与医疗保健网络的沟通,以促进病人出院后的转诊。作者提出了对公共卫生服务系统的要求,并将其作为一种可借鉴的模式。
Brazilian Psychiatric Association Consensus on the physical structure and ideal team for psychiatric emergencies services.
INTRODUCTION
An integral part of Brazil's public health system, the psychiatric emergency service (PES) has been instrumental in improving qualified support for crisis situations of mental disorders, equitable, universally accessible, and humanized. The purpose of this article is to present a systematic review and consensus about the physical area and facilities, and ideal team qualified for psychiatric emergencies services on both Brazilian settings.
METHODS
The authors conducted a literature search using electronic databases such as MEDLINE (PubMed), Scielo, the Cochrane Database, and documents from the WHO, the Brazilian Ministry of Health, and others deemed relevant by experts. A total of 6839 manuscripts were found, but only 46 were selected. The analysis of article content summarizes consensus statements using the Delphi method and a series of interactive versions to provide a final report.
RESULTS
Changes to PES are evaluated considering various experiences and models. The authors highlighted that The Emergency Care Network (ECN) must be coordinated with qualified management, effective implementation of integration of all health equipment's and units. PES must have adequate infrastructure; qualified staff, including a psychiatrist; sufficient consultation and observational spaces; tools and resources for differential diagnosis; training for all staff members; and communication with the health care network to facilitate referrals following patient discharge are all necessary.
CONCLUSION
These standardized models need to be available to public health managers so that they can guide the installation of new services and adjust the existing ones, always looking for improvement. The authors propose requirements for PES as a model to be passed over.
期刊介绍:
The Revista Brasileira de Psiquiatria (RBP) is the official organ of the Associação Brasileira de Psiquiatria (ABP - Brazilian Association of Psychiatry).
The Brazilian Journal of Psychiatry is a bimonthly publication that aims to publish original manuscripts in all areas of psychiatry, including public health, clinical epidemiology, basic science, and mental health problems. The journal is fully open access, and there are no article processing or publication fees. Articles must be written in English.