Serviços de saúde utilizados pelos usuários de saúde mental de uma estratégia de saúde da família

Abstract

The identification of flowcharts related to the users' journey in the mental health network is an important device for reflection and, consequently, for the improvement of the care to the users. Objective of the study is to identify the health services used by mental health users in an FHT. This is an exploratory study, descriptive of a qualitative approach. The data of the study were collected from secondary data, obtained through electronic records of the health information system used by the central municipality of RS. It is worth noting that the total sample of the study consisted of 297 medical records. Of these, 62% that equals 166 users do not have mental health diagnosis, ICD-10 (International Classification of Diseases). It was identified that the users were treated in seven different health services, that is, outside the FHS territory. Regarding the data present in the evolution of the consultations, only three health services had a record of evolution of care in the municipal health information system. Regarding the number of consultations, 56% of users performed sixteen or more consultations; however, 62%, equivalent to 166 users assigned to the territory, lacked an average of three to five consultations in the period studied. In conclusion, even with the implementation of the electronic medical records system, the information obtained is still flawed, since many medical records are incomplete, resulting in a "pilgrim user" who seeks different services to receive care. It should be emphasized that it is necessary to expand and expand the research scenarios of this study to qualify the process, since the study in question was performed only in a FHT. Knowing the limitations of this study makes it necessary to perform expanded, humanized and fully integrated teams of different services that make up the mental health network.