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. 2016:50:26.
doi: 10.1590/S1518-8787.2016050006085. Epub 2016 May 24.

Hospitalization due to drug use did not change after a decade of the Psychiatric Reform

[Article in English, Portuguese]
Alexandre Dido Balbinot  1 , Rogério Lessa Horta  1 , Juvenal Soares Dias da Costa  1 , Renata Brasil Araújo  2 , Simone Poletto  1 , Marina Bressaneli Teixeira  3
Affiliations

Hospitalization due to drug use did not change after a decade of the Psychiatric Reform

[Article in English, Portuguese]
Alexandre Dido Balbinot et al. Rev Saude Publica. 2016.

Abstract
in English, Portuguese

Objective: To investigate whether the psychiatric hospitalization rates due to use of psychoactive substances and average time of hospitalization suffered any changes after the first decade of effective implementation of the psychiatric reform in Brazil.

Methods: This article examines the evolution of hospitalizations due to disorders arising from the use of alcohol or other substances in the state of Santa Catarina, Southern Brazil, from 2000 to 2012. This is an ecological, time-series study, which uses data from admissions obtained by the Informatics Service of the Brazilian Unified Health System. Hospitalization rates by 100,000 inhabitants and average time of occupancy of beds were estimated. Coefficients of variation of these rates were estimated by Poisson Regression.

Results: The total and male hospitalization rates did not vary (p = 0.056 and p = 0.244, respectively). We observed an increase of 3.0% for the female sex (p = 0.049). We did not observe any significant variation for occupancy time of beds.

Conclusions: The deployment of services triggered by the Brazilian psychiatric reform was not accompanied by a reduction of hospitalization rates or mean occupancy time of hospitalized patients during this first decade of implementation of the reform.

OBJETIVO: Investigar se as taxas de internações psiquiátricas por uso de substâncias psicoativas e o tempo médio de hospitalização se modificaram após a primeira década de efetiva implementação da reforma psiquiátrica no Brasil.

MÉTODOS: Este artigo analisa a evolução das hospitalizações devido a transtornos decorrentes do uso de álcool ou outras substâncias no estado de Santa Catarina, de 2000 a 2012. Trata-se de estudo ecológico, de série temporal, com dados de internações obtidas do Serviço de Informática do Sistema Único de Saúde. Foram estimadas taxas de hospitalização por 100 mil habitantes e tempo médio de ocupação dos leitos. Foram estimados coeficientes de variação dessas taxas por Regressão de Poisson.

RESULTADOS: As taxas de internação total e para o sexo masculino não variaram (p = 0,244 e p = 0,056, respectivamente). Houve incremento de 3,0% para o sexo feminino (p = 0,049). Não se observou variação significativa para tempo de ocupação dos leitos.

CONCLUSÕES: A implantação de serviços desencadeada pela reforma psiquiátrica brasileira não foi acompanhada de redução das taxas de hospitalização ou tempo médio de permanência de quem foi hospitalizado ao longo dessa primeira década de implantação da reforma.

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Conflict of interest statement

Conflict of Interest: The authors declare no conflict of interest.

Figures

Figure 1
Figure 1. Psychiatric hospitalization rates due to use of alcohol and other drugs by 100,000 inhabitants, according to sex. Santa Catarina, Southern Brazil, 2000-2012.
Figure 2
Figure 2. Average time of occupancy of hospital beds, in number of days, as a result of the use of alcohol and other drugs, according to sex. Santa Catarina, Southern Brazil, 2000-2012.
See this image and copyright information in PMC

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