Diagnosis of the state of implementation of mental health hospitalization units in general hospitals in the city of Córdoba. Preliminary results
In Argentina, mental health policies and National Law N° 26657 (art. 28) sustain that hospitalizations must be done in general hospitals (GH). Therefore, hospitals must count with necessary resources. Thus, reports and studies performed in our country show lack of availability in hospitalizatio...
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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/39038 |
| Aporte de: |
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I10-R327-article-39038 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
| topic |
psychiatric hospitalizations general hospitals interdisciplinary team reason of hospitalization internaciones psiquiátricas hospitales generales guardias interdisciplinarias motivos de internación |
| spellingShingle |
psychiatric hospitalizations general hospitals interdisciplinary team reason of hospitalization internaciones psiquiátricas hospitales generales guardias interdisciplinarias motivos de internación Baravalle, E Dionisio, L Puglisi, D Vilches, F Dipre, S Bella, ME Diagnosis of the state of implementation of mental health hospitalization units in general hospitals in the city of Córdoba. Preliminary results |
| topic_facet |
psychiatric hospitalizations general hospitals interdisciplinary team reason of hospitalization internaciones psiquiátricas hospitales generales guardias interdisciplinarias motivos de internación |
| author |
Baravalle, E Dionisio, L Puglisi, D Vilches, F Dipre, S Bella, ME |
| author_facet |
Baravalle, E Dionisio, L Puglisi, D Vilches, F Dipre, S Bella, ME |
| author_sort |
Baravalle, E |
| title |
Diagnosis of the state of implementation of mental health hospitalization units in general hospitals in the city of Córdoba. Preliminary results |
| title_short |
Diagnosis of the state of implementation of mental health hospitalization units in general hospitals in the city of Córdoba. Preliminary results |
| title_full |
Diagnosis of the state of implementation of mental health hospitalization units in general hospitals in the city of Córdoba. Preliminary results |
| title_fullStr |
Diagnosis of the state of implementation of mental health hospitalization units in general hospitals in the city of Córdoba. Preliminary results |
| title_full_unstemmed |
Diagnosis of the state of implementation of mental health hospitalization units in general hospitals in the city of Córdoba. Preliminary results |
| title_sort |
diagnosis of the state of implementation of mental health hospitalization units in general hospitals in the city of córdoba. preliminary results |
| description |
In Argentina, mental health policies and National Law N° 26657 (art. 28) sustain that hospitalizations must be done in general hospitals (GH). Therefore, hospitals must count with necessary resources. Thus, reports and studies performed in our country show lack of availability in hospitalization beds for these health problems and a deficit in professional resources for Mental Health (MH) urgent care in general hospitals. The objective of this study was to perform a diagnosis of situation of the state of implementation of the mental health (psychiatric) hospitalization units in general hospitals in the city of Córdoba.
An exploratory study, descriptive of qualitative methodology was performed. The gathering of data was done by Instrument of Evaluation for Mental Health System (IEMS-OMS 2.1) and interviews in depth to managers/heads of Service of GH in the period 2021-2022. Seven HGs were surveyed in the city of Cordoba. The variables analyzed were: units/hospitalization beds, urgent care, interdisciplinary teams, reasons of hospitalization and others.
Instrument (IEMS-OMS-2.1) showed that 2/7 GHs counted with unit/bed hospitalization, and they were closed during COVID19 Pandemic. All of them, had hospitalizations, most of them in rooms in the general hospital wards, causing difficulties. The most frequent reasons of hospitalization were suicide attempts, addictions, psychotic episodes, and psychomotor excitement, and they have resources for therapeutic treatment. Involuntary hospitalizations were done. Regarding mental health urgent care, in 6/7 are interdisciplinary and passive.
From the in-depth interviews, it was inferred that they do not have adequate spaces for mental health emergencies, which generates risk for people attending for counseling, as much as for professionals. Factors which difficult implementations of units of hospitalization were identified: deficit of professional resources and buildings, low training in MH to professionals of GH and lack of proposals to mend these aspects, which were exacerbated during this Pandemic.
In conclusion, difficulties in implementation of units/beds of hospitalization in GH were observed exacerbated during the Pandemic. Main reasons of hospital admissions were related to health situations that place people´s lives at risk.
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| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2022 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/39038 |
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I10-R327-article-390382024-04-15T16:14:45Z Diagnosis of the state of implementation of mental health hospitalization units in general hospitals in the city of Córdoba. Preliminary results Diagnóstico del estado de implementación de las unidades de internación en salud mental en hospitales generales en la Ciudad de Córdoba. Resultados preliminares Baravalle, E Dionisio, L Puglisi, D Vilches, F Dipre, S Bella, ME psychiatric hospitalizations general hospitals interdisciplinary team reason of hospitalization internaciones psiquiátricas hospitales generales guardias interdisciplinarias motivos de internación In Argentina, mental health policies and National Law N° 26657 (art. 28) sustain that hospitalizations must be done in general hospitals (GH). Therefore, hospitals must count with necessary resources. Thus, reports and studies performed in our country show lack of availability in hospitalization beds for these health problems and a deficit in professional resources for Mental Health (MH) urgent care in general hospitals. The objective of this study was to perform a diagnosis of situation of the state of implementation of the mental health (psychiatric) hospitalization units in general hospitals in the city of Córdoba. An exploratory study, descriptive of qualitative methodology was performed. The gathering of data was done by Instrument of Evaluation for Mental Health System (IEMS-OMS 2.1) and interviews in depth to managers/heads of Service of GH in the period 2021-2022. Seven HGs were surveyed in the city of Cordoba. The variables analyzed were: units/hospitalization beds, urgent care, interdisciplinary teams, reasons of hospitalization and others. Instrument (IEMS-OMS-2.1) showed that 2/7 GHs counted with unit/bed hospitalization, and they were closed during COVID19 Pandemic. All of them, had hospitalizations, most of them in rooms in the general hospital wards, causing difficulties. The most frequent reasons of hospitalization were suicide attempts, addictions, psychotic episodes, and psychomotor excitement, and they have resources for therapeutic treatment. Involuntary hospitalizations were done. Regarding mental health urgent care, in 6/7 are interdisciplinary and passive. From the in-depth interviews, it was inferred that they do not have adequate spaces for mental health emergencies, which generates risk for people attending for counseling, as much as for professionals. Factors which difficult implementations of units of hospitalization were identified: deficit of professional resources and buildings, low training in MH to professionals of GH and lack of proposals to mend these aspects, which were exacerbated during this Pandemic. In conclusion, difficulties in implementation of units/beds of hospitalization in GH were observed exacerbated during the Pandemic. Main reasons of hospital admissions were related to health situations that place people´s lives at risk. En Argentina las políticas de salud mental y la Ley Nac. N° 26.657 (art.28) sostienen que “las internaciones deben realizarse en los hospitales generales (HG). A tal efecto los hospitales deben contar con los recursos necesarios”. No obstante, estudios e informes efectuados en nuestro país muestran la falta de disponibilidad de camas de internación para estos problemas de salud y déficit de recursos profesionales para guardias de SM en los HG. El objetivo fue efectuar un diagnóstico de situación del estado de implementación de las unidades de internación en salud mental (psiquiátricas) en hospitales generales en la ciudad de Córdoba. Estudio exploratorio, descriptivo de metodología cualitativa. La recolección de datos se efectuó por medio del Instrumento de Evaluación de Servicios SM (IEMS-OMS 2.1) y entrevista en profundidad a responsables/jefes de Servicio de HG en el período 2021-2022. Se relevaron 7 HG en la ciudad de Córdoba. Las variables fueron: unidades/cama de internación, guardias, equipos interdisciplinarios, motivos de internación y otras. Del Instrumento (IEMS-OMS-2.1) se observó que 2/7 HG contaban con unidad/cama de internación y fueron cerradas durante la pandemia COVID 19. Todos realizaron internaciones, en la mayoría en salas de internación general, generándose dificultades. Los motivos de internación más frecuentes fueron los intentos de suicidio, adicciones, episodios psicóticos y excitación psicomotriz y cuentan con recursos para el abordaje terapéutico. Se realizaron internaciones involuntarias. Respecto de las guardias de SM en 6/7 HG son interdisciplinarias y pasivas. De las entrevistas en profundidad se refirió que no cuentan con espacios adecuados para la atención de emergencias en SM lo que “genera riesgo tanto para las personas consultantes como para los profesionales”. Se identificaron como factores que dificultan la implementación de las unidades de internación déficit de recursos profesionales y edilicios, poca capacitación en SM a los profesionales de HG y falta de propuestas para subsanar estos aspectos que se acentuaron durante la pandemia. Como conclusiones se identificaron dificultades en la implementación de las unidades/camas de internación en HG acentuándose durante la pandemia. Los principales motivos de ingreso se relacionan con situaciones de salud que ponen en riesgo la vida de las personas. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-10-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto https://revistas.unc.edu.ar/index.php/med/article/view/39038 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. Suplemento JIC XXIII (2022): Suplemento JIC XXIII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |