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The mental health care model in Brazil: analyses of the funding, governance processes, and mechanisms of assessment

Overview of attention for article published in Revista de Saúde Pública, January 2017
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#29 of 372)
  • Good Attention Score compared to outputs of the same age (74th percentile)

Mentioned by

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6 tweeters
facebook
4 Facebook pages
googleplus
1 Google+ user

Citations

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14 Dimensions

Readers on

mendeley
76 Mendeley
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Title
The mental health care model in Brazil: analyses of the funding, governance processes, and mechanisms of assessment
Published in
Revista de Saúde Pública, January 2017
DOI 10.1590/s1518-8787.2017051006059
Pubmed ID
Authors

Thiago Lavras Trapé, Rosana Onocko Campos

Abstract

This study aims to analyze the current status of the mental health care model of the Brazilian Unified Health System, according to its funding, governance processes, and mechanisms of assessment. We have carried out a documentary analysis of the ordinances, technical reports, conference reports, normative resolutions, and decrees from 2009 to 2014. This is a time of consolidation of the psychosocial model, with expansion of the health care network and inversion of the funding for community services with a strong emphasis on the area of crack cocaine and other drugs. Mental health is an underfunded area within the chronically underfunded Brazilian Unified Health System. The governance model constrains the progress of essential services, which creates the need for the incorporation of a process of regionalization of the management. The mechanisms of assessment are not incorporated into the health policy in the bureaucratic field. There is a need to expand the global funding of the area of health, specifically mental health, which has been shown to be a successful policy. The current focus of the policy seems to be archaic in relation to the precepts of the psychosocial model. Mechanisms of assessment need to be expanded. Analisar o estágio atual do modelo de atenção à saúde mental do Sistema Único de Saúde, segundo seu financiamento, processos de governança e mecanismos de avaliação. Foi realizada uma análise documental de portarias, informes técnicos, relatórios de conferência, resoluções e decretos de 2009 a 2014. Trata-se de um momento de consolidação do modelo psicossocial, com ampliação da rede assistencial, inversão de financiamento para serviços comunitários com forte ênfase na área de crack e outras drogas. A saúde mental é uma área subfinanciada dentro do subfinanciamento crônico do Sistema Único de Saúde. O modelo de governança constrange o avanço de serviços essenciais, havendo a necessidade da incorporação de um processo de regionalização da gestão. Os mecanismos avaliativos no campo burocrático se mostram pouco incorporados à política de saúde. É necessário ampliar o financiamento global da saúde e específico da saúde mental, que vem se constituindo como uma política exitosa. O foco atual da política se mostra anacrônico aos preceitos do modelo psicossocial. Aponta-se a necessidade de ampliação de mecanismos avaliativos.

Twitter Demographics

The data shown below were collected from the profiles of 6 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 76 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 1 1%
Unknown 75 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 21 28%
Student > Bachelor 8 11%
Student > Doctoral Student 6 8%
Researcher 5 7%
Student > Postgraduate 4 5%
Other 13 17%
Unknown 19 25%
Readers by discipline Count As %
Medicine and Dentistry 18 24%
Nursing and Health Professions 11 14%
Psychology 10 13%
Social Sciences 5 7%
Biochemistry, Genetics and Molecular Biology 2 3%
Other 8 11%
Unknown 22 29%

Attention Score in Context

This research output has an Altmetric Attention Score of 6. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 July 2017.
All research outputs
#2,530,880
of 11,883,277 outputs
Outputs from Revista de Saúde Pública
#29
of 372 outputs
Outputs of similar age
#67,632
of 266,843 outputs
Outputs of similar age from Revista de Saúde Pública
#1
of 1 outputs
Altmetric has tracked 11,883,277 research outputs across all sources so far. Compared to these this one has done well and is in the 78th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 372 research outputs from this source. They receive a mean Attention Score of 2.4. This one has done particularly well, scoring higher than 92% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 266,843 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 74% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them