Análise das internações psiquiátricas pelo sus no piauí, brasil, de 2008 a 2020 / Analysis of the psychiatric hospitalizations through the sus in piauí, brazil, from 2008 to 2020 / Análisis de las internaciones psiquiátricas a través del sus en piauí, brasil, entre 2008 y 2020

RESUMO Objetivo analisar o comportamento de dados de internações psiquiátricas, no Piauí, no período de 2008 a 2020. Método estudo ecológico com dados secundários de internações psiquiátricas, de 2008 a 2020, no Piauí - Brasil, do Sistema de Informações Hospitalares/DATASUS. Análise descritiva e regressão linear foram realizadas. Resultados foram encontradas 40.608 internações psiquiátricas. As principais causas foram esquizofrenia (17.877) e transtornos de humor (8.239). Retardo mental e esquizofrenia tiveram maior custo e média de permanência. De 2009 a 2012, houve decréscimo de internações e, entre 2016 e 2019, houve aumento, independente da idade e do sexo. As internações foram mais frequentes entre adultos (94,4%) e homens (62,4%). Conclusão a diminuição de internações psiquiátricas no Piauí, de 2009 a 2012, coincide com o fechamento do hospital psiquiátrico do estado e o fortalecimento da Rede de Atenção Psicossocial. Os dados refletem políticas de saúde mental anteriores e permitem planejamento de estratégias de saúde.

ABSTRACT Objective: to analyze the behavior of data referring to psychiatric hospitalizations in Piauí between 2008 and 2020. Method an ecological study conducted with secondary data referring to psychiatric hospitalizations between 2008 and 2020 in Piauí, obtained from the Hospital Information System/DATASUS. Descriptive and linear regression analyses were performed. Results a total of 40,608 psychiatric hospitalizations were found. The main causes were schizophrenia (17,877) and mood disorders (8,239). Mental retardation and schizophrenia presented higher costs and mean hospitalization times. A reduction in the number of hospitalization was recorded from 2009 to 2012 and there was increase between 2016 and 2019, regardless of age and gender. Hospitalizations were more frequent among adults (94.4%) and men (62.4%). Conclusion the reduction in the number of psychiatric hospitalizations in Piauí from 2009 to 2012 coincides with the closing of the state's psychiatric hospital and with the strengthening of the Psychosocial Care Network. The data reflect previous mental health policies and allow planning health strategies.

RESUMEN Objetivo analizar el comportamiento de datos referentes a internaciones psiquiátricas en Piauí, entre 2008 y 2020. Método estudio ecológico realizado con datos secundarios referentes a internaciones psiquiátricas entre 2008 y 2020 en Piauí, Brasil, obtenidos del Sistema de Información Hospitalaria/DATASUS. Se realizó un análisis descriptivo y otro de regresión lineal. Resultados se encontró un total de 40.608 internaciones psiquiátricas. Las causas principales fueron esquizofrenia (17.877) y trastornos del estado de ánimo (8.239). Retraso mental y esquizofrenia presentaron mayores costos y tiempo medio de internación. De 2009 a 2012 se registró una caída en la cantidad de internaciones y entre 2016 y 2019 hubo un aumento, independientemente del sexo. Las internaciones fueron más frecuentes en adultos (94,4%) y en hombres (62,4%). Conclusión la reducción en la cantidad de internaciones psiquiátricas en Piauí registrada entre 2009 y 2012 coincide con el cierre del hospital psiquiátrico en el estado y con el fortalecimiento de la Red de Atención Psicosocial. Los datos reflejan políticas de salud mental anteriores en el tiempo y permiten planificar estrategias de salud.

Access to the Unified Health System in the perspective of male homosexuals.

OBJECTIVES: To analyze the perception of male homosexuals regarding the access to the Unified Health System. METHODS: A qualitative study with male homosexuals in a city in the Northeast Brazil. Eight subjects participated, a socioeconomic questionnaire was used for data collection and a focal group was carried out, in which the narratives were recorded and later transcribed. For the analysis of the speeches, the analysis of thematic content was used. RESULTS: The analysis revealed five thematic categories that express the limitations on humanization and reception, as well as in the quality of health care offered to subjects, disregarding the psychosocial and lifestyle-related demands. FINAL CONSIDERATIONS: It was emphasized that the focus group technique contributed to the approach of the research with the perception of male homosexuals marked by prejudice and discrimination, reflecting the subjects' dissatisfaction with the care received in the health services.