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Research Article
Carlos Alberto dos Santos Treichel
State University of Campinas
Corresponding Author
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Background
Although matrix support seeks to promote the integration of Primary Care with specialized mental health services in Brazil, little is known about the quantitative impact of this strategy on the sharing of cases between different levels of care. The aim of this study was to investigate the prevalence and factors associated with knowledge by Primary Care of mental health patients treated at outpatient specialized services in a medium-sized city in Brazil with recent implementation of matrix support.
Methods
This is a document-based cross-sectional study, conducted through the analysis of 1198 patients’ medical records. Crude and adjusted associations with the outcome were explored using logistic regression.
Results
The prevalence of cases known by Primary Care was 40% (n = 479). Evidence was found for associations between the outcome and the patients being over 30 years old, and referral by emergency or hospital services. There was, conversely, an inverse association between the outcome and status as a patient from the Outpatient Clinic or from the Psychosocial Care Center for psychoactive substance misuse.
Conclusions
Even with the provision of mechanisms for network integration, such as matrix support, our results suggest that more groundwork is necessary to ensure that the sharing of cases between Primary Care and specialized services is effective.
Keywords
Shared Care, Mental Health, Community Mental Health Services, Primary Care, Collaborative Care
Figure 1
No competing interests reported.
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This preprint is under consideration at BMC Health Services Research. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research Article
Carlos Alberto dos Santos Treichel
State University of Campinas
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 03 Mar, 2021
No community comments so far
Reviewers invited
Invitations sent on 03 Mar, 2021
Editor assigned
On 03 Mar, 2021
Editor invited
On 02 Mar, 2021
Submission checks complete
On 02 Mar, 2021
First submitted
On 18 Feb, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Health Economics & Outcomes Research
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Although matrix support seeks to promote the integration of Primary Care with specialized mental health services in Brazil, little is known about the quantitative impact of this strategy on the sharing of cases between different levels of care. The aim of this study was to investigate the prevalence and factors associated with knowledge by Primary Care of mental health patients treated at outpatient specialized services in a medium-sized city in Brazil with recent implementation of matrix support.
Methods
This is a document-based cross-sectional study, conducted through the analysis of 1198 patients’ medical records. Crude and adjusted associations with the outcome were explored using logistic regression.
Results
The prevalence of cases known by Primary Care was 40% (n = 479). Evidence was found for associations between the outcome and the patients being over 30 years old, and referral by emergency or hospital services. There was, conversely, an inverse association between the outcome and status as a patient from the Outpatient Clinic or from the Psychosocial Care Center for psychoactive substance misuse.
Conclusions
Even with the provision of mechanisms for network integration, such as matrix support, our results suggest that more groundwork is necessary to ensure that the sharing of cases between Primary Care and specialized services is effective.
Figure 1
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