Gasto público en prestaciones hospitalarias y extrahospitalarias en el modelo de salud mental comunitaria en Chile / Public expenditures with hospital and out-of-hospital services in Chilean community model of mental health
Saúde Soc
; 29(3): e190893, 2020. tab, graf
Article
em Es
| SES-SP, LILACS
| ID: biblio-1139539
Biblioteca responsável:
BR67.1
Localização: BR67.1
RESUMEN
Resumen El presente trabajo analiza el gasto público en salud mental en el marco de la implementación del modelo comunitario en Chile. Para ello, examina el mecanismo de financiamiento y la asignación de recursos financieros en salud mental considerando los recursos ejecutados en prestaciones hospitalarias y extrahospitalarias en el sistema público de salud en el período 2014-2018. En general, se observa un aumento del número de prestaciones hospitalarias y extrahospitalarias, así como en el gasto derivado de las mismas. Los mayores incrementos de inversión monetaria refieren a la aplicación de electroshock, programas de rehabilitación tipo 2, día cama integral psiquiátrico diurno y día cama hospitalización integral corta estadía. Se concluye que la vigencia del modelo asilar, el predominio biomédico y la excesiva medicalización de la salud mental sustentan una inequidad en la valoración de las prestaciones, así como una desigual distribución de los recursos públicos, siendo necesario reorientar el gasto estatal hacia servicios comunitarios que garanticen derechos de ciudadanía y la promoción del bienestar.
ABSTRACT
Abstract The following study analyzes public spending on Mental Health within the framework of the implementation of the community model in Chile. It examines the financing mechanism and the allocation of financial resources in Mental Health, considering the resources executed in hospital and out-of-hospital services in the public health system during the period 2014-2018. In general, an increase in the number of hospital and out-of-hospital services is observed, as well as in the expense derived from them. The largest increases in monetary investment refer to the application of electroshock, rehabilitation programs type 2, full bed-day psychiatric/diurnal treatments and full bed-day hospitalization/short-stay. It is concluded that the validity of the asylum model, the biomedical predominance and the excessive medicalization in Mental Health support an inequity in the valuation of services as well as an unequal distribution of public resources. This situation requires a reorientation of state spending towards community services that guarantee citizenship rights and the promotion of well-being.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
/
SES-SP
Assunto principal:
Sistemas de Saúde
/
Saúde Mental
/
Serviços de Saúde Comunitária
/
Reabilitação Psiquiátrica
/
Despesas Públicas
/
Hospitalização
Tipo de estudo:
Diagnostic_studies
/
Health_economic_evaluation
Aspecto:
Equity_inequality
Limite:
Female
/
Humans
/
Male
País/Região como assunto:
America do sul
/
Chile
Idioma:
Es
Revista:
Saúde Soc
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Chile
País de publicação:
Brasil