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首页> 外文期刊>The journal of ECT >Electroconvulsive therapy in Brazil after the 'psychiatric reform': A public health problem-example from a university service
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Electroconvulsive therapy in Brazil after the 'psychiatric reform': A public health problem-example from a university service

机译：“精神病学改革”后巴西的电抽搐治疗：一个公共卫生问题，以大学服务部门为例

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Objectives: The Brazilian public health system does not provide electroconvulsive therapy (ECT), which is limited to a few academic services. National mental health policies are against ECT. Our objectives were to analyze critically the public policies toward ECT and present the current situation using statistics from the Institute of Psychiatry of the University of S?o Paulo (IPq-HCFMUSP) and summary data from the other 13 ECT services identified in the country. Methods: Data regarding ECT treatment at the IPq-HCFMUSP were collected from January 2009 to June 2010 (demographical, number of sessions, and diagnoses). All the data were analyzed using SPSS 19, Epic Info 2000, and Excel. Results: During this period, 331 patients were treated at IPq-HCFMUSP: 221 (67%) were from S?o Paulo city, 50 (15.2%) from S?o Paulo's metropolitan area, 39 (11.8%) from S?o Paulo's countryside, and 20 (6.1%) from other states; 7352 ECT treatments were delivered-63.0% (4629) devoted entirely via the public health system (although not funded by the federal government); the main diagnoses were a mood disorder in 86.4% and schizophrenia in 7.3% of the cases. Conclusions: There is an important lack of public assistance for ECT, affecting mainly the poor and severely ill patients. The university services are overcrowded and cannot handle all the referrals. The authors press for changes in the mental health policies.
机译：目标：巴西公共卫生系统不提供电抽搐治疗（ECT），仅限于一些学术服务。国家精神卫生政策反对ECT。我们的目标是使用来自圣保罗大学精神病学研究所（IPq-HCFMUSP）的统计数据以及该国确定的其他13种ECT服务的汇总数据，严格分析针对ECT的公共政策，并介绍当前状况。方法：从2009年1月至2010年6月收集IPq-HCFMUSP进行的ECT治疗数据（人口统计学，疗程次数和诊断）。使用SPSS 19，Epic Info 2000和Excel分析所有数据。结果：在此期间，IPq-HCFMUSP治疗了331例患者：圣保罗市221名（67％），圣保罗市大区50名（15.2％），圣保罗39名（11.8％）。保罗的乡村，以及其他州的20（6.1％）;完全通过公共卫生系统提供了7352 ECT治疗，占63.0％（4629），尽管这不是由联邦政府资助的;主要诊断为86.4％的情绪障碍和7.3％的精神分裂症。结论：ECT缺乏公共援助，主要影响贫困和重病患者。大学服务人满为患，无法处理所有推荐。作者呼吁改变精神卫生政策。

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