Acknowledgements We would like to thank all the participating representatives of public mental health services for their invaluable contribution to this system development and implementation and the XIII Regional Health Department of Sao Paulo state for their support. Funding: This study was funded by the ‘Conselho Nacional de Desenvolvimento Científico e Tecnológico’ (CNPq) and ‘Coordenação de Aperfeiçoamento de Pessoal de Nível Superior’ (CAPES)—Science Without Borders Programme.Peer reviewedPublisher PD

Alves, Domingos

de Azevedo-Marques , João Mazzoncini

Del-Ben,  Cristina Marta

Furegato,  Antonia Regina Ferreira

Miyoshi, Newton Shydeo Brandão

Rijo, Rui Pedro Charters Lopes

Rzewuska, Magdalena

Sasso,  Ariane Morassi

Vinci, André Luiz Teixeira

Yoshiura , Vinicius Tohoru

International Journal of Mental Health Systems

English

PubMed

Vinicius Tohoru Yoshiura

João Mazzoncini de Azevedo-Marques

Magdalena Rzewuska

André Luiz Teixeira Vinci

Ariane Morassi Sasso

Newton Shydeo Brandão Miyoshi

Antonia Regina Ferreira Furegato

Rui Pedro Charters Lopes Rijo

Cristina Marta Del-Ben

Domingos Alves

Springer - Publisher Connector

A web-based information system for a regional public mental healthcare service network in Brazil

Abstract\ud
              \ud
                Background\ud
                Regional networking between services that provide mental health care in Brazil’s decentralized public health system is challenging, partly due to the simultaneous existence of services managed by municipal and state authorities and a lack of efficient and transparent mechanisms for continuous and updated communication between them. Since 2011, the Ribeirao Preto Medical School and the XIII Regional Health Department of the Sao Paulo state, Brazil, have been developing and implementing a web-based information system to facilitate an integrated care throughout a public regional mental health care network.\ud
              \ud
              \ud
                Case presentation\ud
                After a profound on-site analysis, the structure of the network was identified and a web-based information system for psychiatric admissions and discharges was developed and implemented using a socio-technical approach. An information technology team liaised with mental health professionals, health-service managers, municipal and state health secretariats and judicial authorities. Primary care, specialized community services, general emergency and psychiatric wards services, that comprise the regional mental healthcare network, were identified and the system flow was delineated. The web-based system overcame the fragmentation of the healthcare system and addressed service specific needs, enabling: detailed patient information sharing; active coordination of the processes of psychiatric admissions and discharges; real-time monitoring; the patients’ status reports; the evaluation of the performance of each service and the whole network. During a 2-year period of operation, it registered 137 services, 480 health care professionals and 4271 patients, with a mean number of 2835 accesses per month. To date the system is successfully operating and further expanding.\ud
              \ud
              \ud
                Conclusion\ud
                We have successfully developed and implemented an acceptable, useful and transparent web-based information system for a regional mental healthcare service network in a medium-income country with a decentralized public health system. Systematic collaboration between an information technology team and a wide range of stakeholders is essential for the system development and implementation.This study was funded by the ‘Conselho Nacional de Desenvolvimento Cientí‑\ud
fico e Tecnológico’ (CNPq) and ‘Coordenação de Aperfeiçoamento de Pessoal\ud
de Nível Superior’ (CAPES)—Science Without Borders Programme

Yoshiura, Vinicius Tohoru

Azevedo-Marques, João Mazzoncini de

Sasso, Ariane Morassi

Furegato, Antonia Regina Ferreira

Del-Ben, Cristina Marta

Universidade de São Paulo

Biblioteca Digital da Produção Intelectual da Universidade de São Paulo (BDPI/USP)

Research Archive

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A web-based information system for a regional public mental healthcare service network in Brazil

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Biblioteca Digital da Produção Intelectual da Universidade de São Paulo (BDPI/USP)

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