Healthcare professionals’ perception of mental health in primary care

ABSTRACT Objective: To characterize the mental health care provided in Primary Care from the perception of health professionals in the cities to the 5th Regional Health Center of the state of Paraná. Method: An exploratory qualitative research. Participants were 121 health professionals working in primary care in the 20 cities of 5th Regional Health Center of the state of Parana. Twenty-two focus groups were recorded, transcribed and analyzed by content analysis. Results: Five thematic categories emerged, of which two were analyzed in this study: actions that professionals consider to be mental health actions; mental health actions developed by Primary Care professionals. Final Considerations: Despite of the indications of inclusion of mental health actions in Primary Care, this relationship is still occasional and unplanned. Policies that foster this interaction from a psychosocial perspective are needed.

摘要
一、研究目的：从巴拉那州第五区域卫生中心所辖城市的医疗卫生专业人员视角，刻画基层医疗卫生（Primary Care）机构所提供的精神卫生服务现状。
二、研究方法：本研究为探索性定性研究。研究对象为巴拉那州第五区域卫生中心下辖20座城市的基层医疗卫生机构在岗医护人员，共计121名。共开展22场焦点小组（Focus Groups）访谈，对访谈内容进行录音、转录，并采用内容分析法（Content Analysis）开展分析。
三、研究结果：共提炼出5个主题类别，本研究仅对其中两类展开分析：其一为专业人员认定为精神卫生服务的相关举措；其二为基层医疗卫生专业人员开展的精神卫生服务行动。
四、研究结语：尽管已有相关指引明确将精神卫生服务纳入基层医疗卫生范畴，但此类服务的开展仍处于偶发、无规划的状态。亟需出台从社会心理视角出发、促进二者互动融合的相关政策。