Gastos com internações psiquiátricas no estado de São Paulo: estudo ecológico descritivo, 2014-2019

Bruna Moreno Dias; Heloisa França Badagnan; Silvana Proença Marchetti; Ariane Cristina Barboza Zanetti

doi:10.1590/s1679-49742021000200024

##article.authors##

Bruna Moreno Dias Universidade de São Paulo https://orcid.org/0000-0002-7346-4848
Heloisa França Badagnan Universidade de São Paulo https://orcid.org/0000-0001-9087-7671
Silvana Proença Marchetti Universidade de São Paulo https://orcid.org/0000-0001-8169-7636
Ariane Cristina Barboza Zanetti Universidade de São Paulo https://orcid.org/0000-0002-4458-3274

DOI:

https://doi.org/10.1590/s1679-49742021000200024

Keywords:

Hospital Costs, Health Expenditures, Mental Health, Hospitalization, Community Mental Health Centers, Ecological Studies

Abstract

Objective: To analyze spending on psychiatric hospitalizations in the State of São Paulo in the years 2014 and 2019. Methods: Descriptive ecological study, with data analysis of psychiatric hospital admissions in the State of São Paulo, obtained from the Hospital Information System. Results: 115,652 hospitalizations that occurred in 2014 and 79,355 that occurred in 2019 were analyzed (reduction of 31.38%). There were reductions in the amounts spent on psychiatric hospitalizations (-42.94%), with emphasis on urgency hospitalizations, of female patients (-46.46%), in the age groups of 15 to 49 years (-36.85%) and over 50 years (-51.54%). Conclusion: The reduction in the amounts spent and the frequency of psychiatric hospitalizations provide elements for the assessment and allocation of resources for mental health care, within the scope of hospital admissions and the use of community-based services.