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

Vinicius Tohoru Yoshiura (Corresponding Author), 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

Research output: Contribution to journalArticle

5 Citations (Scopus)
5 Downloads (Pure)

Abstract

Background
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.

Case presentation
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.

Conclusion
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.
Original languageEnglish
Article number1
Pages (from-to)1-10
Number of pages10
JournalInternational Journal of Mental Health Systems
Volume11
DOIs
Publication statusPublished - 3 Jan 2017

Fingerprint

Information Systems
Brazil
Delivery of Health Care
Psychiatry
Mental Health
Public Health
Technology
Information Dissemination
Social Welfare
Health
Medical Schools
Health Services
Hospital Emergency Service
Primary Health Care
Communication

Keywords

  • health information system
  • mental health
  • Public health informatics
  • Health management
  • Health networks

Cite this

Yoshiura , V. T., de Azevedo-Marques , J. M., Rzewuska, M., Vinci, A. L. T., Sasso, A. M., Miyoshi, N. S. B., ... Alves, D. (2017). A web-based information system for a regional public mental healthcare service network in Brazil. International Journal of Mental Health Systems , 11, 1-10. [1]. https://doi.org/10.1186/s13033-016-0117-z

A web-based information system for a regional public mental healthcare service network in Brazil. / Yoshiura , Vinicius Tohoru (Corresponding Author); de Azevedo-Marques , João Mazzoncini; Rzewuska, Magdalena; Vinci, André Luiz Teixeira ; Sasso, Ariane Morassi ; Miyoshi, Newton Shydeo Brandão ; Furegato, Antonia Regina Ferreira ; Rijo, Rui Pedro Charters Lopes ; Del-Ben, Cristina Marta ; Alves, Domingos.

In: International Journal of Mental Health Systems , Vol. 11, 1, 03.01.2017, p. 1-10.

Research output: Contribution to journalArticle

Yoshiura , VT, de Azevedo-Marques , JM, Rzewuska, M, Vinci, ALT, Sasso, AM, Miyoshi, NSB, Furegato, ARF, Rijo, RPCL, Del-Ben, CM & Alves, D 2017, 'A web-based information system for a regional public mental healthcare service network in Brazil' International Journal of Mental Health Systems , vol. 11, 1, pp. 1-10. https://doi.org/10.1186/s13033-016-0117-z
Yoshiura , Vinicius Tohoru ; de Azevedo-Marques , João Mazzoncini ; Rzewuska, Magdalena ; Vinci, André Luiz Teixeira ; Sasso, Ariane Morassi ; Miyoshi, Newton Shydeo Brandão ; Furegato, Antonia Regina Ferreira ; Rijo, Rui Pedro Charters Lopes ; Del-Ben, Cristina Marta ; Alves, Domingos. / A web-based information system for a regional public mental healthcare service network in Brazil. In: International Journal of Mental Health Systems . 2017 ; Vol. 11. pp. 1-10.
@article{c8afe895bf6847a4a2bf5168e610d2c8,
title = "A web-based information system for a regional public mental healthcare service network in Brazil",
abstract = "BackgroundRegional 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.Case presentationAfter 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.ConclusionWe 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.",
keywords = "health information system, mental health, Public health informatics, Health management, Health networks",
author = "Yoshiura, {Vinicius Tohoru} and {de Azevedo-Marques}, {Jo{\~a}o Mazzoncini} and Magdalena Rzewuska and Vinci, {Andr{\'e} Luiz Teixeira} and Sasso, {Ariane Morassi} and Miyoshi, {Newton Shydeo Brand{\~a}o} and Furegato, {Antonia Regina Ferreira} and Rijo, {Rui Pedro Charters Lopes} and Del-Ben, {Cristina Marta} and Domingos Alves",
note = "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 Cient{\'i}fico e Tecnol{\'o}gico’ (CNPq) and ‘Coordena{\cc}{\~a}o de Aperfei{\cc}oamento de Pessoal de N{\'i}vel Superior’ (CAPES)—Science Without Borders Programme.",
year = "2017",
month = "1",
day = "3",
doi = "10.1186/s13033-016-0117-z",
language = "English",
volume = "11",
pages = "1--10",
journal = "International Journal of Mental Health Systems",
issn = "1752-4458",
publisher = "BioMed Central",

}

TY - JOUR

T1 - A web-based information system for a regional public mental healthcare service network in Brazil

AU - Yoshiura , Vinicius Tohoru

AU - de Azevedo-Marques , João Mazzoncini

AU - Rzewuska, Magdalena

AU - Vinci, André Luiz Teixeira

AU - Sasso, Ariane Morassi

AU - Miyoshi, Newton Shydeo Brandão

AU - Furegato, Antonia Regina Ferreira

AU - Rijo, Rui Pedro Charters Lopes

AU - Del-Ben, Cristina Marta

AU - Alves, Domingos

N1 - 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.

PY - 2017/1/3

Y1 - 2017/1/3

N2 - BackgroundRegional 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.Case presentationAfter 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.ConclusionWe 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.

AB - BackgroundRegional 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.Case presentationAfter 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.ConclusionWe 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.

KW - health information system

KW - mental health

KW - Public health informatics

KW - Health management

KW - Health networks

U2 - 10.1186/s13033-016-0117-z

DO - 10.1186/s13033-016-0117-z

M3 - Article

VL - 11

SP - 1

EP - 10

JO - International Journal of Mental Health Systems

JF - International Journal of Mental Health Systems

SN - 1752-4458

M1 - 1

ER -