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    Agenda Nacional De Prioridades De Pesquisa Em Saúde No Brasil (Anpps): Revisão Da Subagenda Para A Saúde Mental
    (Universidade Federal de São Paulo (UNIFESP), 2017-04-20) Oliveira, Guilherme Gregorio De [UNIFESP]; Mari, Jair De Jesus [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: To present a review of sub-agenda 2, Mental Health, among the 24 sub-agendas of the 2006 National Health Research Priorities Agenda (ANPPS). Method: This research is a retrospective / descriptive cross-sectional study of data analysis collected by non-probabilistic sampling in previous research from the Ministries of Health and Science, Technology and Innovation. In 2010, Working Groups (WG) made the second revision of the ANPPS. Mental health had the participation of researchers from various areas of knowledge and from different regions of the country, and from managers and policy makers. Strategies validated internationally provided the WG the highlight of 110 initial themes, divided into research: epidemiological or priority establishment; to improve the efficiency of mental health systems; to increase funding and develop new mental health interventions. Of the total, the WG highlighted 35 priority themes, capable of generating: new knowledge and attention to ethics; effective result; sustainability, feasibility of financing and results of immediate implementation; reduction of global disease burden and impact on equity. Of these 35 priority issues, the 10 most and least important ones were highlighted. Results: Of the initial 110, 35 (32%) were related to the efficiency of health systems; 27 (25%) referred to epidemiology or studies to determine priorities; 19 (17%) corresponded to the indication of the implantation of new interventions; 18 (16%) cited research in the field of policies and systems; and 11 (10%) indicated a need for increased financing and increased interventions. Of the 35 highest scores, attention to mental health actions in Primary Health Care appeared 8 times (23%); reference to economic analysis, cost-effectiveness in 6 (17%), and equal frequency for evaluation of mental health programs and systems. Studies with children and adolescents, alcohol and other drugs and the elderly had a frequency of 6 (17%), 9 (26%) and 2 times, respectively. Among the 10 top ten questions was the mental health system in the community field. The method of cost-effectiveness evaluation had 40% of indications; 60% of the priorities would be in evaluation surveys and 40% intervention. Conclusions: The priorities agenda allows to point out, order, prioritize and increase the technical, political and social development of policies, aiming to increase the equity of mental health actions and services in integrality and intersectoriality, with direct interference in improving results, increasing access and coverage until the universalization of care. The agenda of xvii priorities involves all actors, in a transparent way, in search of the induction of research for the development of National System Health (SUS) and mental health. It seeks the interaction between the poles that train professionals and knowledge and evidence, and the knowledge accumulated in the regional centers of mental health services and systems. Prioritize investments in the continuing training of researchers, workers, managers and users and cost efficacy evidence policies. Descriptors: Mental Health Services Health Priorities Health Priorities Agenda Health Research Agenda Health Care Rationing Mental Health