LUCIANA COFIEL MARIN
Projetos de Pesquisa
Unidades Organizacionais
LIM/23 - Laboratório de Psicopatologia e Terapêutica Psiquiátrica, Hospital das Clínicas, Faculdade de Medicina
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conferenceObject DETECTING DISSONANCE IN CLINICAL AND RESEARCH WORKFLOWS FOR TRANSLATIONAL PSYCHIATRIC REGISTRIES(2012) COFIEL, Luciana; BASSI, Debora; PIETROBON, Ricardo; BRENTANI, HelenaData capture process is an important step in health care research, but it often receives little attention on research design number of flaws. To the best of our knowledge, no previous studies have developed standards that would allow for the comparison of workflow models of clinical and research activities and the improvement of the data collection process. In the present study we developed workflow models for a translational research study in psychiatry and for the clinic where it was implemented. Models were used for workflow comparison and identification of dissonances between both, qualitative standards and a corresponding taxonomy arose and workflow re-engineering was proposed and implemented.- Telemental health in Brazil: past, present and integration into primary care(2015) DIAS, Rodrigo Da Silva; MARQUES, Andrea De Fatima Horvath; DINIZ, Paula Rejane Bezerra; SILVA, Tatiana Araújo Bertilino Da; COFIEL, Luciana; MARIANI, Mirella Martins De Castro; SALGADO, Christiana Leal; OLIVEIRA, Ana Emilia Figueiredo De; MIGUEL FILHO, Euripedes Constantino; WEN, Chao Lung; NOVAES, Magdala De Araújo; TAVARES, HermanoBackground Telemental Health Care has reported very good results and is included within mental health priorities by the World Health Organization. Objective To provide an overview of the current situation of the integration of Brazilian telemedicine activities into primary health care. Methods Critical review based on MEDLINE database, using the keywords “telemedicine”, “primary health care” “mental health” and “telemental health”, on websites of the Brazilian Ministry of Health and Brazilian Telehealth Network Program, and on personal communication. Results The Brazilian Telehealth Network Program is well positioned and connects primary health care with academic centers. Regulations standards allow a broader scope of activities for psychologists, however, are more restrictive for physicians. In Brazil most of telemental health activities are focused on education and second opinion consulting. A huge challenge must be overcome considering the regional differences and the telehealth implementation experience. Research initiatives have been initiated both in the implementation and evaluation of the mental health assistance into primary health care. Discussion Brazilian Telemental Health initiatives into Primary Care are aligned with other examples around the world, have a great potential for improving mental health care service delivery, and access to proper mental health care, especially if articulated in a national program and coordinated research.
conferenceObject ELECTRONIC HEALTH RECORDS NEEDS FROM THE PSYCHIATRY POINT OF VIEW: THE RESULT OF A 18 MONTH IMPLEMENTATION EXPERIENCE(2013) COFIEL, Luciana; RAY, Ryan Kumar; DIAS, Rodrigo; ROEDEL, Priscila Matias; GUTIERREZ, Marco Antonio; BRENTANI, HelenaThis case report presents the perceived benefits and limitations for patient care of an electronic health record (EHR) system implemented at a tertiary psychiatric institution. The information collection period began with training of users at the beginning of the implementation until 18 months post-implementation. Perceived benefits were related to administrative aspects and information sharing among the healthcare team. Some specialized psychiatric processes were not supported by the system, which limited the benefits for research and specialized patient care. Functioning as a best practice it is therefore necessary to evaluate the EHR system regarding its capacity to support specific processes of this particular medical specialty.