MODELOS DE CUIDADO COLABORATIVO NA ATENÇÃO PRIMÁRIA PARA DEPRESSÃO E ANSIEDADE: EFETIVIDADE, ADESÃO E DESFECHOS CLÍNICO-FUNCIONAIS
DOI:
https://doi.org/10.71248/t4nwx204Palavras-chave:
Adesão ao Tratamento, Atenção Primária à Saúde, Depressão, Prestação Integrada de Cuidados de Saúde, Transtornos de AnsiedadeResumo
Objetivo: analisar os efeitos de modelos de cuidado colaborativo na Atenção Primária à Saúde (APS) para depressão e ansiedade, considerando efetividade, adesão e desfechos clínico-funcionais. Método: revisão integrativa (Whittemore e Knafl), conforme PRISMA, com busca nas bases MEDLINE, LILACS, BDENF, IBECS e Index Psi Periódicos, em português, inglês e espanhol. Resultados: 17 estudos indicaram que intervenções com care manager, cuidado baseado em medidas (PHQ-9/GAD-7), psicoterapia estruturada (presencial, digital ou telefônica), manejo farmacológico, stepped care e consultoria psiquiátrica tendem a reduzir sintomas depressivos e, com menor consistência, ansiosos; a adesão é pouco reportada, mas pode aumentar com seguimento proativo e melhor organização do fluxo assistencial; os efeitos variaram conforme intensidade do acompanhamento e fidelidade de implementação, sendo mais frágeis quando houve perdas elevadas. Conclusão: modelos colaborativos na APS são promissores, porém exigem monitoramento sistemático de adesão e funcionalidade e estratégias de sustentação no longo prazo.
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