RESUMO
Se presentarán los resultados de la UBACYT 2008-2010¹ "Análisis comparativo de la demanda e intervenciones en la urgencia en salud mental" en cuatro hospitales del MERCOSUR: Hospital San Isidro (Buenos Aires - Argentina), Hospital San Bernardo (Salta - Argentina), Hospital Maciel (Uruguay) y Hospital Das Clínicas (Brasil), en relación a la incidencia de la transferencia imaginaria en la elección del hospital en el momento que surge una urgencia en Salud Mental. Se administraron 714 protocolos a quienes concurrieron al servicio de urgencias de dichos hospitales entre el 1 de septiembre al 31 de diciembre del 2008. En el artículo se relevan, describen y comparan datos obtenidos sobre el contexto "elección del hospital" a partir de lo hallado en la investigación. Son algunas conclusiones: el 62,7% de los consultantes llega a la institución por elección de otro. Se subraya la necesidad de realizar las intervenciones necesarias para que el sujeto pueda apropiarse, en un principio de la demanda, luego de la urgencia. Al diferenciar la demanda del acompañante y ubicar su función en el escenario de la crisis que llevó a la consulta, se lo podrá incluir como parte de la estrategia de resolución de la urgencia de considerarlo necesario.
The results of the UBACyT 2008-2010 research "Comparative analysis of emergency mental health interventions and their demand" in four hospitals of MERCOSUR: Hospital Central de San Isidro de la Provincia (Buenos Aires - Argentina), Hospital San Bernardo (Salta - Argentina), Hospital Maciel (Montevideo - Uruguay) y el Hospital Das Clínicas (Belo Horizonte - Brasil) are presented in relation with the incidence of the imaginary transference in hospital choice when appears an urgency in mental health. 714 protocols were administered to those who attended the emergency room of these hospitals between September 1st and December 31st 2008. In the following article is reveled, described and compared data about the context "hospital choice" from conclusions of the research. Some of the conclusions are: 62,7% of those who attend- ed the emergency room arrived at the institution because of someone else's choice It is highlighted the need to carry out the necessary interventions that the subject can appropriate, on the beginning of the demand, after the urgency. When differentiated the demand of the accompanist and situated its function in the scene of the crisis that had lead to the consult, it can be included as a part of the strategy in urgency resolution when needed.
RESUMO
This research is based on the Consumption Values theory proposed by Sheth(1991). The purpose of this research is finding the factors related to the process of hospital choice. The expectation of six hospital outpatients 600 was analyzed by six consumption values categories: functional values, social values, emotional value, rarity value, situational values, health related values. The main results of this research is as following; 1. In the result of factor analysis 22 consumption value factors which affect the hospital preference were extracted; kindness/clearness, service speed, comfortabness of space, technical competence in functional values, high income/active social life, low income/blue calar, unmarried/man, middle aged/big family, woman/married, introvert in social values, high-class, comfortableness, reliability in emotional value, newness, classiness in rarity value, social relationship, close to residence, social reputation in situational values, priority on health, health behavior, active sense of value on health in health related values. 2. The difference of consumption values among hospital types were analyzed. The critical factors in reference for corporate hospitals newly established were kindness/ clearness, service speed, convenience, classiness, comfortableness, and newness. University hospitals were preferred by the factors of reliability, and social reputation. In general hospital, convenience and close to residence were critical factor. 3. In logistic regression, age, marital status, education level and income as sociodemographic variables were significaltly related to general hospital choice. Also service speed and close to residence were positively and high income/active social life and high class value were negatively related to general hospital choice. On university hospital choice, age and marital status, education show posive relationship whereas income showing negative relationship. Kindness/clearness, service speed, comfortableness of space, unmarried/man, comfortable feeling, newness and close to residence showed negative relationship with university hospital selection whereas technical competence, reliability in emotional value, classiness in rarity value, social relationship in functional values showed positive relationship. Lastly kindness/clearness, comfortableness of space, high income/active social life, unmarried/man, high-class, comfortableness and newness were positively related to corporate hospitals newly established choice in contast to negative relationship in reliability in emotional value and classiness. In summary, we found that hospital user also choose to hospital in base of various consumption value. Further studis to investigate the hospital consumer behavior will be needed.