Leonardi Matilde, Ustun T Bedirhan
Evidence and Information for policy Cluster/EIP, World Health Organization, Geneva, Switzerland.
Epilepsia. 2002;43 Suppl 6:21-5. doi: 10.1046/j.1528-1157.43.s.6.11.x.
We briefly describe the Global Burden of Diseases (GBD) study, its goals, and some of its outcomes as related to neurologic and psychiatric disorders. The summary measure of population health DALYs (Disability Adjusted Life Years) are described, as well as the implications for neuropsychiatric disorders of changing health indicators and the move from mortality toward disability indicators. The pressing need for new measures for health is answered by the new WHO Classification of Functioning Disability and Health, ICF, and a brief summary of its basic principles is provided. Although a better understanding of the physical, social, and economic burden of epilepsy has moved this disorder higher on the world's agenda, epilepsy still has problems to be recognized as a public health priority. The implications of a shift toward considering the disability of epilepsy, as outlined in the the WHO World Health Report 2001, are important. The burden of epilepsy is high and, for the year 2000, accounts for approximately 0.5% of the whole burden of diseases in the world.
我们简要介绍全球疾病负担（GBD）研究、其目标以及一些与神经和精神障碍相关的成果。描述了衡量人群健康的综合指标伤残调整生命年（DALYs），以及健康指标变化和从死亡率指标向伤残指标转变对神经精神障碍的影响。世界卫生组织新的《国际功能、残疾和健康分类》（ICF）回应了对新的健康衡量指标的迫切需求，并简要概述了其基本原则。尽管对癫痫的身体、社会和经济负担有了更好的理解，使这种疾病在世界议程上的地位有所提高，但癫痫仍存在一些问题，尚未被视为公共卫生重点。如《2001年世界卫生报告》所述，转向考虑癫痫残疾问题的影响十分重要。癫痫负担沉重，在2000年约占全球疾病总负担的0.5%。
