Giel R, Harding T W
Br J Psychiatry. 1976 Jun;128:513-22. doi: 10.1192/bjp.128.6.513.
Many psychiatrists assert that an expansion of mental health services in the developing countries is overdue. This will only take place if: (i) the tasks of mental health care are undertaken by a wide range of non-specialist health workers, including those responsible for primary health care; and (ii) services are directed initially at a very limited range of priority conditions. The method of priority selection is discussed, and the process required for translation of priority decisions into health action is exemplified by two illustrations.
许多精神科医生断言,发展中国家早就应该扩大心理健康服务了。只有在以下情况下才会实现这一点:(i)心理健康护理任务由包括负责初级卫生保健的人员在内的广泛非专科卫生工作者承担;(ii)服务最初针对范围非常有限的优先病症。文中讨论了优先选择的方法,并通过两个实例说明了将优先决策转化为卫生行动所需的过程。