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[智利国家心理健康计划:十年经验]

[The National Mental Health Plan in Chile: 10 years of experience].

作者信息

Minoletti Alberto, Zaccaria Alessandra

机构信息

Departamento de Salud Mental, Ministerio de Salud, Santiago, Chile.

出版信息

Rev Panam Salud Publica. 2005 Oct-Nov;18(4-5):346-58. doi: 10.1590/s1020-49892005000900015.

Abstract

Dealing with mental health problems is undoubtedly an increasingly important public health responsibility around the world. In Chile, because of the changes in the epidemiological profile of the population, the lifetime prevalence of mental and behavioral disorders has reached 36%. In response, the Ministry of Health of Chile, through its Mental Health Unit, prepared the National Plan for Mental Health and Psychiatry. The Plan establishes objectives, strategies, and steps to improve the well-being and mental health of Chileans. This piece describes the model of care for mental health and psychiatry used in Chile's public health care system, analyzes the main difficulties encountered and the achievements made in the 10 years that the Plan has been in place, and makes recommendations for improving the Plan. Over the 10-year period, the new model for mental health and psychiatry has managed to make a place for itself in the public health care system. Indicators show that the beneficiaries of the public health care system in Chile now have greater access to mental health services than before the new model of community care was established, have broader health care coverage, and receive better quality services.

摘要

应对心理健康问题无疑是全球日益重要的一项公共卫生职责。在智利,由于人口流行病学特征的变化,精神和行为障碍的终生患病率已达36%。作为回应,智利卫生部通过其心理健康部门制定了《国家心理健康与精神病学计划》。该计划确立了改善智利人福祉和心理健康的目标、战略及步骤。本文描述了智利公共卫生保健系统中使用的心理健康与精神病学护理模式,分析了该计划实施10年来遇到的主要困难和取得的成就,并对改进该计划提出了建议。在这10年期间,心理健康与精神病学的新模式已成功在公共卫生保健系统中占据一席之地。指标显示,与社区护理新模式建立之前相比,智利公共卫生保健系统的受益者现在能够更便捷地获得心理健康服务,拥有更广泛的医疗保健覆盖范围,并能获得质量更高的服务。

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