Tannenbaum Cara, Lexchin Joel, Tamblyn Robyn, Romans Sarah
Associate Professor of Medicine, Centre de recherche, Institut universitaire de gériatrie de Montréal.
Healthc Policy. 2009 Nov;5(2):e177-86.
Accurate measurement and improvement of population mental health requires the recording of indicators that capture the full spectrum of disease severity. This paper describes four different strategies for measuring the prevalence of depression and anxiety in Canada based on data from the 2002 Canadian Community Health Survey - Mental Health and Well-being (Cycle 1.2) and the 2003 Quebec medical services claims database. The use of multiple indicators provides a more comprehensive picture of mental health needs than a single indicator alone. However, the validity of these indicators raises certain challenges and highlights the complexity of obtaining valid and sustainable measurements of mental health problems over time. We include a discussion of problems related to information availability and management.
准确测量和改善人群心理健康需要记录能够反映疾病严重程度全谱的指标。本文基于2002年加拿大社区健康调查——心理健康与幸福（第1.2轮）以及2003年魁北克医疗服务理赔数据库的数据，描述了四种测量加拿大抑郁症和焦虑症患病率的不同策略。使用多个指标比单独使用一个指标能更全面地反映心理健康需求。然而，这些指标的有效性带来了某些挑战，并凸显了随着时间推移获得心理健康问题有效且可持续测量结果的复杂性。我们讨论了与信息可得性和管理相关的问题。
