Rosenberg Sebastian, Hickie Ian
Mental Health Policy, Brain and Mind Research Institute, University of Sydney, Sydney, NSW, Australia.
Australas Psychiatry. 2010 Dec;18(6):496-502. doi: 10.3109/10398562.2010.525642.
This paper proposes a framework for a systematic evaluation of the Better Access Program, the largest single component of mental health reform announced under the Council of Australian Governments National Action Plan on Mental Health 2006-11.
The article explores the genesis of the Program and considers extant data sets and information available with which to establish the impact of the Program on consumers and service providers.
There are useful data available in Australia from which to derive pre- and post-implementation analysis about the impact of the Better Access Program. There is doubt as to whether these data form part of the Federal Government's current approach to evaluation of the Program.
Anything less than a genuine and comprehensive evaluation will leave Australia unable to assess the real impact of the Better Access Program. The merit of further expenditure in the vital area of primary mental health care will be in doubt as a consequence.
本文提出了一个系统性评估“改善就医计划”的框架，该计划是根据澳大利亚政府理事会2006 - 2011年国家心理健康行动计划宣布的心理健康改革中最大的单一组成部分。
本文探讨了该计划的起源，并考虑了现有数据集以及可用于确定该计划对消费者和服务提供者影响的信息。
澳大利亚有可用的有用数据，可据此进行关于“改善就医计划”实施前后影响的分析。但这些数据是否构成联邦政府当前评估该计划方法的一部分存在疑问。
若没有真正全面的评估，澳大利亚将无法评估“改善就医计划”的实际影响。因此，在初级心理健康护理这一关键领域进一步支出的合理性也会受到质疑。
