42 个中低收入国家的精神卫生服务：世卫组织-国际药物滥用和精神卫生调查跨国分析。
Mental health services in 42 low- and middle-income countries: a WHO-AIMS cross-national analysis.
机构信息
Department of Mental Health and Substance Abuse, World Health Organization (WHO), Geneva.
出版信息
Psychiatr Serv. 2011 Feb;62(2):123-5. doi: 10.1176/ps.62.2.pss6202_0123.
OBJECTIVE
The authors describe characteristics and capacities of mental health systems in low- and middle-income countries.
METHODS
The World Health Organization Assessment Instrument for Mental Health Systems was used to assess services in 42 countries (13 low-, 24 lower-middle, and five upper-middle income).
RESULTS
Of 36 countries with a mental health plan, 90% include the goal of developing community services. However, inpatient facilities are the main service providers, with less than one community contact (.70) for each inpatient day. Mental hospitals consume 80% of mental health budgets, and outpatient care is limited.
CONCLUSIONS
Mental health services in participating countries are limited and often hospital based.
目的
作者描述了中低收入国家精神卫生系统的特点和能力。
方法
使用世界卫生组织精神卫生系统评估工具评估了 42 个国家（13 个低收入、24 个中下收入和 5 个中上收入）的服务情况。
结果
在有精神卫生计划的 36 个国家中，90%的国家都包括发展社区服务的目标。然而，住院服务仍是主要的服务提供形式，每 1 天住院治疗仅能提供 0.70 次社区接触。精神科医院消耗了 80%的精神卫生预算，而门诊服务则很有限。
结论
参与国家的精神卫生服务有限，且通常以医院为基础。
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