Department of Psychiatry, Stanley Medical College, Member of Senate and President Faculty of Medical Specialties, The Tamil Nadu Dr. MGR Medical University, Chennai, India.
Indian J Psychiatry. 2010 Jan;52(Suppl 1):S83-8. doi: 10.4103/0019-5545.69218.
India is the second most populous country in the world, with an estimated current population of 1.17 billion. This article aims to estimate the deficit of psychiatrists in India in relation to epidemiological burden of mental illness, propose short-term and long-term strategies to tackle the deficit and emphasize the importance of modifying the curriculum of undergraduate medical education to enable the proposed strategies. With 6.5% prevalence of serious mental disorder, the average national deficit of India is estimated to be 77%. More than one-third of the population has more than 90% deficit of psychiatrists. The authors estimated that the undergraduate medical curriculum devotes only 1.4% of lecture time and 3.8-4.1% of internship time to psychiatry, thereby leaving the general practitioners and the non-psychiatrist specialists unprepared to competently deal with mental illness in their practice. We propose short and long-term strategies to manage this deficit of psychiatrists.
印度是世界上人口第二多的国家,目前估计人口为 11.7 亿。本文旨在评估印度精神科医生的短缺情况与精神疾病的流行病学负担之间的关系,提出短期和长期策略来解决这一短缺问题,并强调修改本科医学教育课程的重要性,以实施这些策略。按照严重精神障碍 6.5%的患病率计算,印度的平均短缺人数估计为 77%。超过三分之一的人口的精神科医生短缺率超过 90%。作者估计,本科医学课程仅用 1.4%的课时和 3.8-4.1%的实习时间来教授精神病学,从而使普通医生和非精神科专家在实践中无法胜任处理精神疾病的工作。我们提出了短期和长期策略来管理精神科医生的短缺问题。