Sarah P. Jones (
Vikram Patel is cochair of the Mental Health Forum at WISH and a professor of international mental health and a Wellcome Trust Senior Fellow in clinical science at the Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, in the United Kingdom.
Health Aff (Millwood). 2014 Sep;33(9):1603-11. doi: 10.1377/hlthaff.2014.0380.
From 2011 to 2030, mental health conditions are projected to cost the global economy $16 trillion through lost labor and capital output. The gold standard of psychological interventions, one-on-one therapy, is too costly and too labor-intensive to keep up with the projected growth in demand for mental health services. Therefore, new solutions are needed to improve the efficiency of mental health care delivery and to increase patient self-care. Because 85 percent of the world's population has wireless signal coverage, there is an unprecedented opportunity for mobile technologies to incorporate psychological self-care into people's daily lives and relieve workforce shortages. In this article, we suggest that policy makers look to technology innovators for guidance. For example, Google's principles, called "Ten Things We Know To Be True," are useful for understanding the drivers of success in mobile technologies. For principles such as "focus on the user and all else will follow," we identify examples of how evidence-based mobile mental health technologies could increase patient self-care and reduce the demand for one-on-one psychological intervention.
从 2011 年到 2030 年，精神健康状况预计将通过劳动力和资本产出损失使全球经济损失 16 万亿美元。心理干预的黄金标准，即一对一的治疗，成本过高且劳动密集度大，无法满足预计对精神卫生服务需求的增长。因此，需要新的解决方案来提高精神卫生保健的效率并增加患者的自我护理。由于世界上 85%的人口都有无线信号覆盖，移动技术将心理自我护理融入人们日常生活并缓解劳动力短缺的机会前所未有。在本文中，我们建议决策者向技术创新者寻求指导。例如，谷歌的原则，称为“我们知道的十件事”，对于理解移动技术成功的驱动因素非常有用。对于“关注用户，其他一切都会随之而来”等原则，我们确定了基于证据的移动心理健康技术如何增加患者自我护理并减少对一对一心理干预的需求的例子。
