应用世界卫生组织《精神卫生行动计划》评估澳大利亚应对身心疾病共病问题的政策。
Applying the World Health Organization Mental Health Action Plan to evaluate policy on addressing co-occurrence of physical and mental illnesses in Australia.
作者信息
Happell Brenda, Platania-Phung Chris, Webster Stephanie, McKenna Brian, Millar Freyja, Stanton Robert, Galletly Cherrie, Castle David, Furness Trentham, Liu Dennis, Scott David
机构信息
Research Centre for Nursing and Midwifery Practice, University of Canberra, Faculty of Health. Building 6, Level 3, Canberra Hospital, PO Box 11, Woden, ACT 2606, Australia.
Independent Consumer Academic, Life Expectancy Advocate (Mental Health).
出版信息
Aust Health Rev. 2015 Sep;39(4):370-378. doi: 10.1071/AH14098.
OBJECTIVES
The aim of the present study was to document Australian policies on the physical health of people with mental illness and evaluate the capacity of policy to support health needs.
METHODS
A search of state and federal policies on mental and physical illness was conducted, as well as detailed analysis of policy content and the relationships between policies, by applying the World Health Organization Mental Health Action Plan 2013-2020 as an evaluative framework.
RESULTS
National policy attention to the physical health of people with mental illness has grown, but there is little interconnection at the national and state levels. State policies across the country are inconsistent, and there is little evidence of consistent policy implementation.
CONCLUSIONS
A coherent national health policy framework on addressing co-occurring physical and mental illnesses that includes healthcare system reforms and ensuring the interconnectedness of other relevant services should be prioritised.
目的
本研究旨在记录澳大利亚关于精神疾病患者身体健康的政策，并评估政策满足健康需求的能力。
方法
通过搜索州和联邦层面关于精神疾病和身体疾病的政策，并运用世界卫生组织《2013 - 2020年精神卫生行动计划》作为评估框架，对政策内容以及政策之间的关系进行详细分析。
结果
国家对精神疾病患者身体健康的政策关注度有所提高，但国家和州层面之间几乎没有相互联系。全国各州的政策不一致，几乎没有证据表明政策得到了一致实施。
结论
应优先制定一个连贯的国家卫生政策框架，以应对同时存在的身体和精神疾病，其中包括医疗体系改革以及确保其他相关服务的相互关联性。
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