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[智利的心理健康融资:一笔未偿债务]

[Mental health financing in Chile: a pending debt].

作者信息

Errázuriz Paula, Valdés Camila, Vöhringer Paul A, Calvo Esteban

出版信息

Rev Med Chil. 2015 Sep;143(9):1179-86. doi: 10.4067/S0034-98872015000900011.

Abstract

In spite of the high prevalence of mental health disorders in Chile, there is a significant financing deficit in this area when compared to the world's average. The financing for mental health has not increased in accordance with the objectives proposed in the 2000 Chilean National Mental Health and Psychiatry Plan, and only three of the six mental health priorities proposed by this plan have secure financial coverage. The National Health Strategy for the Fulfilment of Health Objectives for the decade 2011-2020 acknowledges that mental disorders worsen the quality of life, increase the risk of physical illness, and have a substantial economic cost for the country. Thus, this article focuses on the importance of investing in mental health, the cost of not doing so, and the need for local mental health research. The article discusses how the United States is trying to eliminate the financial discrimination suffered by patients with mental health disorders, and concludes with public policy recommendations for Chile.

摘要

尽管智利心理健康障碍的患病率很高,但与世界平均水平相比,该领域仍存在显著的资金缺口。心理健康方面的资金投入并未按照《2000年智利国家心理健康与精神病学计划》提出的目标增加,该计划提出的六项心理健康优先事项中只有三项有可靠的资金覆盖。《2011 - 2020年实现健康目标国家卫生战略》承认,精神障碍会降低生活质量、增加身体疾病风险,并给国家带来巨大经济成本。因此,本文重点关注心理健康投资的重要性、不投资的代价以及开展本地心理健康研究的必要性。文章讨论了美国如何试图消除心理健康障碍患者所遭受的资金歧视,并最后提出了针对智利的公共政策建议。

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