Whiteford Harvey, Ferrari Alize, Degenhardt Louisa
Harvey Whiteford (
Alize Ferrari is a research fellow at the Queensland Centre for Mental Health Research, in Brisbane.
Health Aff (Millwood). 2016 Jun 1;35(6):1114-20. doi: 10.1377/hlthaff.2016.0082.
Global Burden of Disease studies have highlighted mental and substance use disorders as the leading cause of disability globally. Using the studies' findings for policy and planning requires an understanding of how estimates are generated, the required epidemiological data are gathered, disability and premature mortality are defined and counted, and comparative risk assessment for risk-factor analysis is undertaken. The high burden of mental and substance use disorders has increased their priority on the global health agenda, but not enough to prompt concerted action by governments and international agencies. Using Global Burden of Disease estimates in health policy and planning requires combining them with other information such as evidence on the cost-effectiveness of interventions designed to reduce the disorders' burden. Concerted action is required by mental health advocates and policy makers to assemble this evidence, taking into account the health, social, and economic challenges facing each country.
全球疾病负担研究已将精神和物质使用障碍列为全球残疾的主要原因。将这些研究结果用于政策制定和规划,需要了解估计数是如何得出的、所需的流行病学数据是如何收集的、残疾和过早死亡是如何定义和计算的,以及如何进行风险因素分析的比较风险评估。精神和物质使用障碍的高负担已提高了它们在全球卫生议程上的优先地位,但还不足以促使各国政府和国际机构采取协调一致的行动。将全球疾病负担估计数用于卫生政策和规划,需要将它们与其他信息相结合,如关于旨在减轻这些疾病负担的干预措施成本效益的证据。心理健康倡导者和政策制定者需要采取协调一致的行动来收集这些证据,同时考虑到每个国家面临的卫生、社会和经济挑战。