Nowels Molly A, VanderWielen Lynn M
1Department of Family Medicine,Colorado School of Public Health,University of Colorado School of Medicine,Aurora, CO,USA.
2Department of Family Medicine,Mental Health Center of Denver,University of Colorado School of Medicine,Aurora, CO,USA.
Prim Health Care Res Dev. 2018 Jan;19(1):96-98. doi: 10.1017/S146342361700041X. Epub 2017 Jul 20.
Comorbidity indices are commonly used in health services research as a measure of, or as a control for, the severity of a person's medical state. Currently, there is not a comorbidity index for mental health diagnoses, despite the fact that almost half of Americans have a diagnosable mental health condition at least once in their lifetime. This commentary calls for the integration of mental and behavioral health in comorbidity indices to appropriately account for the role of mental health in overall morbidity and mortality.
共病指数在卫生服务研究中通常被用作衡量个人医疗状况严重程度的指标,或作为一种控制变量。目前,尚无针对心理健康诊断的共病指数,尽管事实上近一半的美国人一生中至少有一次可诊断的心理健康状况。本评论呼吁在共病指数中纳入精神和行为健康因素,以适当考量心理健康在总体发病率和死亡率中的作用。