将严重精神疾病视为差异类别是合理的。
The Case for Severe Mental Illness as a Disparities Category.
机构信息
Dr. Goldman and Dr. Pincus are with the Department of Psychiatry, Columbia University, New York City, and Ms. Spaeth-Rublee is with the New York State Psychiatric Institute, New York City. Dr. Pincus is also with NewYork-Presbyterian Hospital, New York City.
出版信息
Psychiatr Serv. 2018 Jun 1;69(6):726-728. doi: 10.1176/appi.ps.201700138. Epub 2018 Feb 15.
Abstract
Extensive evidence documents that people with severe mental illness have higher rates of morbidity and mortality compared with the general population and receive lower-quality and higher-cost health care. These trends, at least in part, stem from discrimination, exclusion, widespread stigma, and criminalization of individuals with mental illness. As such, severe mental illness should receive formal, national recognition as a disparities category. Such a designation would have multiple important implications in health policy, services and quality research, and advocacy.
摘要
大量证据表明，严重精神疾病患者的发病率和死亡率均高于普通人群，且获得的医疗保健质量较差、费用较高。这些趋势至少部分源于对精神疾病患者的歧视、排斥、普遍污名化和定罪。因此，严重精神疾病应作为一个差异类别，得到正式的国家认可。这种指定将对卫生政策、服务和质量研究以及宣传方面具有多重重要意义。
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