澳大利亚的“更好获取”计划：它对人口心理健康产生影响了吗？
Australia's 'Better Access' scheme: Has it had an impact on population mental health?
机构信息
Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.
出版信息
Aust N Z J Psychiatry. 2018 Nov;52(11):1057-1062. doi: 10.1177/0004867418804066. Epub 2018 Oct 4.
BACKGROUND
Australia introduced the Better Access scheme in late 2006, which resulted in a large increase in the provision of mental health services by general practitioners (GPs), clinical psychologists, other psychologists and allied health professionals. It is unknown whether this increase in services has had an effect on the mental health of the population.
METHODS
The following data were examined: per capita use of mental health services provided by GPs, clinical psychologists, other psychologists, allied health professionals and psychiatrists from 2006 to 2015 according to the Australian Government Department of Human Services; prevalence of psychological distress in adults (as measured by the K10) from National Health Surveys in 2001, 2004-2005, 2007-2008, 2011-2012 and 2014-2015; and the annual suicide rate from 2001 to 2015 according to the Australian Bureau of Statistics.
RESULTS
The large increase in the use of mental health services after the introduction of the Better Access scheme had no detectable effect on the prevalence of very high psychological distress or the suicide rate.
CONCLUSION
Better Access has not had a detectable effect on the mental health of the Australian population.
背景
澳大利亚在 2006 年末推出了更好的准入计划，这导致全科医生（GP）、临床心理学家、其他心理学家和其他心理健康专业人员提供的心理健康服务大幅增加。目前尚不清楚服务的增加是否对人口的心理健康产生了影响。
方法
我们检查了以下数据：根据澳大利亚政府人类服务部的数据，2006 年至 2015 年期间，GP、临床心理学家、其他心理学家、心理健康专业人员和精神科医生提供的心理健康服务的人均使用率；2001 年、2004-2005 年、2007-2008 年、2011-2012 年和 2014-2015 年全国健康调查中成年人心理困扰的流行率（以 K10 衡量）；以及根据澳大利亚统计局的数据，2001 年至 2015 年期间的年自杀率。
结果
更好的准入计划推出后，心理健康服务的大量增加对非常高的心理困扰或自杀率没有明显影响。
结论
更好的准入计划对澳大利亚人口的心理健康没有明显影响。
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