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扩大加拿大心理治疗的可及性:借鉴澳大利亚和英国的成就。

Expanding access to psychotherapy in Canada: Building on achievements in Australia and the United Kingdom.

作者信息

Bartram Mary

机构信息

1 Faculty of Law, Institute for Health and Social Policy, McGill University, Montreal, Quebec, Canada.

出版信息

Healthc Manage Forum. 2019 Mar;32(2):63-67. doi: 10.1177/0840470418818581. Epub 2019 Jan 30.

Abstract

Australia and the United Kingdom have significantly expanded access to psychotherapy over the past decade. With this international experience to draw upon and a new $5 billion federal mental health transfer, Canada is well positioned to address long-standing gaps and inequities in access to psychotherapy. In Canada's more decentralized context, a concerted effort from health leaders at all levels of government and across multiple sectors and professions is needed to make the most of this opportunity for reform. Key priorities for health leaders include using the full range of provincial and territorial policy levers for either a grants-based or insurance-based approach; implementing a strong approach to performance monitoring, with equity targets built in from the outset; addressing gaps in workforce planning; and forming a pan-Canadian coalition for expanding access to psychotherapy.

摘要

在过去十年中,澳大利亚和英国显著扩大了心理治疗服务的可及性。借鉴这一国际经验,并基于一项新的50亿加元联邦心理健康转移支付,加拿大有充分条件来解决长期存在的心理治疗服务获取方面的差距和不平等问题。在加拿大更加分散化的背景下,各级政府以及多个部门和行业的卫生领域领导者需要共同努力,以便充分利用这一改革契机。卫生领域领导者的关键优先事项包括运用省级和地区的各类政策手段,采取基于拨款或基于保险的方法;实施强有力的绩效监测方法,从一开始就设定公平目标;解决劳动力规划方面的差距;以及组建一个泛加拿大联盟以扩大心理治疗服务的可及性。

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