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为印度老年心理健康护理服务做好未来准备:培训与政策方向

Future-Proofing Geriatric Mental Health Care Services in India: Training and Policy Directions.

作者信息

Philip Sharad, Gajera Gopi, Nirisha P Lakshmi, Sivakumar Palanimuthu Thangaraju, Barikar Malathesh C, Panday Praveen, Patley Rahul, Chander Rakesh, Sinha Preeti, Basavarajappa Chethan, Manjunatha Narayana, Kumar Channaveerachari Naveen, Math Suresh Bada

机构信息

Dept. of Psychiatry, NIMHANS, Bengaluru, Karnataka, India. 2Geriatric Clinic and Services, Dept. of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, India.

出版信息

Indian J Psychol Med. 2021 Sep;43(5 Suppl):S134-S141. doi: 10.1177/02537176211032342. Epub 2021 Aug 24.

Abstract

BACKGROUND

A burgeoning rise in the elderly subpopulation is being noted in India. This rise has already earned the designation as a shining nation by the United Nations/World Health Organization. This growth will take the elderly subpopulation to 324 million persons above 60 years by 2050. The mental health needs of this subpopulation are varied and nuanced compared to that of the general population. The risk and prevalence of mental health morbidity are also greater. There is an urgent need to gear up the health care systems.

CONSIDERATIONS

Various aspects of the ongoing demographic transitions are considered alongside available health information. Legislative mandates and laws are also reviewed to provide context to qualify the action points and recommendations. Recommendations, India must act urgently to strengthen health care delivery systems in a concurrent multipronged approach. These efforts should focus on developing trained Human Resources and adequate infrastructural resources. Review mechanisms to inform on required updates on best practices and evidence-based medicine must also be incorporated and developed to perform periodically.

摘要

背景

印度老年人口数量正在迅速增长。这一增长已使印度获得联合国/世界卫生组织授予的“闪耀之国”称号。到2050年,这一增长将使60岁以上老年人口达到3.24亿。与普通人群相比,这一亚人群的心理健康需求多样且细微。心理健康发病率的风险和患病率也更高。迫切需要加强医疗保健系统。

考量因素

在考虑当前人口结构转变的各个方面时,结合了现有的健康信息。还审查了立法授权和法律,以为行动要点和建议提供背景。建议印度必须紧急采取行动,以并行的多管齐下方法加强医疗保健服务体系。这些努力应侧重于培养训练有素的人力资源和充足的基础设施资源。还必须纳入并定期建立审查机制,以了解最佳实践和循证医学的所需更新情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aac8/8543623/246357d12e5a/10.1177_02537176211032342-fig1.jpg

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