柬埔寨的心理健康服务可及性、发展和研究重点制定 - 一个后冲突国家。
Mental health service accessibility, development and research priority setting in Cambodia - a post-conflict nation.
机构信息
School of Social Policy, Social Work and Social Justice, University College Dublin, Dublin, Ireland.
School of Psychology, Royal University of Phnom Penh, Phnom Penh, Cambodia.
出版信息
BMC Health Serv Res. 2023 Feb 22;23(1):183. doi: 10.1186/s12913-023-09187-z.
BACKGROUND
The limited health and social care infrastructure that existed in the 1970s in Cambodia was destroyed due to the Khmer Rouge. Mental Health service infrastructures have developed in Cambodia in the last twenty five years, however, they have been shaped significantly by very limited funding being made available for human resources, support services and research. The lack of research on Cambodia's mental health systems and services is a significant barrier to the development of evidence-based mental health policies and practice. In order to address this barrier, effective research and development strategies are needed in Cambodia, which are based on locally well-informed research priorities. There are many possibilities for mental health research in LMIC countries such as Cambodia, therefore focused research priorities in these areas are needed to guide future research investment. This paper is the result of the development of international collaborative workshops, which focused on service mapping and research priority setting in the field of mental health in Cambodia.
METHODS
A nominal group technique was used to gather ideas and insights from a range of key mental health service stakeholders in Cambodia.
RESULTS
The key issues in service provisions for people with mental health issues and disorders, the interventions and programmes of support available, and currently needed, were identified. This paper also identifies five key mental health research priority areas which could form the basis for effective mental health research and development strategies in Cambodia.
CONCLUSION
There is a clear need for the Cambodian government to devise a clear policy framework for health research. This framework could focus on the five research domains identified in this paper and could be incorporated within its National Health Strategic plans. The implementation of this approach would likely lead to the development of an evidence base which would allow the development of effective and sustainable strategies for mental health problem prevention and intervention. This would also contribute to promote the Cambodian government's capacity to take the deliberate, concrete, and targeted steps necessary to address the complex mental health needs of its population.
背景
20 世纪 70 年代，柬埔寨的卫生和社会保健基础设施有限，这是由于红色高棉的破坏。在过去的二十五年中，柬埔寨的精神卫生服务基础设施得到了发展，然而，由于人力资源、支持服务和研究的资金非常有限，这些基础设施发生了重大变化。柬埔寨缺乏关于精神卫生系统和服务的研究，这是制定基于证据的精神卫生政策和实践的一个重大障碍。为了解决这一障碍，柬埔寨需要制定有效的研究和发展战略，这些战略基于当地了解的研究优先事项。柬埔寨等中等收入国家有许多精神卫生研究的可能性，因此需要在这些领域制定重点研究优先事项，以指导未来的研究投资。本文是在国际合作研讨会的基础上发展起来的，这些研讨会的重点是柬埔寨精神卫生领域的服务图和研究优先事项的确定。
方法
采用名义群体技术，从柬埔寨一系列主要精神卫生服务利益相关者那里收集意见和见解。
结果
确定了为有精神健康问题和障碍的人提供服务、现有和当前需要的支持干预措施和方案方面的关键问题。本文还确定了五个关键的精神卫生研究优先领域，这些领域可以作为柬埔寨有效精神卫生研究和发展战略的基础。
结论
柬埔寨政府显然需要制定明确的卫生研究政策框架。该框架可以集中在本文确定的五个研究领域，并可以纳入其国家卫生战略计划。实施这一方法可能会导致建立一个证据基础，从而制定出预防和干预精神卫生问题的有效和可持续战略。这也将有助于提高柬埔寨政府应对其人口复杂精神卫生需求的能力，采取深思熟虑、具体和有针对性的步骤。
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