Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Department of Neurological Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, USA.
Int J Soc Psychiatry. 2023 Dec;69(8):1958-1970. doi: 10.1177/00207640231182358. Epub 2023 Jun 23.
Bipolar disorders (BD) are significant debilitating mental problems. Here, we introduced a novel index as a representative of the quality of care delivered to BD patients worldwide.
The Global Burden of Disease (GBD) 2019 study was the primary data source on BD, including prevalence, incidence, and years lived with disability (YLDs). Secondary indices were created and transformed into a single component that accounted for most of the variation, using the Principal Component Analysis (PCA) method. This component, reported on a scale of 0 to 100, was presented as the quality of care index (QCI). The QCI was estimated in different age groups and areas within a 30-year time frame. Gender disparity ratio (GDR), as the female-to-male ratio of the QCI, was reported.
The Global QCI slightly increased from 50.4 in 1990 to 53.1 in 2019. The GDR value was 0.95 in 2019. The high-middle SDI quintile had the highest QCI estimate of 63.0, and the lowest QCI value of 36.9 was regarding the low SDI quintile. Western-Pacific Region and South-East Asia had the highest and lowest QCI among WHO regions, with estimates of 70.7 and 31.2, respectively. The age group of 20 to 24 years old patients reported the lowest QCI estimate of 30.2, and the highest QCI of 59.8 was regarding 40 to 44 years old patients.
The QCI in BD had only a subtle increase from 1990 to 2019 and is in need of further improvement. Inequalities between different regions and age groups are considerable and require proper attention.
双相情感障碍（BD）是一种严重的致残性精神疾病。在这里，我们引入了一个新的指标，作为全球 BD 患者护理质量的代表。
2019 年全球疾病负担（GBD）研究是 BD 的主要数据来源，包括患病率、发病率和残疾生活年数（YLDs）。使用主成分分析（PCA）方法创建并转化了次要指标，形成一个占大部分变化的单一成分。该成分以 0 到 100 的比例报告，称为护理质量指数（QCI）。在 30 年的时间框架内，按年龄组和地区估计 QCI。报告了性别差异比（GDR），即 QCI 的女性与男性比值。
全球 QCI 从 1990 年的 50.4 略有上升到 2019 年的 53.1。2019 年的 GDR 值为 0.95。高-中收入水平国家的 QCI 估计值最高，为 63.0，而低收入水平国家的 QCI 值最低，为 36.9。西太平洋地区和东南亚地区在世界卫生组织地区中 QCI 最高和最低，分别为 70.7 和 31.2。20 至 24 岁年龄组患者报告的 QCI 估计值最低，为 30.2，而 40 至 44 岁年龄组患者报告的 QCI 最高，为 59.8。
BD 的 QCI 从 1990 年到 2019 年仅略有增加，需要进一步改善。不同地区和年龄组之间的不平等现象相当大，需要引起适当关注。
