Kotsis Konstantinos, Marchionatti Lauro Estivalete, Simioni André, Schafer Julia Luiza, Evans-Lacko Sara, Saxena Shekhar, Kline Sarah, Kousoulis Antonis, Koumoula Anastasia, Salum Giovanni Abrahão
Child and Adolescent Mental Health Initiative (CAMHI), Stavros Niarchos Foundation & Child Mind Institute, New York, NY, USA.
Child Mind Institute, New York, NY, USA.
Int J Soc Psychiatry. 2025 Jun;71(4):757-769. doi: 10.1177/00207640241303029. Epub 2024 Dec 12.
Effective mental health systems depend on the functioning of a variety of factors that can be systematically monitored across countries. Macro-level assessments are needed to identify potential areas for improvement in the health sector, particularly in countries that face significant access barriers such as Greece.
To analyze Greece's mental health-related indicators in comparison to countries with similar socioeconomic contexts and geography and identify priority areas for the national mental health system.
Data was sourced from the Global Mental Health Countdown 2030, an initiative gathering 48 indicators from 193 countries, classifying metrics into four domains: mental health system performance, determinants of mental health, factors influencing the demand for care, and wellbeing. We analyzed 39 indicators available for Greece to perform a comparative analysis with three groups of countries (27 European Union, 55 high-income, and 52 upper-middle income nations). We employed content analysis to organize mental health system indicators into a framework to inform policy and practice.
Greece exhibited low performance in several indicators related to mental health provision, with four metrics falling below the 12.5th centile for all comparative groups ('interventions in primary care', 'policy implementation', 'promotion and prevention', and 'frequency of collection of data'). A content-analysis framework grouped indicators into categories related to the mental health system, with low-scoring metrics clustering around 'policy and planning', 'affordability of care', 'coordination of services', and 'data collection and quality assessment'.
This analysis provides a contextualized overview of Greece's mental health system, identifying areas for improvement based on a panel of evidence-based indicators. Priority policy actions should focus on enhancing mental health insurance coverage and freely-available mental health services, organizing provision into a stepped-care and coordinated service network, and establishing systematic data monitoring mechanisms with unified electronic registers.
有效的心理健康系统依赖于多种因素的运作，而这些因素可在各国进行系统监测。需要进行宏观层面的评估，以确定卫生部门潜在的改进领域，特别是在像希腊这样面临重大获取障碍的国家。
与社会经济背景和地理位置相似的国家相比，分析希腊的心理健康相关指标，并确定国家心理健康系统的优先领域。
数据来源于《2030年全球心理健康倒计时》，该倡议收集了来自193个国家的48项指标，将指标分为四个领域：心理健康系统绩效、心理健康决定因素、影响护理需求的因素和幸福感。我们分析了希腊可得的39项指标，以便与三组国家（27个欧盟国家、55个高收入国家和52个中高收入国家）进行比较分析。我们采用内容分析法，将心理健康系统指标整理成一个框架，为政策和实践提供参考。
希腊在若干与心理健康服务提供相关的指标上表现不佳，有四项指标在所有比较组中均低于第12.5百分位数（“初级保健干预”、“政策实施”、“促进与预防”以及“数据收集频率”）。一个内容分析框架将指标归类为与心理健康系统相关的类别，得分较低的指标集中在“政策与规划”、“护理可负担性”、“服务协调”以及“数据收集与质量评估”方面。
本分析提供了希腊心理健康系统的情境化概述，基于一组循证指标确定了改进领域。优先政策行动应侧重于提高心理健康保险覆盖率和免费心理健康服务，将服务提供组织成阶梯式护理和协调服务网络，并建立具有统一电子登记册的系统数据监测机制。
