心理健康护理的人力资源:现状和行动战略
Ritsuko Kakuma1, Harry Minas, Nadja van Ginneken
1Centre for International Mental Health, Melbourne School of Population Health, University of Melbourne, Melbourne, VIC, Australia. ritz.kakuma@gmail.com
Lancet (London, England)
|October 20, 2011
概括
解决全球心理健康专业人员短缺问题,特别是在低收入国家,需要任务转移. 在初级保健中培训非专业人员可以有效地提供必要的心理健康干预措施.
科学领域:
- 全球心理健康全球心理健康
- 医疗卫生工作人员发展发展.
- 医疗保健提供系统
背景情况:
- 全球严重缺乏心理健康的人力资源,特别是在低收入和中等收入国家 (LMIC).
- 在LMICs中,现有的心理健康人力资源显示出严重的短缺,如果不进行干预,预计情况将恶化.
研究的目的:
- 审查全球心理健康的人力资源的现状.
- 确定需求,并提出在心理健康工作人员发展方面采取行动的有效策略.
- 探索任务转移和初级保健整合在精神卫生服务提供中的潜力.
主要方法:
- 审查当前关于心理健康的人力资源的文献和证据.
- 对LMICs现有需求和挑战的分析.
- 检查心理健康护理的成功模式,包括任务转移和基于社区的计划.
主要成果:
- 心理健康护理可以在初级卫生保健机构和社区计划中有效提供.
- 任务转移使非专业卫生专业人员,普通工作者和护理人员能够通过培训和监督来管理心理健康状况.
- 这些方法可以改善精神疾病的检测,诊断,治疗和监测,同时减少护理人员的负担.
结论:
- 任务转移和融入初级保健是解决LMICs心理健康劳动力短缺的可行策略.
- 对培训,监督和领导力进行投资对于扩大心理健康服务至关重要.
- 解决心理健康的人力资源问题需要全面的战略,重点在于LMICs内的管理和领导力.
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