在印度精神障碍的背景下,实现全民健康覆盖的进展:来自全国抽样调查数据的证据
Alok Ranjan1,2, Jewel E Crasta3
1School of Liberal Arts, Centre for Emerging Technology and Sustainable Development, Indian Institute of Technology, Jodhpur, India. alokranjancmc@gmail.com.
International journal of mental health systems
|September 19, 2023
概括
在印度实现对精神障碍的全民健康覆盖 (UHC),需要解决医疗保健准入和财务保护方面的重大差距. 该研究强调了差异,特别是对最贫困人口,需要有针对性的干预措施.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 心理健康服务研究研究 心理健康服务研究
背景情况:
- 全民健康覆盖 (UHC) 是可持续发展目标下的全球优先事项.
- 实现UHC需要解决个别疾病领域,包括心理健康.
- 这项研究评估了印度对精神障碍的UHC的进展,重点关注医疗保健准入和财务保护.
研究的目的:
- 衡量印度在精神障碍方面实现全民健康覆盖 (UHC) 的进展.
- 评估精神疾病患者获得医疗保健和经济保护的机会.
- 识别心理健康护理获取和负担能力方面的差异.
主要方法:
- 利用了第75轮全国样本调查 (NSS) 2017-18年的数据,涵盖了555,115名个人.
- 采用后勤回归模型来分析与精神疾病相关的门诊和住院病例.
- 包括自我报告,服务利用,保险覆盖和支出模式的分析.
主要成果:
- 心理障碍的自我报告低于实际负担;更富裕的人群报告更频繁.
- 私营部门主导精神卫生保健,但公共设施的服务质量较差,成本较低.
- 医疗保险覆盖率总体上很低 (23%),特别是对最贫穷的人群 (3.4%),导致高额自费支出和灾难性的医疗支出,特别是在私营部门.
结论:
- 社会决定因素对印度精神障碍患者的医疗保健和经济保护有重大影响.
- 解决现有的获取和财务保护差距对于实现精神卫生保健的UHC至关重要.
- 需要采取政策干预措施,以改善心理健康服务的公平获取和负担能力.
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