在旁遮普邦,心理和行为障碍的治疗缺口
Rohit Garg1, Bir Singh Chavan2, Subhash Das3
1Department of Psychiatry, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.
Indian journal of psychiatry
|February 1, 2024
概括
在印度的旁遮普邦,精神疾病存在显著的79.59%的治疗差距. 解决耻辱感,改善护理准入和提高心理健康素养对于更好的医疗保健利用至关重要.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
- 流行病学 流行病学
背景情况:
- 关于印度旁遮普邦精神疾病的治疗缺口和医疗保健利用情况的数据有限.
- 这项研究利用国家心理健康调查数据解决了这一差距.
研究的目的:
- 为了确定在旁遮普邦的精神和行为障碍的治疗缺口.
- 评估精神障碍患者中医疗保健使用模式.
- 确定该地区获得精神卫生保健服务的障碍.
主要方法:
- 一个多站点,多阶段,分层,随机的集群采样设计在旁遮普的四个地区被采用.
- 迷你国际神经精神病学面试 (MINI) 6.0.0和适应的法格斯特罗姆尼古丁依赖度量表用于诊断.
- 世界卫生组织的途径面试时间表和聚焦小组讨论 (FGDs) 评估了治疗差距,利用率和社区的看法.
主要成果:
- 精神和行为障碍的整体治疗差距为79.59%,特别是与阿片类药物使用障碍相比,常见的精神障碍和物质使用障碍 (酒精,烟草) 的治疗差距明显更高.
- 平均治疗滞后时间为6个月,只有很小一部分患者接受了专业精神病治疗.
- 发现的关键障碍包括耻辱,心理健康素养不佳,精神病医生短缺以及与医疗机构的地理距离.
结论:
- 实质性的改善精神卫生保健的利用和减少治疗差距需要多部门的整合.
- 提高心理健康素养,加强初级医疗保健服务和投资于人力资源发展是重要的优先事项.
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