对2006-2017年尼泊尔心理健康法案草案的分析:相互竞争的价值观和力量
Jane Stephens1, Padam Simkhada2, Edwin van Teijlingen3
1Green Tara Trust, Saint Stephen's Road, London E3 5JQ, United Kingdom.
Health policy and planning
|April 9, 2024
概括
尼泊尔 尼泊尔 尼泊尔 尼泊尔 尼泊尔
科学领域:
- 公共卫生政策 公共卫生政策
- 心理健康法 心理健康法
- 卫生系统研究 卫生系统研究
背景情况:
- 尼泊尔的心理健康立法发展 (2006-2017) 涉及利益相关者的利益冲突.
- 精神健康和精神疾病缺乏明确的法律定义,以及无差别的法律能力,使政策复杂化.
- 尼泊尔此前的心理健康政策尚未完全成为法律.
研究的目的:
- 绘制尼泊尔心理健康立法起草和商过程的地图.
- 用Shiffman和Smith的议程设定框架分析政策过程.
- 确定关键参与者及其对心理健康政策制定的影响.
主要方法:
- 定性研究,涉及对14次采访进行主题分析.
- 政策分析框架应用于理解议程制定动态.
- 识别和分类参与政策起草的利益相关者群体.
主要成果:
- 两个不同的参与者群体出现了:主张强迫治疗的精神病医生和反对它的民间社会/律师.
- 精神病医生认为强迫拘留是维护健康权利,而反对者则优先考虑平等,反对非自愿治疗.
- 由于这些利益冲突和缺乏法律明确性,政策进程在议程制定阶段陷入局.
结论:
- 在尼泊尔制定心理健康立法的有利条件有限.
- 医疗专业人员和基于权利的倡导者之间的冲突造成了重大政策障碍.
- 由于国家政策的动态,未来的政策制定可能会优于专业的投入,而不是服务用户的观点.
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