弥合印度的心理健康治疗差距:一个以政策为导向的框架,使用护理级联方法
Aninda Debnath1, Rajesh Sagar2, Harshal Ramesh Salve3
1Department of Community Medicine, Maulana Azad Medical College, New Delhi, India.
Indian journal of psychiatry
|September 29, 2025
概括
印度面临着严重的心理健康治疗缺口,许多人未被诊断或未接受治疗. 应用护理级联框架有助于确定关键的脱落点,以改善心理健康护理的获取和提供.
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
- 加强卫生系统 加强卫生系统
背景情况:
- 印度是世界上心理健康治疗差距最高的国家之一.
- 尽管有诸如2017年"精神卫生保健法"之类的政策努力,但仍有很大比例的精神障碍患者未被诊断或治疗.
- 护理级联框架提供了一种结构化的方法来分析整个心理健康护理过程中的消耗.
研究的目的:
- 应用护理级联框架,以确定印度心理健康系统的关键耗尽点.
- 评估当前干预措施在解决心理健康治疗差距方面的有效性.
- 为改善心理健康服务提供提供政策和资源配置提供信息.
主要方法:
- 使用了护理级联框架,分析了七个阶段:意识,寻求帮助,访问,诊断,治疗开始,护理连续性和恢复.
- 审查了来自计划评估的证据,以确定主要的下降点.
- 检查了任务共享,数字平台 (如Tele-MANAS) 和综合护理模式的影响.
主要成果:
- 在护理级联的识别,治疗启动和长期坚持阶段观察到显著的磨损.
- 任务共享和数字平台等干预措施已经扩大了覆盖范围,但仍然分散.
- 基于级联的指标对于监测绩效和优先考虑干预措施至关重要.
结论:
- 护理级联框架为监测印度心理健康系统绩效提供了必要的指标.
- 在识别和启动时解决主要的退出问题对于减少治疗差距至关重要.
- 将级联框架纳入国家政策可以提高资源分配,减少不平等,并促进以康复为导向的护理.
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