心理健康服务覆盖率和欧洲成年人之间的差距:系统性审查
Corrado Barbui1, Jordi Alonso2,3,4, Dan Chisholm5
1WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neurosciences, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy.
The Lancet regional health. Europe
|October 24, 2025
概括
欧洲的精神卫生保健覆盖率显示出重大差距,特别是在焦虑和物质使用障碍方面. 边缘化群体面临着最大的差距,阻碍了向公平的心理健康服务的进步.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 心理健康政策 心理健康政策
背景情况:
- 为了达到最高标准的心理健康护理,需要了解当前的服务覆盖范围,并识别欧洲各种健康系统的差距.
- 系统地评估这些差距对于公平,政策制定和加强区域和国家层面的护理至关重要.
研究的目的:
- 系统地审查世界卫生组织 (WHO) 欧洲地区的成人心理健康服务覆盖率和治疗差距.
- 确定不平等现象,并为加强欧洲精神卫生保健提供政策信息.
主要方法:
- 对45项研究进行系统审查,报告了198项关于成人心理健康服务覆盖率和治疗差距的国家或地方估计.
- 分析数据异质性,稀缺性和纵向跟踪中的局限性.
主要成果:
- 覆盖范围因疾病而异;精神疾病在某些国家经常超过90%,而严重抑郁症,焦虑症,物质使用障碍和成人多动症覆盖率明显较低和变化.
- 包括难民和无家可归者在内的边缘化人口经历了超过80%的治疗差距.
- 趋势分析显示,在20年内,抑郁症覆盖率的改善很小,精神病的模式不一致.
结论:
- 欧洲各地存在严重和持续的心理健康护理差距,特别是针对特定疾病和边缘化群体.
- 缺乏标准化,重复的措施阻碍了朝着世界卫生组织2030年覆盖目标的进展跟踪.
- 迫切需要协调的监测系统,重点关注治疗的充分性和公平性,以解决这些差异.
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