Mental illness in the Western Cape Province, South Africa: A review of the burden of disease and healthcare interventions
Mental illness in the Western Cape Province, South Africa: A review of the burden of disease and healthcare interventions
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DOI：
10.7196/samj.2018.v108i3.12904
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发表时间：
2018-03-01
期刊：
影响因子：
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通讯作者：
Coetzee, D
中科院分区：
文献类型：
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作者：
Jacob, N;Coetzee, D
在南非（SA），神经精神疾病在残疾调整生命年的影响因素中排名第三。尽管发病率很高，但心理健康在公共卫生议程上却经常被忽视。本文回顾了南澳西开普省精神疾病负担的证据，以及目前该省为减轻精神疾病负担而采取的干预措施。现有证据支持需要改进将精神卫生服务纳入初级卫生保健并加强社区服务。挑战包括由于人员短缺而缺乏能力以及资源的可用性和分配不足。成功规划和实施干预措施需要来自大型流行病学研究的证据来量化疾病负担以及干预措施的成本效益研究。类似的审查可以提供全国范围内的心理健康问题概述，并可以通过更好地了解各省份的研究和最佳实践来进行改进。
Neuropsychiatric disorders were ranked third as contributors to disability-adjusted life-years in South Africa (SA). Despite this high morbidity, mental health is often overlooked on the public health agenda. This article reviews evidence on the burden of mental illness in the Western Cape Province of SA, as well as current provincial interventions to decrease the burden of mental illness. Available evidence supports the need for improved integration of mental health services in primary healthcare and strengthening of community services. Challenges include a lack of capacity due to staff shortages and inadequate availability and allocation of resources. Evidence from large epidemiological studies to quantify the burden of disease as well as cost-effectiveness studies of interventions are required to successfully plan and implement interventions. Similar reviews may provide a national overview of mental health issues as well as allow improvement through better understanding of research and best practices in various provinces.