Integration of mental health care into primary care - Demonstration cost-outcome study in India and Pakistan
Integration of mental health care into primary care - Demonstration cost-outcome study in India and Pakistan
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DOI：
10.1192/bjp.176.6.581
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发表时间：
2000-06-01
影响因子：
10.5
通讯作者：
Murthy, RS
中科院分区：
文献类型：
--
作者：
Chisholm, D;Sekar, K;Murthy, RS
背景：针对具有成本效益的护理战略提供资源对于全球精神卫生负担非常重要。目的展示评估低收入国家精神卫生保健方案的成本-结果方法。方法对4例农村人群进行精神病学发病率筛查。被诊断为常见精神障碍的个体被邀请寻求治疗，并对症状、残疾、生活质量和资源利用进行前瞻性评估。结果在四个筛查人群中，有12%到39%的人患有可诊断的普通精神障碍。随着时间的推移，四个地区中有三个地区的症状有所改善。残疾和生活质量，同时总经济成本降低。结论对低收入国家的精神卫生保健进行经济分析是可行的。我们对将心理健康纳入初级保健的成本效益评估因自然主义的研究设计和使用政府初级保健服务的受试者比例低而感到困惑。本研究由英国国际发展部资助（HP-ACORD小型项目资助RD 463）。
Background Targeting resources on cost-effective care strategies is important For the global mental health burden.Aims To demonstrate cost-outcome methods in the evaluation of mental health care programmes in low-income countries.Method Four rural populations were screened fbr psychiatric morbidity. Individuals with a diagnosed common mental disorder were invited to seek treatment, and assessed prospectively on symptoms, disability, quality of life and resource use.Results Between 12% and 39% of the four screened populations had a diagnosable common mental disorder. In three of the four localities there were improvements over time in symptoms. disability and quality of life, while total economic costs were reduced.Conclusion Economic analysis of mental health care in low-income countries is feasible and practicable. Our assessment of the cost-effectiveness of integrating mental health into primary care was confounded by the naturalistic study design and the low proportion of subjects using government primary health care services.Declaration of interest The study was funded by the Department for International Development, UK (HP-ACORD Small Project Grant RD 463).