The mental health workforce gap in low- and middle-income countries: a needs-based approach

被引：246

作者：

Bruckner, Tim A. ^{[1
]}

Scheffler, Richard M. ^{[2
]}

Shen, Gordon ^{[2
]}

Yoon, Jangho ^{[3
]}

Chisholm, Dan ^{[4
]}

Morris, Jodi ^{[5
]}

Fulton, Brent D. ^{[6
]}

Dal Poz, Mario R. ^{[7
]}

Saxena, Shekhar ^{[5
]}

机构：

[1] Univ Calif Irvine, Dept Publ Hlth & Planning Policy & Design, Irvine, CA 92697 USA

[2] Univ Calif Berkeley, Sch Publ Hlth, Dept Hlth Policy, Berkeley, CA 94720 USA

[3] Georgia So Univ, Jiann Ping Hsu Coll Publ Hlth, Statesboro, GA 30460 USA

[4] WHO, Dept Hlth Syst Financing, CH-1211 Geneva, Switzerland

[5] WHO, Dept Mental Hlth & Substance Abuse, CH-1211 Geneva, Switzerland

[6] Univ Calif Berkeley, Global Ctr Hlth Econ & Policy Res, Berkeley, CA 94720 USA

[7] WHO, Dept Human Resources Hlth, CH-1211 Geneva, Switzerland

来源：

BULLETIN OF THE WORLD HEALTH ORGANIZATION | 2011年 / 89卷 / 03期

关键词：

COST-EFFECTIVENESS; GLOBAL BURDEN; UNMET NEED; DISORDERS; PREVALENCE; SERVICES; WORLD; CARE; CHILDREN; SCHIZOPHRENIA;

D O I：

10.2471/BLT.10.082784

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective To estimate the shortage of mental health professionals in low- and middle-income countries (LMICs). Methods We used data from the World Health Organization's Assessment Instrument for Mental Health Systems (WHO-AIMS) from 58 LMICs, country-specific information on the burden of various mental disorders and a hypothetical core service delivery package to estimate how many psychiatrists, nurses and psychosocial care providers would be needed to provide mental health care to the total population of the countries studied. We focused on the following eight problems, to which WHO has attached priority: depression, schizophrenia, psychoses other than schizophrenia, suicide, epilepsy, dementia, disorders related to the use of alcohol and illicit drugs, and paediatric mental disorders. Findings All low-income countries and 59% of the middle-income countries in our sample were found to have far fewer professionals than they need to deliver a core set of mental health interventions. The 58 LMICs sampled would need to increase their total mental health workforce by 239 000 full-time equivalent professionals to address the current shortage. Conclusion Country-specific policies are needed to overcome the large shortage of mental health-care staff and services throughout LMICs.

引用

页码：184 / 194

页数：11

共 52 条

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