关键词: Critical analysis India National Mental Health Survey epidemiological study mental health systems

来  源:   DOI:10.4103/indianjpsychiatry.indianjpsychiatry_837_23   PDF(Pubmed)

Abstract:
The National Mental Health Survey 2016 (NMHS 2016) was a large epidemiological study, one of its kind, conducted by the National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru to overcome the shortcomings of the previous surveys. The detailed report of the study is available in two parts- \'mental health systems\' and \'prevalence, pattern and outcomes\'. Though done comprehensively, there are some inevitable limitations. The private sector, a substantial health care provider in the country was not a participant in the survey. Though MINI version 6.0 is a standard and structured instrument, it does not cover many commonly encountered mental illnesses like somatoform disorders. Further, the methodology of the survey makes it difficult for an accurate calculation of the prevalence of individual major psychiatric disorders. The survey has been appraised using a standard checklist for prevalence studies. The detailed qualitative data has not been shared in the report. The contribution of the traditional indigenous systems of healthcare and accessibility of services in rural areas have not been elaborated. Thus, the need for a comprehensive and culturally sensitive assessment tool, involvement of the private sector, and enhancing funding provision to improve the infrastructure are emphasized as future directions for the subsequent phases of the survey.
摘要:
2016年全国心理健康调查(NMHS2016)是一项大型流行病学研究,其中一种,由美国国家精神卫生与神经科学研究所(NIMHANS)进行,班加罗尔克服了以往调查的缺点。该研究的详细报告分为两个部分-“精神卫生系统”和“患病率”,模式和结果。虽然做得很全面,有一些不可避免的局限性。私营部门,该国的大量医疗保健提供者未参与调查.虽然MINI版本6.0是一个标准和结构化的工具,它不包括许多常见的精神疾病,如躯体形式障碍。Further,调查的方法使得很难准确计算个体主要精神疾病的患病率。已使用流行研究的标准清单对该调查进行了评估。报告中没有分享详细的定性数据。尚未详细说明传统的土著医疗保健系统和农村地区服务的可及性。因此,需要一个全面和文化敏感的评估工具,私营部门的参与,并强调加强资金供应以改善基础设施,这是调查后续阶段的未来方向。
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