While the systematic decentralization of mental health care to community settings has long been recommended by WHO, only 25% of responding countries met all the criteria for integration of mental health into primary care.
While progress has been made in training and supervision in most countries, the supply of medicines for mental health conditions and psychosocial care in primary health-care services remains limited.
10493
这也体现在政府对精神卫生领域的资金分配方式上,突出表明对非机构化的迫切需要。
This is also reflected in the way that government funds to mental health are allocated, highlighting the urgent need for deinstitutionalization.
10494
在中等收入国家,政府用于精神卫生的总支出70%以上分配给精神病院,而在高收入国家该比例为35%。
More than 70% of total government expenditure on mental health was allocated to mental hospitals in middle-income countries, compared with 35% in high-income countries.
10495
这表明,在许多国家,中央精神病院和住院治疗机构获得的资金仍然多于综合医院和初级保健中心提供的服务。
This indicates that centralized mental hospitals and institutional inpatient care still receive more funds than services provided in general hospitals and primary health-care centres in many countries.
There was, however, an increase in the percentage of countries reporting that treatment of people with specific mental health conditions (psychosis, bipolar disorder and depression) is included in national health insurance or reimbursement schemes – from 73% in 2017 to 80% (or 55% of Member States) in 2020.
Global estimates of people receiving care for specific mental health conditions (used as a proxy for mental health care as a whole) remained less than 50%, with a global median of 40% of people with depression and just 29% of people with psychosis receiving care.
10498
精神卫生促进有所加强,但有效性值得怀疑
Increase in mental healthpromotion, but effectiveness questionable
More encouraging was the increase in countries reporting mental health promotion and prevention programmes, from 41% of Member States in 2014 to 52% in 2020.
However, 31% of total reported programmes did not have dedicated human and financial resources, 27% did not have a defined plan, and 39% had no documented evidence of progress and/or impact.