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Changes in met perceived need for mental healthcare in Australia from 1997 to 2007

机译:从1997年到2007年,澳大利亚对精神保健的知觉满足需求的变化

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Background The Australian National Survey of Mental Health and Wellbeing conducted in 1997 and 2007 allows for exploration of changes in perceptions of mental healthcare. Major demographic, economic and health-behaviour changes have unfolded in Australia during this time. Governments also have increased spending on mental health services and been active in mental healthcare policy-making and implementation. Aims To compare rates of meeting of perceived need for mental healthcare between these two surveys dealing with adjustable sources of error. Method Combined data-sets from 1997 and 2007 were analysed to provide weighted population estimates. Selection, indirect standardisation to a common reference population and multinomial logistic regression were employed, addressing bias and confounding. Results Between 1997 and 2007 perceived need for information, counselling and skills training among people who consulted a general practitioner, psychiatrist, or psychologist for mental health reasons has increased. Within these service users, increases in perceived responses from services are evident among people who have perceived needs for information provision and counselling. Conclusions Policy and service changes are among possible causal explanations. Generally, trends are in the direction that policy changes were intended to achieve, giving some encouragement that these initiatives have had some effect. Reduced unmet perceived need suggests improved access to some interventions. However, the proportion of service responses to perceived need seen as sufficient is generally unchanged. This suggests the adequacy of treatments offered, as perceived by the Australian public, may not have improved and that a continued focus on quality of care is important for the future.
机译:背景技术1997年和2007年进行的《澳大利亚国家心理健康与福祉调查》允许探索精神保健观念的变化。在这段时间里,澳大利亚人口,经济和健康行为发生了重大变化。政府还增加了对精神卫生服务的支出,并积极参与了精神卫生政策的制定和实施。目的比较这两个涉及可调整误差源的调查之间对精神保健感知需求的满足率。方法分析了1997年和2007年的组合数据集,以提供加权的人口估计数。采用选择,对普通参考人群的间接标准化和多项逻辑回归,以解决偏见和混淆。结果在1997年至2007年之间,出于心理健康原因向全科医生,精神病医生或心理学家咨询的人们对信息,咨询和技能培训的需求有所增加。在这些服务用户中,对信息提供和咨询有需求的人们中,对服务的感知响应明显增加。结论政策和服务变更是可能的原因解释。总体而言,趋势朝着旨在实现政策变化的方向发展,这鼓励了这些举措已产生一定效果。未满足的未满足需求的减少表明可以更好地获得某些干预措施。但是,服务响应在感知到的需求中所占比例通常被认为是足够的。这表明,澳大利亚公众认为,所提供的治疗的适当性可能尚未改善,并且持续关注护理质量对于未来至关重要。

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