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On poverty, politics and psychology: the socioeconomic gradient of mental healthcare utilisation and outcomest

机译:关于贫困,政治和心理学:精神卫生保健利用和成果的社会经济梯度

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摘要

Since 2008, the Improving Access to Psychological Therapies. (IAPT) programme has disseminated evidence-based interventions for depression and anxiety problems. In order to maintain quality standards, government policy in England sets the expectation that 50% of treated patients should meet recovery criteria according to validated patient-reported outcome measures. Using national IAPT data, we found evidence suggesting that the prevalence of mental health problems is greater in poorer areas and that these areas had lower average recovery rates. After adjusting benchmarks for local index of multiple deprivation, we found significant differences between unadjusted (72.5%) and adjusted (43.1%) proportions of underperforming clinical commissioning group areas.
机译:自2008年以来,改善了心理疗法的获取。 (IAPT)计划传播了针对抑郁症和焦虑症的循证干预措施。为了维持质量标准,英格兰的政府政策设定了以下期望:根据经过验证的患者报告的结局指标,接受治疗的患者中有50%应符合恢复标准。使用国家IAPT数据,我们发现证据表明,较贫困地区的精神健康问题患病率较高,而这些地区的平均康复率较低。调整当地的多重剥夺指数基准后,我们​​发现表现欠佳的临床调试组区域的未调整比例(72.5%)和调整后比例(43.1%)之间存在显着差异。

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