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Does evidence lead to policy change?

机译:有证据是否导致政策变化?

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摘要

Mental disorders are generally extremely complex and making the progression from recognition of a particular disorder to implementation of ways of truly helping people with that disorder is a very long and difficult process. While clinical trials are clearly important in informing practice, there is a wider process that is much needed. First, the condition being examined needs to be understood, including an understanding of the real impact upon sufferers and the most important issues for them. Second, we need an understanding of what symptoms or aspects of the disorder should be targeted in order to effect significant change for the better. Third, especially in the modern economic era, treatments need to be evaluated for 'cost effectiveness'. This complexity is often lost in the process of making policy decisions, making it particularly important for clinicians and academics to be forthright in debating evidence and its implications for mental health policy.
机译:精神障碍通常非常复杂,并从识别特定疾病到实施真正帮助这种疾病的方式的识别是一个非常漫长而困难的过程。 虽然临床试验在通知实践中显然很重要,但是需要更广泛的过程。 首先,需要理解所研究的条件,包括对对患者的真正影响以及它们的最重要问题的理解。 其次,我们需要了解疾病的症状或方面应该是针对性的,以便实现更好的变化。 第三,特别是在现代经济时代,需要评估“成本效益”的治疗。 在制定政策决策过程中,这种复杂性往往损失,使临床医生和学者特别重要,以便在辩论证据中直接争论和对心理健康政策的影响。

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