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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Whither economic evaluation in the case of COVID-19: What can the field of mental health economics contribute within the Australian context?
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Whither economic evaluation in the case of COVID-19: What can the field of mental health economics contribute within the Australian context?

机译：在Covid-19的情况下，在经济评价上：精神卫生经济学领域可以在澳大利亚背景下贡献什么？

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摘要

COVID-19 has resulted in broad impacts on the economy and aspects of daily life including our collective mental health and well-being. The Australian health care system already faces limitations in its ability to treat people with mental health diagnoses. Australia has responded to the COVID-19 outbreak by, among other initiatives, providing reimbursement for telehealth services. However, it is unclear if these measures will be enough to manage the psychological distress, depression, anxiety and post-traumatic distress shown to accompany infectious disease outbreaks and economic shocks. Decision making has focused on the physical health ramifications of COVID-19, the avoidance of over-burdening the health care system and saving lives. We propose an alternative framework for decision making that combines life years saved with impacts on quality of life. A framework that simultaneously includes mental health and broader economic impacts into a single decision-making process would facilitate transparent and accountable decision making that can improve the overall welfare of Australian society as we continue to address the considerable challenges that the COVID-19 pandemic is creating.
机译：2019冠状病毒疾病对我们的经济和生活带来了广泛的影响，包括我们的集体心理健康和幸福感。澳大利亚医疗体系在治疗精神健康患者方面已经面临着限制。澳大利亚已经通过2019冠状病毒疾病的应对措施，通过其他措施为远程医疗服务提供补偿。然而，目前尚不清楚这些措施是否足以应对伴随传染病暴发和经济冲击而出现的心理困扰、抑郁、焦虑和创伤后困扰。决策的重点是2019冠状病毒疾病的身体健康后果，避免过度负担医疗保健系统和挽救生命。我们提出了一个替代的决策框架，将挽救的生命年与对生活质量的影响结合起来。一个框架，2019冠状病毒疾病的产生和发展，将一个单一的决策过程同时包括心理健康和更广泛的经济影响，这将有助于提高透明度和可承担责任的决策，从而能够继续解决澳大利亚社会的总体福利问题。

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