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Translation of the World Mental Health Survey data to policies: an exploratory study of stakeholdersu27 perceptions of how epidemiologic data can be utilized for policy in the field of mental health

机译:将世界心理健康调查数据转化为政策:对利益相关者的探索性研究,探讨如何将流行病学数据用于精神卫生领域的政策

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摘要

The World Mental Health Survey Consortium, a World Health Organization and Harvard University collaboration, totaling 28 countries participated in a uniform randomized general population survey, making use of translated versions of the WHO Composite International Diagnostic Interview. One of the major purposes of the survey was to help inform policy decision makers regarding mental health. However many obstacles prevent the direct translation of survey data to policies. We report on an investigation of the mechanisms involved in the transformation of survey data into mental health policies. After conducting 11 interviews of individuals representing 12 countries that participated in the survey, we found that although governments did take an active role in the conduct of the survey, this did not necessarily translate into direct policy changes. A number of factors were noted to influence the adoption and implementation of mental health policy changes from the survey data: the establishment of links between the research group and policymakers; the identification of costs of mental disorder; definition of clear solutions; and lastly the generation of political will. The range of countries included in this investigation has enabled comparisons in the use of evidence to influence policies in different contexts. Gaining an understanding of why some countries were successful and why others struggled in transforming survey results to policies may help to inform researchers of translational issues of research to mental health policies in the future.
机译:由世界卫生组织和哈佛大学合作的世界心理健康调查联合会,共有28个国家使用世卫组织综合国际诊断访谈的翻译版本参加了统一的随机总体人口调查。该调查的主要目的之一是帮助告知决策者有关心理健康的信息。但是,许多障碍阻碍了将调查数据直接转换为政策。我们报告了有关将调查数据转换为心理健康政策的机制的调查。在对代表参加调查的12个国家的个人进行11次采访后,我们发现尽管政府在调查中确实发挥了积极作用,但这并不一定转化为直接的政策变化。从调查数据中注意到影响精神卫生政策变更的采用和实施的许多因素:研究小组与政策制定者之间建立联系;确定精神障碍的费用;明确解决方案的定义;最后是政治意愿的产生。本次调查所涉及的国家范围使得能够在不同背景下对影响政策使用的证据进行比较。了解一些国家为何成功以及为什么其他国家在将调查结果转变为政策方面却举步维艰,可能有助于将来向研究人员介绍有关研究向精神卫生政策转变的问题。

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