重新分配澳大利亚稀缺的精神卫生资源

Ruth F. Williams, D. Doessel
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摘要

本文运用经济学家工具箱中的一些简单的分析工具来阐明澳大利亚心理健康部门的睡眠问题。问题是,有大量没有被诊断出精神健康状况的人在接受心理健康服务。与此同时,大量有严重心理健康问题的人得不到心理健康服务。这种未经治疗的群体通常被称为“未满足需求”的群体。这是一个耳熟能详的术语。我们把第一类人称为“满足非需求”的人,这是一个几乎从未听说过的术语。虽然解决未满足需求问题的办法是经常听到的增加政府支出的呼吁,但没有人关注与“满足非需求”群体相关的浪费支出:满足非需求问题是“房间里的大象”。我们指出了另一种政策回应;也就是说,将资源从满足的非需求组重新分配到未满足的需求组。为实现这一目标,我们将重点放在提供精神卫生服务过程中的结构性改革上。
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Reallocating Australia's Scarce Mental Health Resources
This paper applies some simple analytical tools from the economists' toolbox to shed some light on a sleeper issue in Australia's mental health sector. The problem is that there are large numbers of people with no diagnosed mental health condition who consume mental health services. Simultaneously, there are large numbers of people who have very serious mental health problems who receive no mental health services. This untreated group is often referred to as those with ?unmet need?, a much-heard term. We refer to the first group as people with 'met non-need', a term hardly ever heard. Although the solution to the unmet-need problem is the oft-heard call for increased government expenditure, no attention is directed to the wasted expenditure associated with the 'met non-need' group: the met non-need issue is 'the elephant in the room'. We point to an alternative policy response; that is, a reallocation of resources from the met non-need group to the unmet need group. To achieve this, we direct focus upon a structural reform in the processes of supplying mental health services.
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