韩国的精神卫生服务和研究与发展

Youngin Chung, Subin Park, Sun-sik Roh, Bomi Lee, Y. Lee, F. Rami, Ling Li, J. Shen
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引用次数: 1

摘要

背景:韩国的国土面积为100,412.6平方公里,人口为5200万(51,781,000)。方法:作者在查阅韩国精神卫生保健相关文献的基础上,结合本人接受精神病学培训、教学和实践的经验。本综述旨在让《台湾精神病学杂志》的读者了解韩国的精神卫生保健服务和研究与发展(R and D)的信息。结果:尽管韩国的整体健康状况持续改善,但与经济合作与发展组织(OECD)的其他国家相比,韩国人口的心理健康状况较低。例如,与经合组织的平均住院时间和高于平均住院时间相比,韩国与自杀有关的死亡率和因精神/行为疾病而损失的寿命年数最高。相反,政府也在努力改革精神卫生系统。在以社区为基础的服务、非自愿入院和不平等待遇方面已经发生了一些显著的变化。结论:心理健康状况与心理卫生服务体系、精神障碍患病率、健康保险制度、入院制度、心理卫生研发预算密切相关。为了改变与精神卫生有关的态度,迫切需要精神卫生专业人员中强有力的领导。
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Mental health services and research and development in South Korea
Background: South Korea or the Republic of Korea has an area of 100,412.6 km2, and population of 52 million (51,781,000). Methods: Besides our lifetime experiences in receiving training, teaching, and practicing psychiatry, the authors collected information from the literature pertinent to the mental health care in South Korea. This review is intended to familiarize the readers of the Taiwanese Journal of Psychiatry with the information of mental health-care service as well as research and development (R and D) in South Korea. Results: Despite consistent improvement in the overall health status in Korea, the mental health status of the population is low compared with other countries in the Organization for Economic Co-operation and Development (OECD). For example, Korea has the highest suicide-related mortality and more years of life lost due to mental/behavioral diseases, compared to those of the average and a longer-than-average duration of hospital stay, respectively, of the OECD. Conversely, the government has made efforts to overhaul the mental health system. Several remarkable changes have been made in the areas of community-based service, involuntary admission, and unequal treatment. Conclusion: The mental health status is closely associated with the mental health service system, prevalence of mental disorders, health insurance system, admission system, and R and D budget for mental health. To change attitudes related to mental health, strong leadership among mental health professionals is urgently needed.
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