Carga del enfermar psíquico, barreras y brechas en la atención de Salud Mental en Chile

• Benjamín Vicente P ^[1] ; Robert Kohn ^[2] ; Sandra Saldivia B ^[1] ; Pedro Rioseco S ^[1]
  1. [1] Universidad de Concepción

     Universidad de Concepción

     Comuna de Concepción, Chile

     
  2. [2] Brown University

     Brown University

     City of Providence, Estados Unidos

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 135, Nº. 12, 2007, págs. 1591-1599
• Idioma: español
• Títulos paralelos:
  • Burden of phychiatric diseases in Chile
• Enlaces
  • Texto completo
• Resumen

  • Chile has one of the highest disease burdens caused by neuropsychiatric illnesses in the world, according to WHO, reaching to 31%- Major depression and alcohol use disorders are ranked first and second in attributed disability among adults. Nearly one-third of the population has had a psychiatric disorder in their lifetime, and 22.2% in the past year. Anxierty disorders are the most prevalent conditions, followed by major depression and alcohol abuse. Currently, mental health accounts for 2.3%) of the health care budget, which is less than some neighboring countries. The availability of 1.3 psychiatric beds per 10,000 inhabitants, is less than the mean of lower-income countries. Moreover, 81% are for chronic rather than acute care. Chile has 4.0 psychiatrist per 100,000 inhabitants, which is lower than other countries in Latin America. Only 38.5% of those patients with a psychiatric diagnosis receive any kind of mental health care, whether from a specialist or primary care. There is a perception among lay persons, that psychiatric treatments lack efficacy, despite evidence demonstrating the contrary. Not addressing the treament gap in mental health has serious public health implications