FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W493620> ?p ?o ?g. }

• W493620 abstract "Since the 1978 Alma-Ata Declaration,1 the world has seen a gradual transformation of healthcare delivery, with an increasing emphasis on primary care. The Alma Ata principles proposed that primary care would be the main vehicle to address healthcare problems in the community by providing preventative, promotive, curative and rehabilitative services and by reflecting the economic and social values of the country and community. These principles promote a patient-centred holistic approach to healthcare delivery, which includes proper nutrition, an adequate supply of safe water, basic sanitation, maternal and child care including family planning, immunisation, control of endemic diseases, health education and appropriate treatment for common diseases and injuries.As the Alma-Ata Declaration was non-prescriptive it allowed for national interpretation. This meant that optimal benefits were not always achieved. The World Health Organization World Health Report 2008: primary health care – now more than ever re-focused on the core values of primary care and emphasised the need for the renewal of primary care.2 The 2009 62nd World Health Assembly urged all member states to commit to the values of the Alma-Ata, by strengthening their healthcare systems and improving their primary care.3 It recommended acceleration towards universal access to a comprehensive effective primary care, putting people at the centre of all health programmes.Mental health is an important element of primary care, yet 30% of countries do not have a budget for mental health. Of those countries that do have a designated budget, 21% spend less than 1% of their total health budget on mental health,4 and existing mental health budgets are often directed towards mental health secondary and tertiary care and often associated with a disproportionate use of old-style psychiatric institutions.5Governments need to put in place health policies and laws that promote access to good-quality mental health services and emphasise the integration of mental health into primary care. They need to invest human and financial resources to ensure their implementation on the ground. The role of mental health advocacy needs to be recognised, so that services have the benefit of the point of view of those to whom they are most relevant – the service users.Between 75% and 85% of people with a severe mental health condition in low- and middle-income countries and between 35% and 50% in high-income countries are not able to access the treatment that they need,5 and the stigma attached to mental illness is still one of the main obstacles affecting access to mental health care.6,7 The stigma of mental illness affects those who suffer from mental illness and their families across generations, it affects the provision of psychotropic medication and other treatments, and it makes communities and policy makers view people with mental illness in low regard and leads to reluctance in allocating resources to mental healthcare delivery.Poor access is also related to the increasing specialisation of healthcare providers and the narrow focus of single disease control programmes. This discourages a holistic approach to the individual and family, and does not appreciate the need for continuity in care. Health services for poor and marginalized groups are often episodic and severely under-resourced and, when development aid is provided to nations, resource allocation often clusters around curative services at great cost, neglecting the potential of primary prevention and health promotion.2People who suffer from mental health problems also have higher mortality rates from other chronic health conditions when compared with the general population, as a result of the co-morbid physical health problems associated with mental health conditions compounded by the lack of appropriate access to health care. This is significant as mental, neurological, and substance use (MNS) disorders are prevalent in all regions of the world and contribute to 14% of the global burden of disease measured in disability-adjusted life years (DALYs).4The complex relationship between access to mental health and physical health services has been addressed by the World Organization of Family Doctors (Wonca) in collaboration with the World Health Organization (WHO). A joint publication, Integrating Mental Health Into Primary Care: a global perspective, examined the global mental health landscape since the 1978 Alma-Ata Declaration and described the rationale for the integration of mental health interventions in primary care and emphasised that, as all mental health skills and competencies cannot be possessed by a single individual or unit, mental health is best delivered within a pyramid of care where primary care works as a conduit between informal community care and self-care and specialist mental health facilities and services.8The evidence is that that the majority of patients with mental health problems, perhaps 80% or more, receive the bulk of their formal care in primary care settings. Self-care and advocacy are integral to every level of care and are as important as biopsychosocial interventions. Self-care and advocacy are cost-effective, reduce the number of contacts with health services, and should routinely be part of the service specification when services are being commissioned and procured. Mental health advocacy empowers the service user and provides a voice to express their views and defend their rights. Advocacy leads to improved self-esteem, increased independence, improved wellbeing and enhanced social support and coping mechanisms.9" @default.
• W493620 created "2016-06-24" @default.
• W493620 creator A5014221874 @default.
• W493620 creator A5056005843 @default.
• W493620 creator A5058411502 @default.
• W493620 date "2009-03-01" @default.
• W493620 modified "2023-09-23" @default.
• W493620 title "Mental health in primary care gap: now is the time to act." @default.
• W493620 cites W130370602 @default.
• W493620 cites W2038629692 @default.
• W493620 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/2777589" @default.
• W493620 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/22477878" @default.
• W493620 hasPublicationYear "2009" @default.
• W493620 type Work @default.
• W493620 sameAs 493620 @default.
• W493620 citedByCount "2" @default.
• W493620 countsByYear W4936202012 @default.
• W493620 countsByYear W4936202017 @default.
• W493620 crossrefType "journal-article" @default.
• W493620 hasAuthorship W493620A5014221874 @default.
• W493620 hasAuthorship W493620A5056005843 @default.
• W493620 hasAuthorship W493620A5058411502 @default.
• W493620 hasConcept C118552586 @default.
• W493620 hasConcept C134362201 @default.
• W493620 hasConcept C138147947 @default.
• W493620 hasConcept C142724271 @default.
• W493620 hasConcept C153180980 @default.
• W493620 hasConcept C159110408 @default.
• W493620 hasConcept C160735492 @default.
• W493620 hasConcept C17744445 @default.
• W493620 hasConcept C199539241 @default.
• W493620 hasConcept C2780151969 @default.
• W493620 hasConcept C41008148 @default.
• W493620 hasConcept C71924100 @default.
• W493620 hasConcept C77088390 @default.
• W493620 hasConceptScore W493620C118552586 @default.
• W493620 hasConceptScore W493620C134362201 @default.
• W493620 hasConceptScore W493620C138147947 @default.
• W493620 hasConceptScore W493620C142724271 @default.
• W493620 hasConceptScore W493620C153180980 @default.
• W493620 hasConceptScore W493620C159110408 @default.
• W493620 hasConceptScore W493620C160735492 @default.
• W493620 hasConceptScore W493620C17744445 @default.
• W493620 hasConceptScore W493620C199539241 @default.
• W493620 hasConceptScore W493620C2780151969 @default.
• W493620 hasConceptScore W493620C41008148 @default.
• W493620 hasConceptScore W493620C71924100 @default.
• W493620 hasConceptScore W493620C77088390 @default.
• W493620 hasLocation W4936201 @default.
• W493620 hasOpenAccess W493620 @default.
• W493620 hasPrimaryLocation W4936201 @default.
• W493620 hasRelatedWork W1032519941 @default.
• W493620 hasRelatedWork W1860186851 @default.
• W493620 hasRelatedWork W1894386470 @default.
• W493620 hasRelatedWork W2009364438 @default.
• W493620 hasRelatedWork W2087727383 @default.
• W493620 hasRelatedWork W2121950219 @default.
• W493620 hasRelatedWork W2124425892 @default.
• W493620 hasRelatedWork W2147341025 @default.
• W493620 hasRelatedWork W2182689027 @default.
• W493620 hasRelatedWork W2403327412 @default.
• W493620 hasRelatedWork W2755000324 @default.
• W493620 hasRelatedWork W2765470733 @default.
• W493620 hasRelatedWork W2770543561 @default.
• W493620 hasRelatedWork W28402752 @default.
• W493620 hasRelatedWork W2906851700 @default.
• W493620 hasRelatedWork W3121980006 @default.
• W493620 hasRelatedWork W577475594 @default.
• W493620 hasRelatedWork W68475929 @default.
• W493620 hasRelatedWork W76776321 @default.
• W493620 hasRelatedWork W84647380 @default.
• W493620 isParatext "false" @default.
• W493620 isRetracted "false" @default.
• W493620 magId "493620" @default.
• W493620 workType "article" @default.