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1 results

  • 25 - Health systems research: a pragmatic model for meeting mental health needs in low-income countries

  • from Part IV - Unmet need: specific issues
  • Edited by Gavin Andrews, University of New South Wales, Sydney, Scott Henderson, Australian National University, Canberra
  • Book:
    Unmet Need in Psychiatry
    Published online:
    21 August 2009
    Print publication:
    06 January 2000, pp 363-377

  • Summary

    Mental illness is recognized as one of the commonest and most disabling of all non-communicable disorders in low-income countries. This chapter examines the existing models of research and proposes an alternative model, the health systems research (HSR) model. This model helps understanding and meeting the mental health needs of communities in diverse regions in the low-income world. The vast majority of psychiatric research measures only biological or cultural variables. The health system is regarded as being independent. The health systems model recognizes that different cultures may share a similar health system while similar cultures may have widely different health systems. Priorities and objectives reflect the needs of psychiatrists and academics rather than those of the health care providers and patients. Culturally relativist studies tend to recognize the role of traditional medicine in many developing countries.