The Shortfalls of Mental Health Compartment Models: A Call to Improve Mental Health Investment Cases in Developing Countries

被引：2

作者：

Mostert, Cyprian M. ^{[1
,2
,4
]}

Aballa, Andrew ^{[1
]}

Khakali, Linda ^{[1
]}

Njoroge, Willie ^{[1
]}

Shah, Jasmit ^{[1
]}

Hasham, Samim ^{[1
]}

Merali, Zul ^{[1
]}

Atwoli, Lukoye ^{[1
,3
]}

机构：

[1] Aga Khan Univ, Brain & Mind Inst, Nairobi, Kenya

[2] Aga Khan Univ, Dept Populat Hlth, Nairobi, Kenya

[3] Aga Khan Univ, Med Coll East Africa, Dept Med, Nairobi, Kenya

[4] Aga Khan Univ, Brain & Mind Inst, Dept Populat Hlth, 3rd Parklands Ave, Nairobi, Kenya

来源：

VALUE IN HEALTH REGIONAL ISSUES | 2024年 / 41卷

关键词：

developing countries; investment cases; mental health compartment model; SOUTH-AFRICA; DEPRESSION; SERVICES; COSTS;

D O I：

10.1016/j.vhri.2023.11.012

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objectives There are irregularities in investment cases generated by the Mental Health Compartment Model. We discuss these irregularities and highlight the costing techniques that may be introduced to improve mental health investment cases. Methods This analysis uses data from the World Bank, the World Health Organization Mental Health Compartment Model, the United Nations Development Program, the Kenya Ministry of Health, and Statistics from the Kenyan National Commission of Human Rights. Results We demonstrate that the Mental Health Compartment Model produces irrelevant outcomes that are not helpful for clinical settings. The model inflated the productivity gains generated from mental health investment. In some cases, the model underestimated the economic costs of mental health. Such limitation renders the investment cases poor in providing valuable intervention points from the perspectives of both the users and the providers. Conclusions There is a need for further calibration and validation of the investment case outcomes. The current estimated results cannot be used to guide service provision, research, and mental health programming comprehensively.

引用

页码：48 / 53

页数：6

共 42 条

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