Mental Health Services and Global Trade

心理健康服务和全球贸易

• 批准号: 6745075
• 负责人: HOWARD WAITZKIN
• 金额: $ 6.3万
• 依托单位: UNIVERSITY OF NEW MEXICO
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-07-01 至 2006-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6745075
• 关键词: behavioral /social science research tag; clinical research; governmental health /scientific organization; health care policy; health care service availability; health care service planning; health services research tag; human subject; information dissemination; international cooperation; international health /scientific organization; interview; mental health services; behavioral /social science research tag; clinical research; governmental health /scientific organization; health care policy; health care service availability; health care service planning; health services research tag; human subject; information dissemination; international cooperation; international health /scientific organization; interview; mental health services

DESCRIPTION (provided by applicant): This study will pursue three specific aims: 1) to refine a conceptual framework and methodological approach for clarifying the relationships between mental health services and global trade; 2) to assess the decisions and actions of major groups concerning globalization and mental health services: U.S. government agencies, multinational banking and trade organizations, international and national health organizations, multinational corporations, and advocacy groups; and 3) to present policy recommendations that link globalization and mental health services. The application addresses the priorities of the NIMH Small Grants Program since it proposes an exploratory study that represents a significant change in research direction for an experienced, NIMH-supported investigator. Economic globalization raises fundamental issues concerning mental health services. The World Bank and other international lending agencies have fostered reduction and privatization of health and public health services, including mental health services, previously provided in the public sector; this intensely debated orientation has affected policies of the World Health Organization, the Pan American Health Organization, and the U.S. National Institutes of Health. Expansion of multinational corporations (managed care organizations, consulting firms, pharmaceutical and medical equipment firms, and industrial corporations) has accompanied the increasing privatization of mental health services in the United States and other countries. Growing from previous research on the exportation of managed care and the implementation of Medicaid managed care for medical and mental health services, the proposed work includes an analysis of the research and archival literature on globalization and mental health services; interviews with representatives of government agencies, multinational banking and trade organizations, international and national health and mental health organizations, multinational corporations, and advocacy groups; and assessment of these organizations' reports available in the public sphere. This project will lead to several products: two journal articles; op-ed and similar articles for newspapers and magazines; a book; and a curriculum module for mental health services, policy studies, public health, social sciences, and management.

描述（由申请人提供）：本研究将追求三个具体的目的：1）完善概念框架和方法论方法，以阐明心理健康服务与全球贸易之间的关系； 2）评估有关全球化和精神卫生服务的主要团体的决策和行动：美国政府机构，跨国公司和贸易组织，国际和国家卫生组织，跨国公司以及倡导组织； 3）提出将全球化和心理健康服务联系起来的政策建议。该申请涉及NIMH小赠款计划的优先级，因为它提出了一项探索性研究，该研究代表了经验丰富的NIMH支持的研究者的研究方向的重大变化。经济全球化提出了有关心理卫生服务的基本问题。世界银行和其他国际贷款机构促进了对卫生和公共卫生服务的减少和私有化，包括以前在公共部门提供的心理健康服务；这种激烈的辩论导向影响了世界卫生组织，泛美卫生组织和美国国立卫生研究院的政策。跨国公司（托管护理组织，咨询公司，制药和医疗设备公司以及工业公司）的扩展伴随着美国和其他国家的心理健康服务的私有化。从先前关于托管护理出口的研究以及对医疗和心理健康服务的医疗补助托管护理的实施的研究，拟议的工作包括对全球化和精神卫生服务的研究和档案文献的分析；与政府机构，跨国公司和贸易组织，国际和国家卫生与精神卫生组织，跨国公司以及倡导组织的代表进行访谈；并评估这些组织在公共领域可用的报告。该项目将导致几种产品：两篇期刊文章；报纸和报纸和杂志的类似文章；一本书；以及用于心理健康服务，政策研究，公共卫生，社会科学和管理的课程模块。