Abstract

Background

The lifetime prevalence of mental disorders in South Korea was 25.4% in 2016. The Act on Mental Health enabled the expansion of psychiatric facilities; however, resources were allocated without considering the population structure or the characteristics of mental health problems.

Aims

This paper investigates the status and trends of disease burden and the government budget for Korean mental health.

Methods

The burden of mental and behavioral disorders (MBDs) was measured using the incidence-based disability-adjusted life years (DALYs), and the mental health budget data was from the Ministry of Health and Welfare of South Korea.

Results

We estimated that the disease burden of MBDs accounted for 6.4% of the total disease burden, ranking as the seventh leading cause of Korean DALYs. The mental health budget in South Korea was USD 253.4 million in 2019 (USD 90.3 million from the general account, USD 65.8 million from the National Health Promotion Fund, and USD 97.3 million from the special account for the national mental hospitals).

Conclusions

Challenges are created by the MBD burden on the Korean healthcare system, and the budget is insufficient to address this disease burden, suggesting that resource allocation systems should be improved.

中文翻译：

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韩国精神卫生疾病负担与政府预算的比较

摘要

背景

2016 年，韩国精神障碍的终生患病率为 25.4%。《精神卫生法》使精神科设施得以扩大；然而，资源的分配没有考虑人口结构或精神健康问题的特点。

目标

本文调查了疾病负担的现状和趋势以及韩国精神卫生的政府预算。

方法

使用基于发病率的残疾调整生命年 (DALYs) 衡量精神和行为障碍 (MBD) 的负担，精神卫生预算数据来自韩国卫生和福利部。

结果

我们估计，MBDs 的疾病负担占总疾病负担的 6.4%，是韩国 DALYs 的第七大原因。2019 年韩国的精神卫生预算为 2.534 亿美元（普通账户 9030 万美元，国家健康促进基金 6580 万美元，国家精神病院特别账户 9730 万美元）。

结论

韩国医疗保健系统的 MBD 负担带来了挑战，而预算不足以解决这一疾病负担，这表明应该改进资源分配系统。