[Integration of mental health and chronic non-communicable diseases in Peru: challenges and opportunities for primary care settings].
In this article, the relationship between mental health and chronic non-communicable diseases is discussed as well as the possibility to address them in a comprehensive manner in the Peruvian health system. First, the prevalence estimates and the burden of chronic non-communicable diseases and mental disorders worldwide and in Peru are reviewed. Then, the detrimental impact of depression in the early stages as well as the progress of diabetes and cardiovascular diseases is described. Additionally, the gap between access to mental health care in Peru is analyzed. Lastly, the alternatives to reduce the gap are explored. Of these alternatives, the integration of mental health into primary care services is emphasized; as a feasible way to meet the care needs of the general population, and people with chronic diseases in particular, in the Peruvian context.
Centro de Excelencia en Enfermedades Crónicas, Universidad Peruana Cayetano Heredia, Lima, Perú
Francisco
F
Diez-Canseco
Centro de Excelencia en Enfermedades Crónicas, Universidad Peruana Cayetano Heredia, Lima, Perú
Alessandra
A
Ipince
Mauricio
M
Toyama
Ysabel
Y
Benate-Galvez
Gerencia Central de Prestaciones de Salud, EsSalud, Lima, Perú
Edén
E
Galán-Rodas
Gerencia Central de Prestaciones de Salud, EsSalud, Lima, Perú
Julio César
JC
Medina-Verástegui
Microrred de Salud Carabayllo, Red de Salud Túpac Amaru, DISA V Lima Ciudad, Ministerio de Salud, Lima, Perú
David
D
Sánchez-Moreno
Microrred de Salud Carabayllo, Red de Salud Túpac Amaru, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical, Londres, Reino Unido.
Ricardo
R
Araya
Centro de Excelencia en Enfermedades Crónicas, Universidad Peruana Cayetano Heredia, Lima, Perú
J Jaime
JJ
Miranda
D002908:Chronic Disease / Q000523:psychology* / Q000628:therapy*; D003863:Depression / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration; D010568:Peru; D011320:Primary Health Care / Q000458:organization & administration