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dc.contributorInstitut d'Assistència Sanitària
dc.contributor.authorRuiz Gutiérrez-Colosía, Mencía
dc.contributor.authorSalvador-Carulla, Luis
dc.contributor.authorSalinas-Perez, José Alberto
dc.contributor.authorGarcia-Alonso, Carlos R.
dc.contributor.authorCID COLOM, JORDI
dc.contributor.authorSalazzari, Damiano
dc.date.accessioned2023-05-22T08:25:45Z
dc.date.available2023-05-22T08:25:45Z
dc.date.issued2019
dc.identifier.citationGutiérrez-Colosía MR, Salvador-Carulla L, Salinas-Pérez JA, García-Alonso CR, Cid J, Salazzari D, et al. Standard comparison of local mental health care systems in eight European countries. Epidemiol Psychiatr Sci. 2019;28(2):210-23.
dc.identifier.issn2045-7979
dc.identifier.urihttps://hdl.handle.net/11351/9573
dc.descriptionMental Health System; Mental health care comparison
dc.description.abstractAims: There is a need of more quantitative standardised data to compare local Mental Health Systems (MHSs) across international jurisdictions. Problems related to terminological variability and commensurability in the evaluation of services hamper like-with-like comparisons and hinder the development of work in this area. This study was aimed to provide standard assessment and comparison of MHS in selected local areas in Europe, contributing to a better understanding of MHS and related allocation of resources at local level and to lessen the scarcity in standard service comparison in Europe. This study is part of the Seventh Framework programme REFINEMENT (Research on Financing Systems' Effect on the Quality of Mental Health Care in Europe) project. Methods: A total of eight study areas from European countries with different systems of care (Austria, England, Finland, France, Italy, Norway, Romania, Spain) were analysed using a standard open-access classification system (Description and Evaluation of Services for Long Term Care in Europe, DESDE-LTC). All publicly funded services universally accessible to adults (≥18 years) with a psychiatric disorder were coded. Care availability, diversity and capacity were compared across these eight local MHS. Results: The comparison of MHS revealed more community-oriented delivery systems in the areas of England (Hampshire) and Southern European countries (Verona - Italy and Girona - Spain). Community-oriented systems with a higher proportion of hospital care were identified in Austria (Industrieviertel) and Scandinavian countries (Sør-Trøndelag in Norway and Helsinki-Uusimaa in Finland), while Loiret (France) was considered as a predominantly hospital-based system. The MHS in Suceava (Romania) was still in transition to community care. Conclusions: There is a significant variation in care availability and capacity across MHS of local areas in Europe. This information is relevant for understanding the process of implementation of community-oriented mental health care in local areas. Standard comparison of care provision in local areas is important for context analysis and policy planning.
dc.language.isoeng
dc.publisherCambridge University Press
dc.relation.ispartofseriesEpidemiology and Psychiatric Sciences;28(2)
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceScientia
dc.subjectEquipaments de salut mental
dc.subjectEficàcia organitzativa
dc.subjectServeis comunitaris de salut
dc.subject.meshMental Health Services
dc.subject.meshEfficiency, Organizational
dc.subject.meshCommunity Health Services
dc.titleStandard comparison of local mental health care systems in eight European countries
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.1017/S2045796017000415
dc.subject.decsservicios de salud mental
dc.subject.decseficiencia organizacional
dc.subject.decsServicios de Salud Comunitaria
dc.relation.publishversionhttps://doi.org/10.1017/S2045796017000415
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.authoraffiliation[Gutiérrez-Colosía MR] PSICOST Research Association, Departamento de Psicología, Universidad Loyola Andalucía, Sevilla, Spain. [Salvador-Carulla L] Centre for Mental Health Research, Research School of Population Health College of Medicine, Biology and Environment, Australian National University, Research School of Population Health, Acton, Australia. [Salinas-Pérez JA] PSICOST Research Association, Departamento de Psicología, Universidad Loyola Andalucía, Sevilla, Spain. Departamento de Métodos Cuantitativos, Universidad Loyola Andalucía, Sevilla, Spain. [García-Alonso CR] Departamento de Métodos Cuantitativos, Universidad Loyola Andalucía, Sevilla, Spain. [Cid Colom J] Grup de Recerca en Salut Mental i Addiccions, (IDIBGI), Institut d’Assistència Sanitària, Salt, Spain. [Salazzari D] Section of Psychiatry, Department of Neurological, Biomedical and Movement Sciences, University of Verona, Italy
dc.identifier.pmid28918762
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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