TY - JOUR
T1 - Standard comparison of local mental health care systems in eight European countries
AU - Gutiérrez-Colosía, M. R.
AU - Salvador-Carulla, L.
AU - Salinas-Pérez, J. A.
AU - García-Alonso, C. R.
AU - Cid, J.
AU - Salazzari, D.
AU - Montagni, I.
AU - Tedeschi, F.
AU - Cetrano, G.
AU - Chevreul, K.
AU - Kalseth, J.
AU - Hagmair, G.
AU - Strabmayr, C.
AU - Park, A. L.
AU - Sfectu, R.
AU - Ala-Nikkola, T.
AU - González-Caballero, J. L.
AU - Rabbi, L.
AU - Kalseth, B.
AU - Amaddeo, F.
N1 - Funding Information:
The REFINEMENT project has received funding from the European Commission under the Seventh Framework Programme (7FP) and lies within the Specific Programme 'Cooperation' Theme 'Health': HEALTH.2010.3.21: Financing systems' effect on quality of health care. Duration: 1 January 2011 to 31 December 2013. 7FP. Project number: 261459.
Publisher Copyright:
© 2017 Cambridge University Press.
PY - 2019/4/1
Y1 - 2019/4/1
N2 - Aims. 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 (Sor-Trondelag 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.
AB - Aims. 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 (Sor-Trondelag 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.
KW - Community-balanced care
KW - main type of care
KW - mental health care comparison
KW - Mental Health System
UR - http://www.scopus.com/inward/record.url?scp=85030861176&partnerID=8YFLogxK
U2 - 10.1017/S2045796017000415
DO - 10.1017/S2045796017000415
M3 - Article
C2 - 28918762
AN - SCOPUS:85030861176
SN - 2045-7960
VL - 28
SP - 210
EP - 223
JO - Epidemiology and Psychiatric Sciences
JF - Epidemiology and Psychiatric Sciences
IS - 2
ER -
