Sistema de Salut de Catalunya
[Sadeniemi M] Department of Social Services and Health Care, City of Helsinki, Southern Psychiatric Outpatient Clinic, Helsinki, Finland. University of Helsinki and Helsinki University Hospital, Välskärinkatu 12, FI-00029 Helsinki, Finland. Unit for Mental Health, National Institute for Health and Welfare (THL), Helsinki, Finland. [Almeda N, Gutiérrez-Colosía MR] PSICOST Research Association, Department of Psychology, Universidad Loyola Andalucía, Spain. [Salinas-Pérez JA, García-Alonso, C] PSICOST Research Association, Department of Quantitative Methods, Universidad Loyola Andalucía, Spain. [Ala-Nikkola T ] University of Helsinki and Helsinki University Hospital, Välskärinkatu 12, FI-00029 Helsinki, Finland. Unit for Mental Health, National Institute for Health and Welfare (THL),Helsinki, Finland. [Joffe G] University of Helsinki and Helsinki University Hospital, Helsinki, Finland.[ Pirkola S] University of Tampere School of Health Sciences, and Tampere University Hospital,Tampere, Finland. [Wahlbeck K] Unit for Mental Health, National Institute for Health and Welfare (THL), Helsinki, Finland. [Cid J] Grup de recerca en salut mental i addiccions, Institut d’Investigació Biomèdica de Girona (IdibGI), Institut d’Assistència Sanitària, Salt, Spain. [Salvador-Carulla L] VIDEA Lab, Centre for Mental Health Research, Australian National University, Canberra, Australia
Institut d'Assistència Sanitària
2021-11-24T12:13:37Z
2021-11-24T12:13:37Z
2018-05-31
Atenció a la salut mental; Atenció comunitària; Comparació estàndard
Cuidado de la salud mental; Atención comunitaria; Comparación estándar
Mental health care; Community care; Standard comparison
Mental health services (MHS) have gone through vast changes during the last decades, shifting from hospital to community-based care. Developing the optimal balance and use of resources requires standard comparisons of mental health care systems across countries. This study aimed to compare the structure, personnel resource allocation, and the productivity of the MHS in two benchmark health districts in a Nordic welfare state and a southern European, family-centered country. The study is part of the REFINEMENT (Research on Financing Systems' Effect on the Quality of Mental Health Care) project. The study areas were the Helsinki and Uusimaa region in Finland and the Girona region in Spain. The MHS were mapped by using the DESDE-LTC (Description and Evaluation of Services and Directories for Long Term Care) tool. There were 6.7 times more personnel resources in the MHS in Helsinki and Uusimaa than in Girona. The resource allocation was more residential-service-oriented in Helsinki and Uusimaa. The difference in mental health personnel resources is not explained by the respective differences in the need for MHS among the population. It is important to make a standard comparison of the MHS for supporting policymaking and to ensure equal access to care across European countries.
This part of the study received research grants from Helsinki City and Hospital District of Helsinki and Uusimaa.
Article
Published version
English
Malalties mentals; Serveis comunitaris de salut mental; Salut pública - Administració; PSYCHIATRY AND PSYCHOLOGY::Mental Disorders; HEALTH CARE::Health Services Administration::Organization and Administration::Efficiency::Efficiency, Organizational; PSYCHIATRY AND PSYCHOLOGY::Behavioral Disciplines and Activities::Mental Health Services::Community Mental Health Services; ATENCIÓN DE SALUD::instalaciones, servicios y personal de asistencia sanitaria::centros sanitarios::centros de atención ambulatoria::centros comunitarios de salud mental; PSIQUIATRÍA Y PSICOLOGÍA::trastornos mentales; ATENCIÓN DE SALUD::administración de los servicios de salud::organización y administración::eficiencia::eficiencia organizacional
MDPI
International Journal of Environmental Research and Public Health;15(6)
https://doi.org/10.3390/ijerph15061133
info:eu-repo/grantAgreement/EC/FP7/2007-2013
info:eu-repo/grantAgreement/EC/FP7/2007-2011
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
