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Standard comparison of local mental health care systems in eight European countries

dc.rights.licenseopenen_US
dc.contributor.authorGUTIERREZ-COLOSIA, M. R.
dc.contributor.authorSALVADOR-CARULLA, L.
dc.contributor.authorSALINAS-PEREZ, J. A.
dc.contributor.authorGARCIA-ALONSO, C. R.
dc.contributor.authorCID, J.
dc.contributor.authorSALAZZARI, D.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorMONTAGNI, Ilaria
dc.contributor.authorTEDESCHI, F.
dc.contributor.authorCETRANO, G.
dc.contributor.authorCHEVREUL, K.
dc.contributor.authorKALSETH, J.
dc.contributor.authorHAGMAIR, G.
dc.contributor.authorSTRASSMAYR, C.
dc.contributor.authorPARK, A. L.
dc.contributor.authorSFECTU, R.
dc.contributor.authorALA-NIKKOLA, T.
dc.contributor.authorGONZALEZ-CABALLERO, J. L.
dc.contributor.authorRABBI, L.
dc.contributor.authorKALSETH, B.
dc.contributor.authorAMADDEO, F.
dc.date.accessioned2020-06-24T07:59:38Z
dc.date.available2020-06-24T07:59:38Z
dc.date.issued2019-04
dc.identifier.issn2045-7960 (Print) 2045-7960 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/8125
dc.description.abstractEnAIMS: 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.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subject.enHEALTHY
dc.title.enStandard comparison of local mental health care systems in eight European countries
dc.typeArticle de revueen_US
dc.identifier.doi10.1017/s2045796017000415en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed28918762en_US
bordeaux.journalEpidemiology and Psychiatric Sciencesen_US
bordeaux.page210-223en_US
bordeaux.volume28en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - U1219en_US
bordeaux.issue2en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.teamHEALTHY_BPH
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03211519
hal.version1
hal.date.transferred2021-04-28T15:40:41Z
hal.exporttrue
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