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A Comparison of Mental Health Care Systems in Northern and Southern Europe: A Service Mapping Study.
Sadeniemi, Minna; Almeda, Nerea; Salinas-Pérez, Jose A; Gutiérrez-Colosía, Mencía R; García-Alonso, Carlos; Ala-Nikkola, Taina; Joffe, Grigori; Pirkola, Sami; Wahlbeck, Kristian; Cid, Jordi; Salvador-Carulla, Luis.
Afiliación
  • Sadeniemi M; Department of Social Services and Health Care, City of Helsinki, Southern Psychiatric Outpatient Clinic, Työpajankatu 14, FI-00099 Helsinki, Finland. minna.sadeniemi@helsinki.fi.
  • Almeda N; University of Helsinki and Helsinki University Hospital, Välskärinkatu 12, Helsinki FI-00029, Finland. minna.sadeniemi@helsinki.fi.
  • Salinas-Pérez JA; Unit for Mental Health, National Institute for Health and Welfare (THL); Mannerheimintie 168, Helsinki FI-00270, Finland. minna.sadeniemi@helsinki.fi.
  • Gutiérrez-Colosía MR; PSICOST Research Association, Department of Psychology, Universidad Loyola Andalucía, C/Energía Solar 1, 41014 Sevilla, España. nmalmeda@uloyola.es.
  • García-Alonso C; PSICOST Research Association, Department of Quantitative Methods, Universidad Loyola Andalucía, C/Energía Solar 1, 41014 Sevilla, España. jsalinas@uloyola.es.
  • Ala-Nikkola T; PSICOST Research Association, Department of Psychology, Universidad Loyola Andalucía, C/Energía Solar 1, 41014 Sevilla, España. menciaruiz@uloyola.es.
  • Joffe G; PSICOST Research Association, Department of Quantitative Methods, Universidad Loyola Andalucía, C/Energía Solar 1, 41014 Sevilla, España. cgarcia@uloyola.es.
  • Pirkola S; University of Helsinki and Helsinki University Hospital, Välskärinkatu 12, Helsinki FI-00029, Finland. taina.ala-nikkola@hus.fi.
  • Wahlbeck K; Unit for Mental Health, National Institute for Health and Welfare (THL); Mannerheimintie 168, Helsinki FI-00270, Finland. taina.ala-nikkola@hus.fi.
  • Cid J; University of Helsinki and Helsinki University Hospital, Välskärinkatu 12, Helsinki FI-00029, Finland. grigori.joffe@hus.fi.
  • Salvador-Carulla L; University of Tampere School of Health Sciences, and Tampere University Hospital, Lääkärinkatu 1, Tampere FI-33014, Finland. sami.pirkola@staff.uta.fi.
Int J Environ Res Public Health ; 15(6)2018 05 31.
Article en En | MEDLINE | ID: mdl-29857556
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicios de Salud Mental Tipo de estudio: Diagnostic_studies Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Int J Environ Res Public Health Año: 2018 Tipo del documento: Article País de afiliación: Finlandia Pais de publicación: Suiza
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicios de Salud Mental Tipo de estudio: Diagnostic_studies Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Int J Environ Res Public Health Año: 2018 Tipo del documento: Article País de afiliación: Finlandia Pais de publicación: Suiza