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dc.contributor.authorGutiérrez-Colosía, MR
dc.contributor.authorSalvador-Carulla, Luis
dc.contributor.authorSalinas-Pérez, JA
dc.contributor.authorGarcía-Alonso, CR
dc.contributor.authorCid, J
dc.contributor.authorSalazzari, Damiano
dc.contributor.authorMontagni, Ilaria
dc.contributor.authorTedeschi, Federico
dc.contributor.authorCetrano, Gaia
dc.contributor.authorChevreul, Karine
dc.contributor.authorKalseth, Jorid
dc.contributor.authorHagmair, Gisela
dc.contributor.authorStraßmayr, Christa
dc.contributor.authorPark, A-La
dc.contributor.authorSfectu, R
dc.contributor.authorAla-Nikkola, T
dc.contributor.authorGonzalez-Caballero, Juan Luis
dc.contributor.authorRabbi, L.
dc.contributor.authorKalseth, Birgitte
dc.contributor.authorAmaddeo, Francesco
dc.date.accessioned2019-02-27T13:33:29Z
dc.date.available2019-02-27T13:33:29Z
dc.date.created2017-11-30T10:15:53Z
dc.date.issued2017
dc.identifier.citationEpidemiology and Psychiatric Sciences. 2017, 1-14.nb_NO
dc.identifier.issn2045-7960
dc.identifier.urihttp://hdl.handle.net/11250/2587848
dc.description.abstractThere 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. 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. 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. 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.nb_NO
dc.language.isoengnb_NO
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleStandard comparison of local mental health care systems in eight European countriesnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.source.pagenumber1-14nb_NO
dc.source.journalEpidemiology and Psychiatric Sciencesnb_NO
dc.identifier.doi10.1017/S2045796017000415
dc.identifier.cristin1520690
cristin.unitcode7401,60,25,0
cristin.unitnameHelse
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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