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Does primary care mental health resourcing affect the use and costs of secondary psychiatric services?

Abstract：

:Collaborative care models for treatment of depression and anxiety disorders in primary care have been shown to be effective. The aim of this study was to investigate at the municipal level to what extent investment in mental health personnel at primary care health centres in the study area is reflected in the costs and use of secondary psychiatric services. Furthermore, we analysed whether the service provision and use of secondary psychiatric care correlates with the socioeconomic indicators of need. We found significant variation in the amount of mental health personnel provided at the health centres, uncorrelated with the indicators of need nor with the costs of secondary psychiatric care. The amount of mental health nurses at the health centres correlated inversely with the number of secondary psychiatric outpatient visits, whereas its relation to inpatient days and admission was positive. The costs of secondary psychiatric care correlated with level of psychiatric morbidity and socioeconomic indicators of need. The results suggest that when aiming at equal access of care and cost-efficiency, the primary and secondary care should be organized and planned with integrative collaboration.

journal_name

Int J Environ Res Public Health

journal_title

International journal of environmental research and public health

authors

Sadeniemi M,Pirkola S,Pankakoski M,Joffe G,Kontio R,Malin M,Ala-Nikkola T,Wahlbeck K

doi

10.3390/ijerph110908743

subject

Has Abstract

pub_date

2014-08-26 00:00:00

pages

8743-54

issue

9

eissn

1661-7827

issn

1660-4601

pii

ijerph110908743

journal_volume

11

pub_type

杂志文章

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