Mental health service areas in Switzerland.

Details

Ressource 1Download: Stulz et al., 2022, Mental health service areas in Switzerland.pdf (959.32 [Ko])
State: Public
Version: author
License: Not specified
Serval ID
serval:BIB_6C2EC410DCBB
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Mental health service areas in Switzerland.
Journal
International journal of methods in psychiatric research
Author(s)
Stulz N., Jörg R., Reim-Gautier C., Bonsack C., Conus P., Evans-Lacko S., Gabriel-Felleiter K., Heim E., Jäger M., Knapp M., Richter D., Schneeberger A., Thornicroft S.G., Traber R., Wieser S., Tuch A., Hepp U.
ISSN
1557-0657 (Electronic)
ISSN-L
1049-8931
Publication state
Published
Issued date
17/08/2022
Peer-reviewed
Oui
Pages
e1937
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
Small area analysis is a health services research technique that facilitates geographical comparison of services supply and utilization rates between health service areas (HSAs). HSAs are functionally relevant regions around medical facilities within which most residents undergo treatment. We aimed to identify HSAs for psychiatric outpatient care (HSA-PSY) in Switzerland.
We used HSAr, a new and automated methodological approach, and comprehensive psychiatric service use data from insurances to identify HSA-PSY based on travel patterns between patients' residences and service sites. Resulting HSA-PSY were compared geographically, demographically and regarding the use of inpatient and outpatient psychiatric services.
We identified 68 HSA-PSY, which were reviewed and validated by local mental health services experts. The population-based rate of inpatient and outpatient service utilization varied considerably between HSA-PSY. Utilization of inpatient and outpatient services tended to be positively associated across HSA-PSY.
Wide variation of service use between HSA-PSY can hardly be fully explained by underlying differences in the prevalence or incidence of disorders. Whether other factors such as the amount of services supply did add to the high variation should be addressed in further studies, for which our functional mapping on a small-scale regional level provides a good analytical framework.
Keywords
geography, psychiatry, service use, small area analysis
Pubmed
Create date
18/08/2022 6:12
Last modification date
21/11/2022 8:19
Usage data